Rafalson, Lisa, Donahue, Richard P., Stranges, Saverio, LaMonte, Michael J., Dmochowski, Jacek, Dorn, Joan M. and Trevisan, Maurizio. (2010) Short sleep duration is associated with the development of impaired fasting glucose : the Western New York health study. Annals of Epidemiology, Vol.20 (No.12). pp. 883-889. ISSN 1047-2797

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Abstract

PURPOSE: To examine whether sleep duration was associated with incident-impaired fasting glucose (IFG) over 6 years of follow-up in the Western New York Health Study. METHODS: 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 the period 2003-2004. A nested case-control study was conducted. Cases had fasting plasma glucose (FPG) less than 100 mg/dL at baseline and 100 to 125 mg/dL at follow-up: controls (n = 272) had FPG less than 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 ( < 6 hours), mid-range (6 to 8 hours), and long ( > 8 hours). RESULTS: 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% confidence limit [CL]: 1.05, 8.59) compared to mid-range sleepers. There was no association between long sleep and IFG: OR 1.6 (95% CL: 0.45, 5.42). Adjustment for insulin resistance attenuated the association only among short sleepers: OR 2.5 (95% CL: 0.83, 7.46). CONCLUSIONS: Short sleep duration was associated with an elevated risk of IFG. Insulin resistance appears to mediate this association. Ann Epidemiol 2010;20:883-889. (C) 2010 Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Subjects:	Q Science > QP Physiology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Glucose -- Metabolism, Glucose -- Physiological effect, Case-control method, Sleep, Sleep disorders
Journal or Publication Title:	Annals of Epidemiology
Publisher:	Elsevier Science Inc.
ISSN:	1047-2797
Date:	December 2010
Volume:	Vol.20
Number:	No.12
Number of Pages:	7
Page Range:	pp. 883-889
Identification Number:	10.1016/j.annepidem.2010.05.002
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	National Institutes of Health (U.S.) (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.) (NIDDK)
Grant number:	RO1 DK60587 (NIDDK)
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URI:	http://wrap.warwick.ac.uk/id/eprint/4764

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