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Gepubliceerd in: Journal of Behavioral Medicine 5/2021

21-04-2021

The role of mindfulness in associations among depression symptoms, sleep duration, and insulin resistance in adolescents

Auteurs: Emma L. M. Clark, Lauren D. Gulley, Mark A. Prince, Milena Casamassima, Natalia Sanchez, Virginia Jimenez, Sarah A. Johnson, Reagan L. Miller, Isabella Conte, Jill L. Kaar, Stacey L. Simon, Christopher Melby, Rachel G. Lucas-Thompson, Lauren B. Shomaker

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2021

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Abstract

Sleep difficulties may be one explanatory factor in the association between depression and insulin resistance; yet, explicit tests of this hypothesis are lacking. We determined if there was an indirect effect of depression symptoms on insulin resistance through sleep duration in adolescents at risk for excess weight gain. We also investigated whether dispositional mindfulness moderated the interconnections among depression, sleep, and insulin resistance. Ninety adolescents (14.2 ± 1.6y; 50% female) at risk for excess weight gain (body mass index [BMI, kg/m2] z score 1.6 ± 0.6) participated in the cross-sectional, baseline phase of a health behaviors study. Depression was assessed with the Center for Epidemiologic Studies–Depression Scale, sleep duration with the Sleep Habits Survey, and mindfulness with the Mindful Attention and Awareness Scale. Homeostatic model assessment of insulin resistance was determined from fasting insulin and glucose. The product-of-coefficients method was used to test the indirect effect of depression on insulin resistance through sleep duration, accounting for age, sex, BMIz, puberty, and socioeconomic status (SES). Dispositional mindfulness was tested as a moderator of the associations among depression, sleep, and insulin resistance. There was a significant indirect effect of depression on insulin resistance through sleep duration, controlling for age, sex, BMIz, puberty, and SES, 95%CI [0.001, 0.05]. Dispositional mindfulness moderated the association between sleep duration and insulin resistance, such that lower sleep duration related to greater insulin resistance only among adolescents with lower mindfulness (p < .001). Short sleep may be one explanatory factor in the depression-insulin resistance connection in adolescents at risk for excess weight gain. Adolescents with poorer mindfulness and short sleep are at highest risk for insulin resistance, whereas higher mindfulness may be protective.
Literatuur
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Metagegevens
Titel
The role of mindfulness in associations among depression symptoms, sleep duration, and insulin resistance in adolescents
Auteurs
Emma L. M. Clark
Lauren D. Gulley
Mark A. Prince
Milena Casamassima
Natalia Sanchez
Virginia Jimenez
Sarah A. Johnson
Reagan L. Miller
Isabella Conte
Jill L. Kaar
Stacey L. Simon
Christopher Melby
Rachel G. Lucas-Thompson
Lauren B. Shomaker
Publicatiedatum
21-04-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-021-00225-x