SLEEP PATTERN AS A RISK FACTOR FOR DIABETES MELLITUS AND HYPERTENSION IN GERIATRIC POPULATION

Abstract

Introduction: Due to changes in circadian rhythm geriatric population struggles to get enough sleep. Also there is increase in risk of diabetes and hypertension with increasing age. To nd out correlation between 'durationObjectives: and quality' of sleep and incidence of 'diabetes mellitus (DM) and hypertension' in geriatric population staying at old age home and home. To compare geriatric population staying at old age home with geriatric population staying at home. It was an analyticalMaterials And Methods: observational study done in 50 subjects of geriatric age group of 65-75years, 25 subjects staying at old age home (Group A) and 25 subjects staying at home (Group B) were examined by using sleep questionnaire. DM was reported in 76% with short duration and 84% withResults: disturbed sleep in total geriatric population. For Group A DM was reported in 75% with short duration and 82% with disturbed sleep. For Group B DM was reported in 77% with short duration and 85% with disturbed sleep. Hypertension was reported in 75% with short duration and 81% with disturbed sleep in total geriatric population. For Group A hypertension was reported in 71% with short duration and 79% with disturbed sleep. For Group B hypertension was reported in 79% with short duration and 85% with disturbed sleep. Due to sympathovagal imbalanceDiscussion: there is insulin resistance, impaired glucose metabolism and obesity which manifests into DM in short duration disturbed sleep. Also insufcient sleep causes increased sympathetic activity, increased stress hormones and lack of nocturnal dipping in blood pressure which is responsible for prevalence of hypertension. Prevalence of DM and Hypertension is more in geriatric population with short disturbed sleep. There isConclusion: no signicant difference in prevalence of DM and hypertension in Group A and Group B