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摘要


糖尿病是全世界主要的健康問題,常引起併發症、高死亡率與醫療成本之負荷,故預防糖尿病的發生是打擊糖尿病之首要策略。高品質的睡眠有助益糖尿病之預防。本文綜合文獻,全面性的深入探討睡眠激素、睡眠分期、晝夜節律、睡眠品質、睡眠呼吸中止症候群與罹患第2型糖尿病之關係,希望藉此文章之分享,作為睡眠介入照護之參考,期能預防第2型糖尿病之發生。

關鍵字

睡眠 激素 內分泌 血糖 第2型糖尿病

並列摘要


Onset, progression, and management of type 2 diabetes mellitus remain a major challenge worldwide. Given the numerous accompanying complications and comorbidities, with high mortality rates and increasing healthcare costs, a comprehensive understanding of all strategies to address the incidence rate of type 2 diabetes mellitus is absolutely essential. Sleep is an influential and modifiable lifestyle behavior, and high-quality sleep prevents diabetes mellitus. This article explores in depth current evidence relating to the associations between sleep and diabetes, such as sleep hormones, circadian rhythms, sleep quality, and obstructive apnea. Understanding the relationship between sleep and diabetes mellitus enables strategies to be developed that can improve sleep quality. This article therefore provides information regarding clinical care, community care, and policymaking.

並列關鍵字

sleep hormones endocrine glucose type 2 diabetes mellitus

參考文獻


Armitage, R., Lee, J., Bertram, H., & Hoffmann, R. (2013). A preliminary study of slowwave EEG activity and insulin sensitivity in adolescents. Sleep Medicine, 14(3), 257- 260.
Chami, H. A., Gottlieb, D. J., Redline, S., & Punjabi, N. M. (2015). Association between glucose metabolism and sleep-disordered breathing during REM sleep. American Journal of Respiratory and Critical Care Medicine, 192(9), 1118-1126.
Cizza, G., Piaggi, P., Lucassen, E.A., deJonge,L., Walter, M., Mattingly, M.S., ... & Rother,K. I. (2013). Obstructive sleep apnea is a predictor of abnormal glucose metabolism in chronically sleep deprived obeseadults. PLoS ONE, 8(5), e65400.
Fang, W., Li, Z., Wu, L., Cao, Z., Liang, Y., Yang, H., & Wu, T. (2013). Longer habitual afternoon napping is associated with a higher risk for impaired fasting plasma glucoseand diabetes mellitus in older adults: Results from the Dongfeng-Tongjicohort of Retired workers. Sleep Medicine, 14(10), 950-954.
Javaheri, S., Storfer-Isser, A., Rosen, C.L., & Redline, S. (2011). Association of short and long sleep durations with insulin sensitivity in adolescents. The Journal of Pediatrics, 158(4), 617-623.

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