U-shaped relationships between sleep duration and metabolic syndrome and metabolic syndrome components in males: a prospective cohort study.

Abstract:

OBJECTIVE:Based on cross-sectional studies, sleep duration has been shown to have a relationship with the prevalence of metabolic syndrome (MS); however, no prospective studies have verified a correlation between the incidence of MS and the gender difference. Herein we prospectively determined the association between MS and gender using a large sample. METHODS:A total of 4774 subjects without MS, 30-65 years of age, participated in this study. One-way ANOVA and Chi-square test were used to analyze the baseline variables. Cox regression models were performed separately in a mixed-gender population, males and females, while controlling for lifestyle and sleep-related factors. RESULTS:During an average of 4.4-year follow-up, 1506 subjects developed MS. Both short (<6 h) and long sleep durations (8-9 and ≥9 h) increased the incidence of MS and elevated the fasting blood glucose (FBG) level in the mixed-gender population (MS: HR = 1.43, 1.25, and 1.45, respectively; elevated FBG: HR = 1.61, 1.65, and 1.98, respectively) and males (MS: HR = 1.87, 1.73, and 1.96, respectively; elevated FBG: HR = 2.27, 2.28, and 3.16, respectively). The HR(8-9 and ≥9 h) for hypertriglyceridemia in males was 1.48 and 19.4, and the HR(<6, 6-7, and ≥9 h) for hypertension in females was 1.25, 1.46, and 1.72, respectively. CONCLUSION:Both short and long sleep durations were associated with a greater incidence of MS and elevated FBG in a mixed-gender population and in males, and hypertension in females. Males who sleep longer were also at a higher risk for hypertriglyceridemia.

journal_name

Sleep Med

journal_title

Sleep medicine

authors

Li X,Lin L,Lv L,Pang X,Du S,Zhang W,Na G,Ma H,Zhang Q,Jiang S,Deng H,Han T,Sun C,Li Y

doi

10.1016/j.sleep.2015.03.024

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

949-54

issue

8

eissn

1389-9457

issn

1878-5506

pii

S1389-9457(15)00744-3

journal_volume

16

pub_type

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