Evidence map›Paper›PMID 34614139›Full record

ArticleRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2021

Evaluation of sleep characteristics of children and adolescents with type 1 diabetes mellitus.

Renata Aparecida E Silva, Aline De Piano Ganen, Vânia de Fátima Tonetto Fernandes, Nara Michelle de Araújo Evangelista, Carolina Costa Figueiredo, Luciana de Aguiar Pacheco, Guido de Paula Colares Neto

Open access · diamondAbstract read
In one paragraph

Article in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. The sleep health composite and chronotype among children and adolescents with type 1 diabetes compared to case-control peers without diabetes.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Observational
  3. Sleep Disturbances in Type 1 Diabetes and Mitigating Cardiovascular Risk.The Journal of clinical endocrinology and metabolism · 2024
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Renata Aparecida E SilvaCentro Universitário São Camilo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-4103-4007
Aline De Piano GanenCentro Universitário São Camilo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-6433-0816
Vânia de Fátima Tonetto FernandesHospital Infantil Darcy Vargas, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-8507-5236
Nara Michelle de Araújo EvangelistaHospital Infantil Darcy Vargas, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-2323-3563
Carolina Costa FigueiredoHospital Infantil Darcy Vargas, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-1781-3214
Luciana de Aguiar PachecoHospital Infantil Darcy Vargas, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3579-1872
Guido de Paula Colares NetoCentro Universitário São Camilo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-3355-0386
Hospital Infantil Albert Sabin · BRCentro Universitário São Camilo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate sleep characteristics of children and adolescents with type 1 diabetes mellitus (T1DM) and their relationship with glycemic control.

methodsA cross-sectional study was conducted at a public hospital in São Paulo, Brazil. It included 86 patients with T1DM, aged between 10 and 18 years old, who were on insulin therapy, had performed at least three measurements of capillary blood glucose throughout the day, and had normal thyroid function. The clinical, anthropometric, and laboratory data of each patient were evaluated. The Pediatric Daytime Sleepiness Scale (PDSS) and the Munich Chronotype Questionnaire (MCTQ) were used to assess the sleep characteristics.

resultsThe mean level of glycated hemoglobin (HbA1c) was 9.2±2.1%, and it was higher in adolescents than in children. The mean score of PDSS was 13.9±4.7. Patients with HbA1c<7.5% had lower PDSS scores and longer sleep duration on weekdays than patients with HbA1c≥7.5%. HbA1c levels were negatively correlated with chronotype values and sleep duration on weekdays and positively correlated with social jet lag. Patients who had had T1DM for less than three years had a higher prevalence of daytime sleepiness. The regression analysis showed that higher HbA1c (≥7.5%) and shorter time since the diagnosis of T1DM increased the chance of daytime sleepiness, regardless of age and sex.

conclusionsPatients with higher HbA1c had more daytime sleepiness, a morning chronotype, shorter sleep duration on weekdays and a more significant social jet lag. The shorter diagnosis time for T1DM and greater levels of HbA1c increased the chance of daytime sleepiness.

Indexed as

Diabetes Mellitus, Type 1Disorders of Excessive SomnolenceAdolescentBrazilChildCross-Sectional StudiesHumansSleepSurveys and Questionnaires

Identifiers

PMID34614139
PMCPMC8543827
OpenAlexW3203281944

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.