Short sleep duration is associated with the development of impaired fasting glucose: the Western New York Health Study.

Short sleep duration is associated with the development of impaired fasting glucose: the Western New York Health Study.
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DOI:
10.1016/j.annepidem.2010.05.002
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发表时间:
2010-12
影响因子:
5.6
通讯作者:
Trevisan, Maurizio
Trevisan, Maurizio
中科院分区:
医学3区
文献类型:
--
作者:
Rafalson, Lisa;Donahue, Richard P.;Stranges, Saverio;Lamonte, Michael J.;Dmochowski, Jacek;Dorn, Joan;Trevisan, Maurizio

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在西纽约健康研究的6年随访中,研究睡眠持续时间是否与空腹血糖受损(IFG)事件相关。参与者(n= 1,455,应答率68%)在基线(1996-2001)时无2型糖尿病和已知心血管疾病,并于2003-2004年进行复查。进行了巢式病例对照研究。病例基线时空腹血糖(FPG)< 100 mg/dl,随访时为100 - 125 mg/dl;对照组(n=272)两次检查时FPG <100 mg/dl。病例(n=91)与三个对照组(n=272)在性别、种族和研究入组年份上单独匹配。平均睡眠时间分为短睡眠<6小时,中睡眠6至8小时,长睡眠> 8小时。在多变量条件Logistic回归中,调整了几个糖尿病危险因素后,与中等睡眠者相比,短睡眠者IFG的比值比(OR)为3.0(95%CI 1.05,8.59)。长时间睡眠与IFG之间没有关联:OR 1.6(95% CI:0.45.-0.25)。5.42)。胰岛素抵抗的调整仅削弱了短睡眠者的相关性OR 2.5(95%CI:0.83,7.46)。睡眠时间短与IFG风险升高相关。胰岛素抵抗似乎介导了这种关联。
To examine whether sleep duration was associated with incident impaired fasting glucose (IFG) over six years of follow-up in the Western New York Health Study. Participants (n= 1,455, 68% response rate) who were free of type 2 diabetes and known cardiovascular disease at baseline (1996-2001) were reexamined in 2003-2004. A nested case-control study was conducted. Cases had fasting plasma glucose (FPG) < 100 mg/dl at baseline and 100 to 125 mg/dl at follow-up: controls (n=272) had FPG <100 mg/dl at both exams. Cases (n=91) were individually matched to three controls (n=272) on sex, race, and year of study enrollment. Average sleep duration was categorized as short < 6h, mid-range 6 to 8h, and long-sleep > 8h. In multivariate conditional logistic regression after adjustment for several diabetes risk factors the Odds Ratio (OR) of IFG among short sleepers was 3.0 (95% CI 1.05, 8.59) compared to mid-range sleepers. There was no association between long sleep and IFG: OR 1.6 (95% CI: 0.45.-5.42). Adjustment for insulin resistance attenuated the association only among short sleepers OR 2.5 (95% CI: 0.83, 7.46). Short sleep duration was associated with an elevated risk of IFG. Insulin resistance appears to mediate this association.
DOI: 10.1093/aje/kwn337
发表时间: 2008-12-15
影响因子: 5
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期刊: DIABETES CARE
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