title: The impact of sleep duration on recovery post-hip fracture among older diabetic adults in Taiwan.
abstract: This study explored postoperative changes in sleep duration and physical activity and their relationships with physical function recovery, the muscular strength of the affected side and blood glucose control in elderly adults (n = 41) with diabetes mellitus (DM) who underwent surgery for hip fracture. Thirty-two participants (78.0%) had abnormal sleep durations for at least two time points, and they all had low physical activity levels (an average of 1348.2 kcal/day for the first month, 1377.9 kcal/day for the third month, and 1389.1 kcal/day for the sixth month) during the six months post-hip fracture. The participants with normal sleep durations showed greater femoral muscle improvement on the affected side (adduction: β = 3.70, p = 0.029; abduction: β = 7.25, p = 0.016) and better blood glucose control before meals (β = -73.29, p < 0.001) and after meals (β = -47.90, p = 0.007) compared with those with abnormal sleep durations. Those with higher physical activity levels had better physical function recovery.
authors.affiliation: Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan.
authors.forename: Wen-Yu
authors.initials: WY
authors.lastname: Kuo
authors.affiliation: School of Nursing, College of Medicine, Chang Gung University, Taoyuan City, Taiwan; Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan. Electronic address: yeaing@mail.cgu.edu.tw.
authors.forename: Yea-Ing Lotus
authors.initials: YI
authors.lastname: Shyu
authors.affiliation: Department of Physical Therapy, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan.
authors.forename: Jong-Shyan
authors.initials: JS
authors.lastname: Wang
authors.affiliation: Department of Public Health & Biostatistics Consulting Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan.
authors.forename: Min-Chi
authors.initials: MC
authors.lastname: Chen
authors.affiliation: Traumatological Division, Department of Orthopedics, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, Guishan District, Taoyuan City 33305, Taiwan.
authors.forename: Chi-Chuan
authors.initials: CC
authors.lastname: Wu
authors.affiliation: School of Nursing, Chang Gung University of Science and Technology, 261 Wenhwa 1st Rd, Kwei-shan District, Taoyuan City 33302, Taiwan.
authors.forename: Yueh-Fang
authors.initials: YF
authors.lastname: Huang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D048909:Diabetes Complications / Q000097:blood / Q000150:complications / Q000503:physiopathology; D015444:Exercise; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D053580:Muscle Strength; D020127:Recovery of Function; D012890:Sleep; D013624:Taiwan
keywords: Diabetes mellitus; Elderly people; Hip fracture; Physical activity; Sleep duration