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A case-control field study on the relationships among type 2 diabetes, sleepiness and habitual caffeine intake.
Urry, Emily; Jetter, Alexander; Holst, Sebastian C; Berger, Wolfgang; Spinas, Giatgen A; Langhans, Wolfgang; Landolt, Hans-Peter.
Afiliación
  • Urry E; 1 Institute of Pharmacology and Toxicology, University of Zürich, Zürich, Switzerland.
  • Jetter A; 2 Zürich Center for interdisciplinary Sleep Research, University of Zürich, Zürich, Switzerland.
  • Holst SC; 3 Department of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
  • Berger W; 4 Department of Clinical Pharmacology and Toxicology, University Hospital Zürich, Zürich, Switzerland.
  • Spinas GA; 1 Institute of Pharmacology and Toxicology, University of Zürich, Zürich, Switzerland.
  • Langhans W; 2 Zürich Center for interdisciplinary Sleep Research, University of Zürich, Zürich, Switzerland.
  • Landolt HP; 5 Institute of Medical Molecular Genetics, University of Zürich, Zürich, Switzerland.
J Psychopharmacol ; 31(2): 233-242, 2017 02.
Article en En | MEDLINE | ID: mdl-27649774
OBJECTIVES: The purpose of this study was to examine the possible links between type 2 diabetes, daytime sleepiness, sleep quality and caffeine consumption. METHODS: In this case-control field study, comparing type 2 diabetic ( n=134) and non-type 2 diabetic ( n=230) participants, subjects completed detailed and validated questionnaires to assess demographic status, health, daytime sleepiness, sleep quality and timing, diurnal preference, mistimed circadian rhythms and habitual caffeine intake. All participants gave saliva under standardised conditions for CYP1A2 genotyping and quantification of caffeine concentration. Hierarchical linear regression analyses examined whether type 2 diabetes status was associated with caffeine consumption. RESULTS: Type 2 diabetic participants reported greater daytime sleepiness ( p=0.001), a higher prevalence of sleep apnoea ( p=0.005) and napping ( p=0.008), and greater habitual caffeine intake ( p<0.001), derived from the consumption of an extra cup of coffee each day. This finding was confirmed by higher saliva caffeine concentration at bedtime ( p=0.01). Multiple regression analyses revealed that type 2 diabetes status was associated with higher self-reported caffeine consumption ( p<0.02) and higher salivary caffeine ( p<0.02). Next to male sex, type 2 diabetes status was the strongest predictor of caffeine intake. Subjective sleep and circadian estimates were similar between case and control groups. CONCLUSIONS: Type 2 diabetic patients may self-medicate with caffeine to alleviate daytime sleepiness. High caffeine intake reflects a lifestyle factor that may be considered when promoting type 2 diabetes management.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Sueño / Cafeína / Diabetes Mellitus Tipo 2 Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Psychopharmacol Año: 2017 Tipo del documento: Article País de afiliación: Suiza

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Sueño / Cafeína / Diabetes Mellitus Tipo 2 Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Psychopharmacol Año: 2017 Tipo del documento: Article País de afiliación: Suiza