Sleek Duration, Lifestyle Intervention, and Incidence of Type 2 Diabetes in Impaired Glucose Tolerance The Finnish Diabetes Prevention Study

被引:88
作者
Tuomilehto, Henri [1 ,3 ]
Keinanen-Kiukaanniemi, Sirkka [11 ]
Peltonen, Markku [4 ]
Ilanne-Parikka, Pirjo [12 ]
Partinen, Markku [5 ,6 ]
Uusitupa, Matti [2 ]
Lavigne, Gilles [3 ]
Tuomilehto, Jaakko [13 ]
Eriksson, Johan G. [4 ,7 ,8 ]
Lindstrom, Jaana [4 ]
Herder, Christian [9 ]
Aunola, Sirkka [10 ]
机构
[1] Kuopio Univ Hosp, Dept Otorhinolaryngol, SF-70210 Kuopio, Finland
[2] Univ Kuopio, Sch Publ Hlth & Clin Nutr, FIN-70211 Kuopio, Finland
[3] Univ Montreal, Fac Med Dent, Montreal, PQ H3C 3J7, Canada
[4] Natl Publ Hlth Inst, Diabet Unit, Dept Hlth Promot & Chron Dis Prevent, Helsinki, Finland
[5] Rinnekoti Res, Skogby Sleep Clin, Espoo, Finland
[6] Univ Helsinki, Dept Neurol, Helsinki, Finland
[7] Univ Helsinki, Dept Gen Practice & Primary Hlth Care, Helsinki, Finland
[8] Vasa Cent Hosp, Vaasa, Finland
[9] Univ Dusseldorf, Leibniz Ctr Diabet Res, German Diabet Ctr, Inst Clin Diabetol, Dusseldorf, Germany
[10] Natl Publ Hlth Inst, Lab Populat Res, Helsinki, Finland
[11] Univ Oulu, Inst Hlth Sci, Oulu, Finland
[12] Finnish Diabet Assoc, Ctr Diabet, Tampere, Finland
[13] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland
基金
加拿大健康研究院; 芬兰科学院;
关键词
DISEASE RISK; REDUCTION; APNEA; WOMEN;
D O I
10.2337/dc08-1980
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - Both short and long sleep duration have frequently been found to be associated with an increased risk for diabetes. The aim of the present exploratory analysis was to examine the association between sleep duration and type 2 diabetes after lifestyle intervention in overweight individuals with impaired glucose tolerance in a 7-year prospective follow-up. RESEARCH DESIGN AND METHODS - A total of 522 individuals (aged 40-64 years) were randomly allocated either to an intensive diet-exercise counseling group or to a control group. Diabetes incidence during follow-up was calculated according to sleep duration at baseline. Sleep duration was obtained for a 24-h period. Physical activity, dietary intakes, body weight, and immune mediators (C-reactive protein and interleukin-6) were measured. RESULTS - Interaction between sleep duration and treatment group was statistically significant (P = 0.003). In the control group, the adjusted hazard ratios (HRs) (95% CI) for diabetes were 2.29 (1.38-3.80) and 2.74 (1.67-4.50) in the sleep duration groups 9-9.5 h and >= 10 h, respectively, compared with for that of the 7-8.5 h group. In contrast, sleep duration did not influence the incidence of diabetes in the intervention group; for sleep duration groups 9-9.5 h and >= 10 h, the adjusted HRs (95% CI) were 1.10 (0.60-2.01) and 0.73 (0.34-1.56), respectively, compared with that in the reference group (7-8.5 h sleep). Lifestyle intervention resulted in similar improvement in body weight, insulin sensitivity, and immune mediator levels regardless of sleep duration. CONCLUSIONS - Long sleep duration is associated with increased type 2 diabetes risk. Lifestyle intervention with the aim of weight reduction, healthy diet, and increased physical activity may ameliorate some of this excess risk.
引用
收藏
页码:1965 / 1971
页数:7
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