{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T13:41:23Z","timestamp":1778852483015,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,4,14]],"date-time":"2009-04-14T00:00:00Z","timestamp":1239667200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p>Purpose<\/jats:p>\n                  <jats:p>This secondary analysis examined the effect of excessive sleepiness on daytime function in older adults with diabetes from the National Sleep Foundation's Sleep and Aging poll.<\/jats:p>\n                  <jats:p>Methods<\/jats:p>\n                  <jats:p>Respondents were older adults (N = 1506; age range, 55-84 years) evaluated by telephone survey on their sleep duration, sleep disturbances, daytime functional outcomes, and self-reported height, weight, and comorbidities.<\/jats:p>\n                  <jats:p>Results<\/jats:p>\n                  <jats:p>Approximately 16% (n = 244) of the sample acknowledged a diagnosis of diabetes; they were older, had more comorbidities, had a higher body mass index (BMI), and were more likely to be sleepy during the daytime than nondiabetic respondents (all P &lt; .05). Respondents with diabetes who reported frequent daytime sleepiness (n = 50; 20%) had significantly (P &lt; .05) higher BMI, lower self-rated health, and more sleep disturbances than those who were not sleepy (n = 194). Sleepy respondents with diabetes also reported more frequent feelings of depression, decreased pleasure in life, naps, feeling drowsy, or dozing off while driving (all P &lt; .05). Excessive sleepiness was significantly associated (P &lt; .001) with an increased risk for depressive symptoms while controlling for BMI, age, and number of comorbidities.<\/jats:p>\n                  <jats:p>Conclusions<\/jats:p>\n                  <jats:p>These results indicate that sleep disturbances affect not only sleep quality but also daytime function in older adults with diabetes.<\/jats:p>","DOI":"10.1177\/0145721709333857","type":"journal-article","created":{"date-parts":[[2009,4,14]],"date-time":"2009-04-14T20:39:30Z","timestamp":1239741570000},"page":"455-464","source":"Crossref","is-referenced-by-count":31,"title":["Daytime Sleepiness and Functional Outcomes in Older Adults With Diabetes"],"prefix":"10.1177","volume":"35","author":[{"given":"Eileen R.","family":"Chasens","sequence":"first","affiliation":[{"name":"School of Nursing, University of Pittsburgh, Pittsburgh,\rPennsylvania, chasense@pitt.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan 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