Publication: Effects of an intensive lifestyle intervention and the role of sleep in people living with HIV and prediabetes: a pilot and feasibility study
Issued Date
2021-12-01
Resource Type
ISSN
17560500
Other identifier(s)
2-s2.0-85104503935
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Mahidol University
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SCOPUS
Bibliographic Citation
BMC Research Notes. Vol.14, No.1 (2021)
Suggested Citation
Hataikarn Nimitphong, Somnuek Sungkanuparph, Chatvara Areevut, Sunee Saetung, Ratanaporn Jerawatana, Amornrat Hathaidechadusadee, Supaporn Somwang, Wanabhorn Tongchom, Nampeth Saibuathong, Jandanee Sakmanarit, Orawan Pichitchaipitak, Angsana Phuphuakrat, Sirimon Reutrakul Effects of an intensive lifestyle intervention and the role of sleep in people living with HIV and prediabetes: a pilot and feasibility study. BMC Research Notes. Vol.14, No.1 (2021). doi:10.1186/s13104-021-05558-z Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/75940
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Title
Effects of an intensive lifestyle intervention and the role of sleep in people living with HIV and prediabetes: a pilot and feasibility study
Abstract
Objectives: Prediabetes is prevalent in people living with HIV (PLWH). Insufficient and irregular sleep are linked to abnormal glucose metabolism. This study aimed to investigate the differences in sleep characteristics between PLWH with and without prediabetes, determine the acceptability/feasibility and effects of a pilot six-month intensive lifestyle intervention (ILI) program on glucose metabolism in those with prediabetes, and determine how sleep modulates these effects. Results: Thirty-nine PLWH (20 normoglycemia and 19 prediabetes) participated. There were no differences in sleep characteristics between individuals with normoglycemia and prediabetes. Next, thirteen individuals with prediabetes completed a six-month ILI program. The ILI program resulted in significant body weight reduction at 6 months (63.5 ± 13.9 to 61.9 ± 14.0 kg, p = 0.012), which was maintained at 12 months (p < 0.001). Waist circumferences were significantly decreased at 12 months (85.4 ± 11.7 to 82.9 ± 12.7 cm, p = 0.014). An increase in sleep variability was significantly associated with an increase in 2-h plasma glucose, independent of changes in BMI (b = 0.603), and physical activity (b = 0.774). This pilot study suggested that ILI in PLWH with prediabetes is feasible and effective in improving metabolic control, with its effects possibly modulated by sleep variability. These findings should be confirmed in a larger study to reduce diabetes risk in this population. Trail registration: ClinicalTrial.gov, NCT03545217 (date of registration: May 22, 2018)