Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
Assessment of Sleep Quality and Its Determinants Among Patients with Type 2 Diabetes Mellitus in Mogadishu, Somalia: A Cross-Sectional Study.
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Mohamed Nur Adam, Haji Mohamud Rahma Yusuf, Hilowle Fadumo Hussein, Ali Tigad Abdisad, Mohamed Yusuf Abdirisak, Gabow Adan Ali, Mohamed Hawa Nuradin, Sidow Nor Osman, Hassan Mohamed Sheikh, Waberi Mohamud Mire
Аннотация
BACKGROUND: Type 2 diabetes mellitus (T2DM) is a growing global health crisis, affecting hundreds of millions worldwide. Poor sleep quality-often under-recognized-impairs glycemic control and accelerates diabetes-related complications. Despite its clinical relevance, data on sleep quality among T2DM patients in Somalia are virtually nonexistent. This study aimed to evaluate the prevalence and determinants of poor sleep quality among T2DM patients in Mogadishu, Somalia.
METHODS: A hospital-based cross-sectional study was conducted between November 2024 and January 2025 at Mogadishu Somali-Turkiye Recep Tayyip Erdogan Training and Research Hospital. A total of 311 adults with T2DM were selected using systematic sampling. Data were collected using structured questionnaires and validated instruments including the Pittsburgh Sleep Quality Index (PSQI), Patient Health Questionnaire-9 (PHQ-9), and Oslo Social Support Scale (OSSS-3). Logistic regression analysis was employed to identify variables independently associated with suboptimal sleep quality.
RESULTS: Overall, 54.0% of participants reported poor sleep quality (95% CI: 48.3-59.7). Multivariable analysis identified several significant predictors, including female gender, unemployment, low income, substance use, physical inactivity, and depressive symptoms. Clinical factors such as comorbidities, poor glycemic control, and diabetes-related complications were also independently associated with suboptimal sleep quality.
CONCLUSION: Over half of T2DM patients in Mogadishu experience poor sleep quality, influenced by sociodemographic, behavioral, psychological, and clinical factors. The findings highlight the need to incorporate sleep evaluation and targeted interventions-focusing on mental health, lifestyle, and metabolic control-into routine diabetes care.
METHODS: A hospital-based cross-sectional study was conducted between November 2024 and January 2025 at Mogadishu Somali-Turkiye Recep Tayyip Erdogan Training and Research Hospital. A total of 311 adults with T2DM were selected using systematic sampling. Data were collected using structured questionnaires and validated instruments including the Pittsburgh Sleep Quality Index (PSQI), Patient Health Questionnaire-9 (PHQ-9), and Oslo Social Support Scale (OSSS-3). Logistic regression analysis was employed to identify variables independently associated with suboptimal sleep quality.
RESULTS: Overall, 54.0% of participants reported poor sleep quality (95% CI: 48.3-59.7). Multivariable analysis identified several significant predictors, including female gender, unemployment, low income, substance use, physical inactivity, and depressive symptoms. Clinical factors such as comorbidities, poor glycemic control, and diabetes-related complications were also independently associated with suboptimal sleep quality.
CONCLUSION: Over half of T2DM patients in Mogadishu experience poor sleep quality, influenced by sociodemographic, behavioral, psychological, and clinical factors. The findings highlight the need to incorporate sleep evaluation and targeted interventions-focusing on mental health, lifestyle, and metabolic control-into routine diabetes care.