Evidence map›Paper›PMID 38593616›Full record

ArticleSleep medicine2024

Type 2 diabetes and health-related quality of life among older Medicare beneficiaries: The mediating role of sleep.

Marie-Rachelle Narcisse, Pearl A McElfish, Mario Schootman, James P Selig, Tracie Kirkland, Samy I McFarlane, Holly C Felix, Azizi Seixas, Girardin Jean-Louis

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. The moderating effect of family socioeconomic status in the relationship between health-related behaviors and quality of life among the Hakka older adults in Fujian, China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    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

9 authors at 5 institutions in 1 country.

Marie-Rachelle NarcisseDepartment of Psychiatry and Human Behavior, Brown University, 222 Richmond St., Providence, RI, 02903, USA. Electronic address: marie-rachelle_narcisse@brown.edu.
Pearl A McElfishCollege of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA.
Mario SchootmanCollege of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA.
James P SeligFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA.
Tracie KirklandDepartment of Nursing, University of Southern California, Los Angeles, CA, 90033, USA.
Samy I McFarlaneDepartment of Medicine, State University of New York-Downstate Health Sciences University, 450 Clarkson Avenue, MSC 50, Brooklyn, NY, 11203, USA.
Holly C FelixFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR, 72205, USA.
Azizi SeixasDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
Girardin Jean-LouisDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
University of Arkansas for Medical Sciences · USUniversity of Miami · USBrown University · USState University of New York · USUniversity of Southern California · US

Funding

Program to Increase Diversity in Faculty Engaged in Behavioral and Sleep Medicine (PRIDE)R25HL105444 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · 2023 to 2025
$831k
Personalized OSA treatment and effects on AD biomarkers and cognition among blacksR01AG075007 · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · 2025 to 2025
$739k
NCATS NIH HHS UL1 TR003107NHLBI NIH HHS R01 HL152453NHLBI NIH HHS R25 HL105444NIA NIH HHS R01 AG075007
6 · The paper itself

Abstract

objectiveTo examine mediating effects of sleep quality and duration on the association between T2D and QoL among Medicare beneficiaries 65+.

methodsData from the Medicare Health Outcome Survey (2015-2020) were used. The outcome was QoL (physical and mental health component-summary scores [PCS and MCS]) measured by the Veterans-Rand-12. The main predictor was diagnosed T2D. Mediators were sleep duration and sleep quality. The effect modifier was race/ethnicity. Structural Equation Modeling was used to estimate moderated-mediating effects of sleep quality and duration across race/ethnicity.

resultsOf the 746,400 Medicare beneficiaries, 26.7% had T2D, and mean age was 76 years (SD ± 6.9). Mean PCS score was 40 (SD ± 12.2), and mean MCS score was 54.0 (SD ± 10.2). Associations of T2D with PCS and MCS were negative and significant. For all racial/ethnic groups, those with T2D reported lower PCS. For White, Black, Asian, and Hispanic beneficiaries only, those with T2D reported lower MCS. The negative impact of T2D on PCS and MCS was mediated through sleep quality, especially very bad sleep quality.

conclusionImproving sleep may lead to improvement in QoL in elderly adults with T2D.

Indexed as

Diabetes Mellitus, Type 2Quality of LifeAdultAgedEthnicityHumansMedicareSleepUnited StatesMediation-moderation analysisMedicare beneficiariesMedicare health outcomes surveyOlder adultsQuality of lifeRacial/ethnic disparitiesSleep durationSleep qualityType 2 diabetes

Identifiers

PMID38593616
PMCPMC11081429
OpenAlexW4392820664

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.