簡易檢索 / 詳目顯示

研究生: 簡琬勳
Jian, Wan-Syun
論文名稱: 第二型糖尿病患身體活動、睡眠品質與血糖控制之關聯性研究
Associations of physical activity and sleep quality with glycemic control in patients with type 2 diabetes
指導教授: 廖邕
Liao, Yung
口試委員: 張鳳琴 薛名淳 廖邕
Liao, Yung
口試日期: 2022/01/20
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 84
中文關鍵詞: 第二型糖尿病身體活動睡眠品質血糖控制
英文關鍵詞: Type 2 diabetes, physical activity, sleep quality, blood sugar control
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202200178
論文種類: 學術論文
相關次數: 點閱:184下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究目的為針對宜蘭縣教學醫院第二型糖尿病患者,探討其身體活動、睡眠品質與血糖控制之關聯性。本研究共發出201份問卷,得有效樣本數為181份,回收率為90%。研究工具為中文版之匹茲堡睡眠品質量表及國際身體活動表短版。資料以SPSS 23.0進行描述性和推論性統計,並以卡方及邏輯斯迴歸分析各變項之關聯性,結果如下:

    一、研究對象年齡平均為63.47歲,以大於65 歲最多,大多睡眠品質良好(56.9%)且身體活動足夠(65.2%),其中血糖控制良好占多數(50.3%)。
    二、針對個人背景因素與睡眠品質部分:運用卡方檢定進行分析探討發現個人背景因素之「職業狀況」、「慢性併發症」、「飲食控制」與睡眠品質有顯著關聯,本研究顯示「有工作」、「無慢性併發症」、「有飲食控制」之第二型糖尿病患者有較佳的睡眠品質。
    三、針對個人背景因素與身體活動部分:運用卡方檢定進行分析探討發現個人背景因素之「年齡」、「教育程度」與身體活動有顯著關聯,本研究「小於65 歲」、「國高中」之第二型糖尿病患者更容易達到身體活動建議量。
    四、針對睡眠品質與血糖控制部分:運用邏輯斯回歸檢定進行多變項分析探討出睡眠品質與血糖控制有達統計上顯著關聯,「睡眠品質良好」之患者有2.1倍達成較佳的血糖控制 (勝算比= 2.1)。
    五、針對身體活動與血糖控制部分:運用邏輯斯回歸檢定進行多變項分析探討出身體活動與血糖控制於統計上無顯著關聯。
    根據本研究之結果,於未來衛教教育上,建議將睡眠品質納入糖尿病衛教教育知識中,也可個別針對「無工作」及「有慢性併發症」之患者,深入關心患者睡眠品質部分,並加強宣導睡眠品質教育,若必要可協助患者轉介相關睡眠中心,了解及解決患者之睡眠問題,進而改善睡眠品質之狀況,以減少睡眠品質偏差對血糖之影響。針對身體活動部分,建議可針對「65歲以上」之患者進行身體活動之衛教宣導,在未來糖尿病衛教上可提供更多身體活動之衛教影片或是由專業人員教導第二型糖尿病患者於居家生活中可執行身體活動方法,以提倡身體活動,進而改善血糖控制狀況。

    關鍵字:第二型糖尿病、身體活動、睡眠品質、血糖控制

    The objective of this study was to explore the association of physical activity and sleep quality with blood glucose control in patients with type 2 diabetes mellitus in Yilan County Teaching Hospital.

    A total of 201 questionnaires were issued in this study, and the effective sample size was 181, with a recovery rate of 90%. The research tools were the Chinese version of the Pittsburgh Sleep Quality Index and the short version of the International Physical Activity Questionnaire. The data were analyzed by chi-square and logistic regression using SPSS 23.0, and the results were as follows:
    1.The average age of the study subjects was 63.47 years old, with the most than 65 years old, most of them had good sleep quality (56.9%) and sufficient physical activity (65.2%), of which good blood glucose control accounted for the majority (50.3%).
    2.In view of the significant association between personal background factors and sleep quality: "occupational status", "chronic complications", "diet control" and sleep quality, this study showed that patients with type 2 diabetes who had "work", "no chronic complications" and "dietary control" had better sleep quality.
    3.In view of the significant association between personal background factors and physical activity: "age", "education level" and physical activity, the recommended amount of physical activity was more likely to be achieved in this study for type 2 diabetics who were "less than 65 years old" and "national high school".
    4.For the sleep quality and blood glucose control part: detection using logistic regression that sleep quality and blood glucose control were statistically significantly correlated, and patients with "good sleep quality" achieved better blood glucose control by 2.1 times (odds ratio = 2.1).
    5. For the physical activity and glycemic control section: detection using logistic regression that physical activity and glycemic control were not statistically significantly associated

    According to the results of this study, it is recommended that sleep quality be included of diabetes health education in the future , and that diabetes patients with "no job" and "chronic complications" can be individually cared , and sleep quality education can be strengthened ,if necessary, can referred diabetes patients to relevant sleep centers to understand the patient's sleep problems, to reduce the impact of sleep quality deviation on blood sugar.
    For the physical activity part, it is recommended that the health education of physical activity be included of diabetes health education in the future ,and that diabetes patients of over 65 years old, suggest more physical activity health education ,example physical activity video or professionals can teach type 2 diabetics patients to perform physical activity methods at home , to increase the impact of physical activity deviation on blood sugar.

    Keywords: Type 2 diabetes, physical activity, sleep quality, blood sugar control

    致謝 i 中文摘要 ii Abstract iv 目錄 vi 表目次 viii 圖次 ix 第壹章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 4 第三節 研究問題 4 第四節 名詞操作定義 5 第五節 研究限制 7 第貳章 文獻查證 8 第一節 第二型糖尿病及其治療 8 第二節 第二型糖尿病與睡眠品質之關係 11 第三節 第二型糖尿病與身體活動之關係 18 第參章 研究方法 24 第一節 研究架構 24 第二節 研究假設 25 第三節 研究對象 26 第四節 研究工具及信效度 27 第五節 研究流程 30 第六節 資料處理及統計分析方法 31 第肆章 研究結果 33 第一節 第二型糖尿病患者之個人背景因素、睡眠品質、身體活動、血糖控制狀況之現況 33 第二節 第二型糖尿病患者個人背景因素與睡眠品質、身體活動之關聯性 39 第三節 第二型糖尿病患者之睡眠品質、身體活動與血糖控制狀況 之關聯性 47 第伍章 研究討論 50 第一節 第二型糖尿病患者之睡眠品質、身體活動、血糖控制狀況之現況 50 第二節 第二型糖尿病患之個人背景因素與睡眠品質、身體活動之相關性 51 第三節 第二型糖尿病患之睡眠品質、身體活動與血糖控制 之關聯性 53 第陸章 研究結論與建議 55 第一節 研究結論 55 第二節 應用與建議 57 參考文獻 59 附件一 國立陽明交通大學附設醫院人體委員會核准同意書 73 附件二 本研究問卷內容 75 附件三 本研究受訪者同意書 79

    中文文獻
    王理、藍久娜、吳唯雅、陳智凱、汪淑娟(2007).臺灣地區中老年人第二型糖尿病與其生活型態之探討.中山醫學雜誌,18(1),15-24。
    https://doi.org/10.30096/CSMJ.200706.0002
    王妍捷. (2008).影響國人睡眠品質相關因素之探討: 以社會發展趨勢調查健康安全資料部分為例〔未出版之碩士論文〕。慈濟大學公共衛生研究所。
    台灣睡眠醫學學會. (2017, January 6). 2009年-國人睡眠趨勢大調查.
    http://www.tssm.org.tw/file/1483672508.pdf
    李亞珊、朱真儀、林貴福(2010).台灣地區身體活動表之應用研究.運動生理暨體能學報,1-12。
    https://doi.org/10.6127/JEPF.2010.11.01
    李惠玲, 何瓊芳(2006)。影響中老年人身體活動因素之研究。康寧學報,77-97。
    社團法人中華民國糖尿病衛教學會. (2019). 臺灣糖尿病年鑑2019第二型糖尿病. 社團法人中華民國糖尿病衛教學會. https://www.tade.org.tw/upload/FileDownload/35.pdf
    社團法人中華民國糖尿病學會. (2018). 2018 糖尿病臨床照護指引. 社團法人中華民國糖尿病學會.
    林嘉玲、連心瑜、吳雪菁、張媚(2013).第二型糖尿病患者之睡眠品質.台灣醫學,201307(17:4),441–446.
    https://doi.org/10.6320/FJM.2013.17(4).13
    張遠芳(2015) .老年人身體活動行為與相關因素之研究〔未出版之碩士論文〕。中山醫學大學心理學系暨臨床心理學研究所.
    徐錦興、曹德弘、張蕙雯(2011)。第二類型糖尿病人之身體活動建議量初探。台灣公共衛生雜誌,30(1),72-81。
    https://doi.org/10.6288/TJPH2011-30-01-08
    黃美娟、林麗娟、洪志秀(2008).第二型糖尿病患自我照顧行爲及其相關因素之探討.長期照護雜誌,12(2),191-201。
    https://doi.org/10.6317/LTC.200807_12(2).0008
    衛生福利部中央健康保險署. (2018, August 12). 國人全民健康保險就醫疾病資訊. 健保統計資料. https://www.nhi.gov.tw/Content_List.aspx?n=806314145D8E1187&topn=23C660CAACAA159D
    衛生福利部國民健康署. (2017, November). 全民身體活動指引. 健康手冊專區. https://www.hpa.gov.tw/Pages/EBook.aspx?nodeid=1411.
    衛生福利部統計處. (2018, Spring 6). 107 年全民健康保險醫療統計. https://www.mohw.gov.tw/cp-16-48057-1.html
    劉影梅(2004).國際身體活動表台灣中文版之發展與信效度驗證〔未出版之碩士論文〕.臺灣大學護理學研究所。
    賴郁菁、廖媛美、林碧珠(2015)。第 II 型糖尿病病人身體活動與生活品質之探討。護理雜誌,66(2),57 - 66。
    https://doi.org/10.6224/JN.201904_66(2).08
    英文文獻
    Al-Khawaldeh, O. A., Al-Hassan, M. A., & Froelicher, E. S. (2012). Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. Journal of Diabetes and its Complications, 26(1), 10-16.
    Aribas, A., Kayrak, M., Tekinalp, M., Akilli, H., Alibasic, H., Yildirim, S., . . . Unlu, A. J. T. K. j. o. i. m. (2015). The relationship between serum asymmetric dimethylarginine levels and subjective sleep quality in normotensive patients with type 2 diabetes mellitus. 30(3), 316.
    Association, A. D. (2020). 6. Glycemic targets: standards of medical care in diabetes—2020. Diabetes care, 43(Supplement 1), S66-S76.
    Association, A. D. A. C. d. a. p. o. t. A. D. (2017). Standards of medical care in diabetes—2017 abridged for primary care providers. 35(1), 5.
    Barakat, S., Abujbara, M., Banimustafa, R., Batieha, A., & Ajlouni, K. (2019). Sleep quality in patients with type 2 diabetes mellitus. Journal of clinical medicine 11(4), 261.
    Brouwer, A., Van Raalte, D. H., Rutters, F., Elders, P. J., Snoek, F. J., Beekman, A. T., & Bremmer, M. A. J. D. C. (2020). Sleep and HbA1c in patients with type 2 diabetes: which sleep characteristics matter most? , 43(1), 235-243.
    Butte, N. F., Ekelund, U., Westerterp, K. R. J. M., Sports, S. i., & Exercise. (2012). Assessing physical activity using wearable monitors: measures of physical activity. 44(1S), S5-S12.
    Buxton, O. M., Cain, S. W., O’ConnOR= S. P., Porter, J. H., Duffy, J. F., Wang, W., . . . Shea, S. A. (2012). Adverse metabolic consequences in humans of prolonged sleep restriction combined with circadian disruption. Science translational medicine, 4(129), 129ra143-129ra143.
    Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213.
    Chimen, M., Kennedy, A., Nirantharakumar, K., Pang, T., Andrews, R., & Narendran, P. (2012). What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review. Diabetologia, 55(3), 542-551.
    Cho, E.-H., Lee, H., Ryu, O. H., Choi, M. G., & Kim, S.-W. J. J. o. K. m. s. (2014). Sleep disturbances and glucoregulation in patients with type 2 diabetes. 29(2), 243-247.
    Cloix, L., Caille, A., Helmer, C., Bourdel-Marchasson, I., Fagot-Campagna, A., Fournier, C., . . . Jacobi, D. (2015). Physical activity at home, at leisure, during transportation and at work in French adults with type 2 diabetes: the ENTRED physical activity study. Diabetes & metabolism, 41(1), 37-44.
    Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., . . . Tate, D. F. J. D. c. (2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. 39(11), 2065-2079.
    Control, D., & Group, C. T. R. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England journal of medicine, 329(14), 977-986.
    Cuellar, N. G., & Ratcliffe, S. J. (2008). A comparison of glycemic control, sleep, fatigue, and depression in type 2 diabetes with and without restless legs syndrome. Journal of clinical sleep medicine, 4(1), 50-56.
    D'Souza, M. S., Karkada, S. N., Parahoo, K., Venkatesaperumal, R., Achora, S., & Cayaban, A. R. R. (2017). Self-efficacy and self-care behaviours among adults with type 2 diabetes. Applied Nursing Research, 36, 25-32.
    Dasgupta, K., Joseph, L., Pilote, L., Strachan, I., Sigal, R. J., & Chan, C. (2010). Daily steps are low year-round and dip lower in fall/winter: findings from a longitudinal diabetes cohort. J Cardiovascular diabetology, 9(1), 1-9.
    Davies, M. J., D’Alessio, D. A., Fradkin, J., Kernan, W. N., Mathieu, C., Mingrone, G., . . . Buse, J. B. (2018). Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes care, 41(12), 2669-2701.
    De Greef, K. P., Deforche, B. I., Ruige, J. B., Bouckaert, J. J., Tudor-Locke, C. E., Kaufman, J.-M., . . . counseling. (2011). The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients. 84(2), 275-279.
    Delahanty, L. M., & Halford, B. N. J. D. c. (1993). The role of diet behaviors in achieving improved glycemic control in intensively treated patients in the Diabetes Control and Complications Trial. 16(11), 1453-1458.
    Donga, E., van Dijk, M., van Dijk, J. G., Biermasz, N. R., Lammers, G.-J., van Kralingen, K. W., . . . Metabolism. (2010). A single night of partial sleep deprivation induces insulin resistance in multiple metabolic pathways in healthy subjects. 95(6), 2963-2968.
    Forde, C. (2018). Scoring the international physical activity questionnaire (IPAQ). University of Dublin.
    Gao, J., Wang, J., Zheng, P., Haardörfer, R., Kegler, M. C., Zhu, Y., & Fu, H. (2013). Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC family practice, 14(1), 1-6.
    Hamer, M., Lavoie, K. L., & Bacon, S. L. J. B. j. o. s. m. (2014). Taking up physical activity in later life and healthy ageing: the English longitudinal study of ageing. 48(3), 239-243.
    Heidemann, C., Niemann, H., Paprott, R., Du, Y., Rathmann, W., & Scheidt‐Nave, C. (2014). Residential traffic and incidence of Type 2 diabetes: the German Health Interview and Examination Surveys. Diabetic medicine, 31(10), 1269-1276.
    Herzog, N., Jauch-Chara, K., Hyzy, F., Richter, A., Friedrich, A., Benedict, C., & Oltmanns, K. M. (2013). Selective slow wave sleep but not rapid eye movement sleep suppression impairs morning glucose tolerance in healthy men. Psychoneuroendocrinology, 38(10), 2075-2082.
    Hibi, M., Kubota, C., Mizuno, T., Aritake, S., Mitsui, Y., Katashima, M., & Uchida, S. (2017). Effect of shortened sleep on energy expenditure, core body temperature, and appetite: a human randomised crossover trial. Scientific reports, 7(1), 1-11.
    Hou, L., Ge, L., Li, Y., Chen, Y., Li, H., He, J., . . . Chen, Y. (2020). Physical activity recommendations for patients with type 2 diabetes: a cross-sectional survey. Acta diabetologica, 57(7), 765-777.
    Hu, G., Eriksson, J., Barengo, N. C., Lakka, T. A., Valle, T. T., Nissinen, A., . . . Tuomilehto, J. (2004). Occupational, commuting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes. Circulation, 110(6), 666-673.
    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.
    Jefferis, B. J., Whincup, P. H., Lennon, L., & Wannamethee, S. G. J. D. c. (2012). Longitudinal associations between changes in physical activity and onset of type 2 diabetes in older British men: the influence of adiposity. 35(9), 1876-1883.
    Jin, Q.-H., Chen, H.-H., Yu, H.-L., & Li, T.-L. J. Z. n. k. z. z. (2012). The relationship between sleep quality and glucose level, diabetic complications in elderly type 2 diabetes mellitus. 51(5), 357-361.
    Kim, B. K., Kim, B. S., An, S.-Y., Lee, M. S., Choi, Y. J., Han, S. J., . . . Kim, D. J. J. J. o. K. m. s. (2013). Sleep duration and glycemic control in patients with diabetes mellitus: Korea National Health and Nutrition Examination Survey 2007-2010. 28(9), 1334-1339.
    King, C. R., Knutson, K. L., Rathouz, P. J., Sidney, S., Liu, K., & Lauderdale, D. S. (2008). Short sleep duration and incident coronary artery calcification. Jama, 300(24), 2859-2866.
    King, P., Peacock, I., & Donnelly, R. (1999). The UK prospective diabetes study (UKPDS): clinical and therapeutic implications for type 2 diabetes. British journal of clinical pharmacology, 48(5), 643-648.
    Knutson, K. L., Ryden, A. M., Mander, B. A., & Van Cauter, E. J. A. o. i. m. (2006). Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. 166(16), 1768-1774.
    Kriska, A. M., Rockette-Wagner, B., Edelstein, S. L., Bray, G. A., Delahanty, L. M., Hoskin, M. A., . . . Care, D. R. G. J. D. (2021). The impact of physical activity on the prevention of type 2 diabetes: evidence and lessons learned from the diabetes prevention program, a long-standing clinical trial incorporating subjective and objective activity measures. 44(1), 43-49.
    Lee, S. W. H., Ng, K. Y., & Chin, W. K. J. S. m. r. (2017). The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: a systematic review and meta-analysis. 31, 91-101.
    Lind, M., Pivodic, A., Svensson, A.-M., Ólafsdóttir, A. F., Wedel, H., & Ludvigsson, J. J. b. (2019). HbA1c level as a risk factor for retinopathy and nephropathy in children and adults with type 1 diabetes: Swedish population based cohort study. 366.
    Liou, Y. M., Jwo, C. J., Yao, K. G., Chiang, L.-C., & Huang, L.-H. (2008). Selection of appropriate Chinese terms to represent intensity and types of physical activity terms for use in the Taiwan version of IPAQ. Journal of Nursing Research, 16(4), 252-263.
    Loprinzi, P. D. J. J. o. a., & activity, p. (2014). Accelerometer-determined sedentary and physical activity estimates among older adults with diabetes: considerations by demographic and comorbidity characteristics. 22(3), 432-440.
    Low Wang, C. C., Hess, C. N., Hiatt, W. R., & Goldfine, A. B. (2016). Clinical update: cardiovascular disease in diabetes mellitus: atherosclerotic cardiovascular disease and heart failure in type 2 diabetes mellitus–mechanisms, management, and clinical considerations. Circulation, 133(24), 2459-2502.
    Mathers, C. D., & Loncar, D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS medicine, 3(11), e442.
    Mikołajczyk-Solińska, M., Śliwińska, A., Kosmalski, M., & Drzewoski, J. (2020). The Phenotype of Elderly Patients with Type 2 Diabetes Mellitus and Poor Sleep Quality. International Journal of Environmental Research and Public Health, 17(16), 5992.
    Nathan, D. M., Zinman, B., Cleary, P. A., Backlund, J.-Y. C., Genuth, S., Miller, R., . . . Group, C. R. (2009). Modern-day clinical course of type 1 diabetes mellitus after 30 years’ duration: the diabetes control and complications trial/epidemiology of diabetes interventions and complications and Pittsburgh epidemiology of diabetes complications experience (1983-2005). Archives of internal medicine, 169(14), 1307.
    Nedeltcheva, A. V., Kilkus, J. M., Imperial, J., Schoeller, D. A., & Penev, P. D. (2010). Insufficient sleep undermines dietary efforts to reduce adiposity. Annals of internal medicine, 153(7), 435-441.
    Nefs, G., Donga, E., van Someren, E., Bot, M., Speight, J., & Pouwer, F. (2015a). Subjective sleep impairment in adults with type 1 or type 2 diabetes: Results from Diabetes MILES—The Netherlands. Diabetes research and clinical practice, 109(3), 466-475.
    Nefs, G., Donga, E., van Someren, E., Bot, M., Speight, J., & Pouwer, F. (2015b). Subjective sleep impairment in adults with type 1 or type 2 diabetes: Results from Diabetes MILES—The Netherlands. Diabetes research clinical practice, 109(3), 466-475.
    Nolan, R. C., RaynOR= A. J., Berry, N. M., & May, E. J. (2016). Self-reported physical activity using the International Physical Activity Questionnaire (IPAQ) in Australian adults with type 2 diabetes, with and without peripheral neuropathy. Canadian journal of diabetes, 40(6), 576-579.
    Ohkuma, T., Fujii, H., Iwase, M., Kikuchi, Y., Ogata, S., Idewaki, Y., . . . Nakamura, U. (2013). Impact of sleep duration on obesity and the glycemic level in patients with type 2 diabetes: the Fukuoka Diabetes Registry. Diabetes care, 36(3), 611-617.
    Osonoi, Y., Mita, T., Osonoi, T., Saito, M., Tamasawa, A., Nakayama, S., . . . Gosho, M. (2015). Poor sleep quality is associated with increased arterial stiffness in Japanese patients with type 2 diabetes mellitus. BMC endocrine disorders, 15(1), 1-7.
    Reutrakul, S., Hood, M. M., Crowley, S. J., Morgan, M. K., Teodori, M., Knutson, K. L., & Van Cauter, E. (2013). Chronotype is independently associated with glycemic control in type 2 diabetes. Diabetes care, 36(9), 2523-2529.
    Shamshirgaran, S. M., Ataei, J., Malek, A., Iranparvar-Alamdari, M., & Aminisani, N. (2017). Quality of sleep and its determinants among people with type 2 diabetes mellitus in Northwest of Iran. World journal of diabetes, 8(7), 358.
    Shan, Z., Li, Y., Zong, G., Guo, Y., Li, J., Manson, J. E., . . . Bhupathiraju, S. N. (2018). Rotating night shift work and adherence to unhealthy lifestyle in predicting risk of type 2 diabetes: results from two large US cohorts of female nurses. bmj, 363.
    Shan, Z., Ma, H., Xie, M., Yan, P., Guo, Y., Bao, W., . . . Liu, L. (2015). Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes care, 38(3), 529-537.
    Sluik, D., Buijsse, B., Muckelbauer, R., Kaaks, R., Teucher, B., Tj, A., . . . Bendinelli, B. (2012). Physical activity and mortality in individuals with diabetes mellitus: a prospective study and meta-analysis. Archives of internal medicine, 172(17), 1285-1295.
    Snowling, N. J., & Hopkins, W. G. (2006). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes care, 29(11), 2518-2527.
    Soeller, W. C., Janson, J., Hart, S. E., Parker, J. C., Carty, M. D., Stevenson, R. W., . . . Butler, P. C. J. D. (1998). Islet amyloid-associated diabetes in obese A (vy)/a mice expressing human islet amyloid polypeptide. 47(5), 743-750.
    Song, Y., Ye, X., Ye, L., Li, B., Wang, L., & Hua, Y. (2013). Disturbed subjective sleep in Chinese females with type 2 diabetes on insulin therapy. 8(1), e54951.
    Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. J. P. m. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. 1(3), e62.
    Tahrani, A. A., Ali, A., Raymond, N. T., Begum, S., Dubb, K., Mughal, S., . . . Stevens, M. J. (2012). Obstructive sleep apnea and diabetic neuropathy: a novel association in patients with type 2 diabetes. American journal of respiratory critical care medicine, 186(5), 434-441.
    Tsai, Y.-W., Kann, N.-H., Tung, T.-H., Chao, Y.-J., Lin, C.-J., Chang, K.-C., . . . Chen, J.-Y. (2012). Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Family practice, 29(1), 30-35.
    Turner, R., Millns, H., Neil, H., Stratton, I., Manley, S., Matthews, D., & Holman, R. J. B. (1998). Risk factors for coronary artery disease in non-insulin dependent diabetes mellitus: United Kingdom Prospective Diabetes Study (UKPDS: 23). 316(7134), 823-828.
    Tzeng, J. I., Fu, Y.-W., & Lin, C.-C. (2012). Validity and reliability of the Taiwanese version of the Pittsburgh Sleep Quality Index in cancer patients. International journal of nursing studies, 49(1), 102-108.
    Umpierre, D., Ribeiro, P. A., Kramer, C. K., Leitão, C. B., Zucatti, A. T., Azevedo, M. J., . . . Schaan, B. D. (2011). Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. Jama, 305(17), 1790-1799.
    W.H.O. (2016). Global report on diabetes: executive summary.
    Wajchenberg, B. L. J. E. r. (2007). β-cell failure in diabetes and preservation by clinical treatment. 28(2), 187-218.
    Wan Mahmood, W. A., Draman Yusoff, M. S., Behan, L. A., Di Perna, A., Kyaw Tun, T., McDermott, J., & Sreenan, S. J. I. j. o. e. (2013). Association between sleep disruption and levels of lipids in Caucasians with type 2 diabetes. 2013.
    Wang, T., Lu, J., Wang, W., Mu, Y., Zhao, J., Liu, C., . . . Yang, T. (2015). Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes. Diabetic medicine, 32(8), 1001-1007.
    Xu, Y., Pan, W., & Liu, H. (2010). Self‐management practices of Chinese Americans with type 2 diabetes. Nursing & health sciences, 12(2), 228-234.
    Yang, J. J., Yu, D., Wen, W., Saito, E., Rahman, S., Shu, X.-O., . . . Tsugane, S. (2019). Association of diabetes with all-cause and cause-specific mortality in Asia: a pooled analysis of more than 1 million participants. 2(4), e192696-e192696.
    Yunzhao, T., Daiqing, L., Min, Y., Yanjuan, Z., Chenguang, L., Zhenhuan, J., . . . Changlin, N. J. C. m. j. (2014). Interaction of sleep quality and sleep duration on glycemic control in patients with type 2 diabetes mellitus. 127(20), 3543-3547.
    Zhou, B., Lu, Y., Hajifathalian, K., Bentham, J., Di Cesare, M., Danaei, G., . . . Taddei, C. J. T. L. (2016). Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4· 4 million participants. 387(10027), 1513-1530.
    Zhu, B.-Q., Li, X.-M., Wang, D., & Yu, X.-F. (2014). Sleep quality and its impact on glycaemic control in patients with type 2 diabetes mellitus. International Journal of Nursing Sciences, 1(3), 260-265.
    Zuo, H., Shi, Z., Yuan, B., Dai, Y., Hu, G., Wu, G., & Hussain, A. (2012). Interaction between physical activity and sleep duration in relation to insulin resistance among non-diabetic Chinese adults. BMC public health, 12(1), 1-9.

    無法下載圖示 電子全文延後公開
    2027/01/25
    QR CODE