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Differences in sleep architecture according to body mass index in children with type 1 diabetes

机译：根据1型糖尿病儿童体重指数的睡眠建筑差异

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Abstract Slow wave sleep (SWS), or deep sleep, is thought to be the most restorative stage of sleep and may be of a particular interest in the pathophysiology of obesity. The aim of this study was to investigate differences in sleep architecture based on body mass index (BMI) among a pediatric population with type 1 diabetes mellitus (T1DM). We hypothesized that children with T1DM who are obese would have less SWS than those who are not obese. Of 105 children with T1DM (mean age 13.54?years, 49.5% females) in this study, 19% were obese, 22% were overweight, and 59% had a normal BMI (81% non‐obese). The overall SWS% among the participants was 13.2%. In contrast to our hypothesis, there was no significant difference in SWS% between obese and non‐obese participants. However, the percent of time spent in rapid eye movement (REM) sleep among obese participants was significantly lower than those who were not obese ( P = .022), which remained after adjusting the result for multiple covariates. While we found no significant association between the SWS time and BMI, obese adolescents with T1DM spent less time in REM sleep than those who were not obese. This study adds to the growing body of evidence supporting the importance of addressing sleep in clinical care of youth with T1DM.
机译：摘要慢波睡眠（SWS）或深度睡眠被认为是睡眠中最具恢复性的阶段，可能对肥胖症的病理生理学特别感兴趣。本研究的目的是调查1型糖尿病（T1DM）儿童人群中基于体重指数（BMI）的睡眠结构差异。我们假设肥胖的T1DM儿童的SWS比不肥胖的儿童少。在这项研究中，105名T1DM儿童（平均年龄13.54岁，女性占49.5%）中，19%肥胖，22%超重，59%BMI正常（81%非肥胖）。参与者的总体SWS%为13.2%。与我们的假设相反，肥胖和非肥胖参与者的SWS%没有显著差异。然而，肥胖参与者在快速眼动（REM）睡眠中花费的时间百分比显著低于非肥胖参与者（P=0.022），这在调整多个协变量的结果后仍然存在。虽然我们发现SWS时间与BMI之间没有显著关联，但患有T1DM的肥胖青少年在REM睡眠中的时间少于那些不肥胖的青少年。这项研究补充了越来越多的证据，支持在T1DM青少年的临床护理中解决睡眠问题的重要性。

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