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Associations Between Sleep Habits and Dysglycemia in Adults in the United States: A Cross-Sectional Analysis

Published on Apr 1, 2018in Canadian Journal of Diabetes2.89
· DOI :10.1016/j.jcjd.2017.04.009
Katherina C. Chojnacki1
Estimated H-index: 1
(York University),
Thirumagal Kanagasabai7
Estimated H-index: 7
(York University)
+ 1 AuthorsChris I. Ardern27
Estimated H-index: 27
(York University)
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Abstract
Abstract Objectives To examine the independent and joint associations between sleep duration and quality with glycated hemoglobin (A1C) levels and dysglycemia in non-institutionalized adults living in the United States. Methods Data from the United States National Health and Nutrition Examination Survey (2005-2008) were used (N=9478; ≥20 years). Information on sleep quantity and quality were derived from the Sleep Disorders Questionnaire and used to classify sleep quality as good, fair, poor, or very poor. Results Overall, sleep quantity and quality were related to A1C levels in our unadjusted models. In general, a U-shaped relationship between sleep quantity and A1C levels was observed. Compared to those who slept for 7 to 8 hours per night, sleeping for 4 hours or fewer was associated with higher A1C levels (mean, 95% CI; 5.49%, 5.45 to 5.53 vs. 5.69%, 5.60 to 5.77; p Conclusions Between 7 and 8 hours of sleep and fair/poor sleep quality were associated with optimal A1C levels, while sleeping for fewer or more hours appeared to increase dysglycemia, without adjustment for covariates. These relationships were attenuated following multivariable adjustment. Future research is necessary to refine our understanding of the sleep/glycemic-control relationship to provide a context for the clinical significance of these findings for longer-term A1C control in adults with diabetes.
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References36
Newest
#1H.K. Al Khatib ('KCL': King's College London)H-Index: 1
#2Scott V. Harding ('KCL': King's College London)H-Index: 15
Last.Gerda K. Pot ('KCL': King's College London)H-Index: 14
view all 4 authors...
32 CitationsSource
#1Thirumagal Kanagasabai (York University)H-Index: 7
#2Chris I. Ardern (York University)H-Index: 27
20 CitationsSource
#1Jane E. Ferrie (UoB: University of Bristol)H-Index: 75
#2Mika Kivimaeki (UCL: University College London)H-Index: 122
Last.Martin J. Shipley (UCL: University College London)H-Index: 11
view all 9 authors...
29 CitationsSource
#1Patricia M. Wong (University of Pittsburgh)H-Index: 6
#2Stephen B. Manuck (University of Pittsburgh)H-Index: 83
Last.Matthew F. Muldoon (University of Pittsburgh)H-Index: 56
view all 5 authors...
20 CitationsSource
#1Thirumagal Kanagasabai (York University)H-Index: 7
#2Chris I. Ardern (York University)H-Index: 27
10 CitationsSource
#1Huang Baoying (Fujian Medical University)H-Index: 2
#2Chen Hongjie (Fujian Medical University)H-Index: 1
Last.Chen Gang (Fujian Medical University)H-Index: 2
view all 19 authors...
16 CitationsSource
#1Earl S. Ford (CDC: Centers for Disease Control and Prevention)H-Index: 112
#2Anne G. Wheaton (CDC: Centers for Disease Control and Prevention)H-Index: 24
Last.Janet B. Croft (CDC: Centers for Disease Control and Prevention)H-Index: 71
view all 6 authors...
24 CitationsSource
#1Arthur Eumann Mesas (UEL: Universidade Estadual de Londrina)H-Index: 16
#2Pilar Guallar-Castillón (UAM: Autonomous University of Madrid)H-Index: 44
Last.Fernando Rodríguez Artalejo (UAM: Autonomous University of Madrid)H-Index: 70
view all 7 authors...
24 CitationsSource
#1Anne-Louise S. Hansen (Steno Diabetes Center)H-Index: 6
#2Bendix Carstensen (Steno Diabetes Center)H-Index: 38
Last.Daniel R. Witte (Steno Diabetes Center)H-Index: 49
view all 11 authors...
21 CitationsSource
#1Andrea M. Spaeth (UPenn: University of Pennsylvania)H-Index: 12
#2David F. Dinges (UPenn: University of Pennsylvania)H-Index: 84
Last.Namni Goel (UPenn: University of Pennsylvania)H-Index: 27
view all 3 authors...
185 CitationsSource
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