Daytime Napping and Nighttime Sleep Duration with Incident Diabetes Mellitus: A Cohort Study in Chinese Older Adults

被引:31
作者
Lin, Li [1 ]
Lu, Ciyong [1 ]
Chen, Weiqing [1 ]
Guo, Vivian Yawei [1 ]
机构
[1] Sun Yat Sen Univ, Sch Publ Hlth, Dept Epidemiol, Guangzhou 510080, Peoples R China
关键词
daytime napping; nighttime sleep duration; diabetes mellitus; Chinese elderly; IMPAIRED FASTING GLUCOSE; ENERGY-EXPENDITURE; METABOLIC SYNDROME; NOCTURNAL SLEEP; INCREASED RISK; LEPTIN LEVELS; TYPE-2; ASSOCIATION; MORTALITY; QUALITY;
D O I
10.3390/ijerph18095012
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: We aimed to examine the longitudinal associations between daytime napping and nighttime sleep duration with the risk of diabetes mellitus (DM) among Chinese elderly using data from the China Health and Retirement Longitudinal Study (CHARLS). Methods: A cohort study was conducted among 2620 participants aged 60 years or above. Information on daytime napping and nighttime sleep duration was self-reported during the 2011 baseline survey. DM status during the 2015 follow-up survey was confirmed according to the American Diabetes Association criteria. Results: Individuals with long daytime napping (>1 h/day) had increased risk of developing DM than non-nappers (adjusted RR = 1.52, 95%CI: 1.10, 2.10). In addition, we observed a U-shaped association between nighttime sleep duration and incident DM risk. We further found that nappers with <4 h of nighttime sleep, and those with >1 h of daytime napping and >6 h nighttime sleep had approximately two-fold elevated risk of DM, compared to non-nappers with 6-8 h of nighttime sleep. Conclusion: Long daytime napping and extreme nighttime sleep duration were associated with increased DM risk among Chinese elderly. There was a joint effect of long daytime napping and nighttime sleep duration on the risk of DM.
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页数:13
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