PMID- 30746047 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1984-0659 (Print) IS - 1984-0063 (Electronic) IS - 1984-0063 (Linking) VI - 11 IP - 4 DP - 2018 Jul-Aug TI - A nonparametric methodological analysis of rest-activity rhythm in type 2 diabetes. PG - 281-289 LID - 10.5935/1984-0063.20180044 [doi] AB - The purpose of this study was to analyze the rest-activity rhythm of type 2 diabetics mellitus (T2DM) and compare it to healthy controls using the nonparametric analytic approach. Twenty-one diabetics and 21 healthy subjects matched for gender and age were recruited to participate in the study. Data were analyzed using the Independent t-test, Mann-Whitney U test, and Spearmans correlation. T2DM subjects demonstrate lower interdaily stability (IS) (p=.03), higher intradaily variability (p=.046) and lower rhythm amplitude (p=.02) when compared to healthy controls. Also, there was a positive correlation between IS and most active 10 hr (M10) in the average of 24 hours pattern (r =.44; p=.046) in the diabetes group and a negative correlation between IV and M10 in the healthy group (r =-.57; p=.007). These data together suggest that T2DM exhibits a dysfunction in the rest-activity rhythm due to alterations in the circadian function as well as in the homeostatic capacity to maintain sleep; mainly characterized by less consistency across days of the daily circadian signal, higher rhythm fragmentation and lower rhythm amplitude. Future approaches may be developed considering the influence of circadian glucose variations throughout the day on the coupling of the rest-activity rhythm to zeitgeber and rhythm fragmentation. FAU - Cavalcanti-Ferreira, Paula AU - Cavalcanti-Ferreira P AD - Loma Linda University, Physical Therapy - Loma Linda - CA - United States. AD - California State University, Northridge - CA - United States. FAU - Berk, Lee AU - Berk L AD - Loma Linda University, Physical Therapy - Loma Linda - CA - United States. FAU - Daher, Noha AU - Daher N AD - Loma Linda University, Physical Therapy - Loma Linda - CA - United States. FAU - Campus, Tania AU - Campus T AD - Universidade Federal do Rio Grande do Norte, Physical Therapy - Natal - RN - Brazil. FAU - Araujo, John AU - Araujo J AD - Universidade Federal do Rio Grande do Norte, Physical Therapy - Natal - RN - Brazil. FAU - Petrofsky, Jerrold AU - Petrofsky J AD - Loma Linda University, Physical Therapy - Loma Linda - CA - United States. FAU - Lohman, Everett AU - Lohman E AD - Loma Linda University, Physical Therapy - Loma Linda - CA - United States. LA - eng PT - Journal Article PL - Germany TA - Sleep Sci JT - Sleep science (Sao Paulo, Brazil) JID - 101598477 PMC - PMC6361299 OTO - NOTNLM OT - Circadian Rhythm OT - Diabetes Mellitus, Type 2 OT - Sleep Wake Disorders EDAT- 2019/02/13 06:00 MHDA- 2019/02/13 06:01 PMCR- 2018/07/01 CRDT- 2019/02/13 06:00 PHST- 2019/02/13 06:00 [entrez] PHST- 2019/02/13 06:00 [pubmed] PHST- 2019/02/13 06:01 [medline] PHST- 2018/07/01 00:00 [pmc-release] AID - 10.5935/1984-0063.20180044 [doi] PST - ppublish SO - Sleep Sci. 2018 Jul-Aug;11(4):281-289. doi: 10.5935/1984-0063.20180044.