Journal
SLEEP
Volume 30, Issue 12, Pages 1667-1673Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/sleep/30.12.1667
Keywords
sleep; diabetes; insulin resistance; obesity
Categories
Funding
- NHLBI NIH HHS [R24 HL76857, R24 HL076857] Funding Source: Medline
- NIMH NIH HHS [T32 MH013043] Funding Source: Medline
Ask authors/readers for more resources
Study Objectives: To explore the relationship between sleep duration and diabetes incidence over an 8- to 10-year follow-up period in data from the First National Health and Nutrition Examination Survey (NHANES I). We hypothesized that prolonged short sleep duration is associated with diabetes and that obesity and hypertension act as partial mediators of this relationship. The increased load on the pancreas from insulin resistance induced by chronically short sleep durations can, over time, compromise beta-cell function and lead to type 2 diabetes. No plausible mechanism has been identified by which long sleep duration could lead to diabetes. Design: Multivariate longitudinal analyses of the NHANES I using logistic regression models. Setting: Probability sample (n = 8992) of the noninstitutionalized population of the United States between 1982 and 1992. Participants: Subjects between the ages of 32 and 86 years. Measurements and Results: Between 1982 and 1992, 4.8% of the sample (n = 430) were determined by physician diagnosis, hospital record, or cause of death to be incident cases of diabetes. Subjects with sleep durations of 5 or fewer hours (odds ratio = 1.47, 95% confidence interval 1.03-2.09) and subjects with sleep durations of 9 or more hours (odds ratio = 1.52, 95% confidence interval 1.06-2.18) were significantly more likely to have incident diabetes over the follow-up period after controlling for covariates. Conclusions: Short sleep duration could be a significant risk factor for diabetes. The association between long sleep duration and diabetes incidence is more likely to be due to some unmeasured confounder such as poor sleep quality.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available