Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes
Aims Few studies have analysed the effect of sleep duration and snoring on hypertension and glycaemic control in patients with diabetes. This study aims to investigate the relationship of sleep duration and snoring on prevalent hypertension and glycaemic control in people with diabetes. Methods In t...
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| Veröffentlicht in: | Diabetic medicine 2015-08, Vol.32 (8), p.1001-1007 |
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| creator | Wang, T. Lu, J. Wang, W. Mu, Y. Zhao, J. Liu, C. Chen, L. Shi, L. Li, Q. Yang, T. Yan, L. Wan, Q. Wu, S. Liu, Y. Wang, G. Luo, Z. Tang, X. Chen, G. Huo, Y. Gao, Z. Su, Q. Ye, Z. Wang, Y. Qin, G. Deng, H. Yu, X. Shen, F. Chen, L. Zhao, L. Xu, M. Sun, J. Bi, Y. Lai, S. Bloomgarden, Z. T. Li, D. Ning, G. |
| description | Aims
Few studies have analysed the effect of sleep duration and snoring on hypertension and glycaemic control in patients with diabetes. This study aims to investigate the relationship of sleep duration and snoring on prevalent hypertension and glycaemic control in people with diabetes.
Methods
In the baseline survey of the REACTION study, 56 032 patients with diabetes were categorized into four groups according to self‐reported sleep duration: |
| doi_str_mv | 10.1111/dme.12809 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1808665963</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3743202671</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4579-650392832769a2574cc3883cbe90a216377bc9fb2d508a922658ebc58409c5443</originalsourceid><addsrcrecordid>eNqF0ctu1DAUBmALgehQWPACKBIbWKT1_bJEpVOQhrIABGJjOc6Z1iVxUjtRmbfHJZ0ukFC98eY7v330I_SS4CNSznHbwxGhGptHaEW45LXghjxGK6w4rRlW5AA9y_kKY0INM0_RARXGSKPpCm2_dABj1c7JTWGIlYttleOQQryoXM6DD26C6iZMl9XlboQ0Qcx7d9HtvIM--MoPcUpDV4VYjSUH4pSXmTa4BibIz9GTresyvLi7D9G39enXkw_15vPZx5N3m9pzoUwtBWaGakaVNI4Kxb1nWjPfgMGOEsmUarzZNrQVWDtDqRQaGi80x8YLztkherPkjmm4niFPtg_ZQ9e5CMOcLdFYSymMZA9TRXChvHznQSqNokQpYQp9_Q-9GuYUy863SpLyNCFFvV2UT0POCbZ2TKF3aWcJtreV2lKp_Vtpsa_uEuemh_Ze7jss4HgBN6GD3f-T7PtPp_vIepkIeYLf9xMu_bJSMSXs9_Mzu_nx83wtxNoa9gfw8rgT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1696159611</pqid></control><display><type>article</type><title>Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wang, T. ; Lu, J. ; Wang, W. ; Mu, Y. ; Zhao, J. ; Liu, C. ; Chen, L. ; Shi, L. ; Li, Q. ; Yang, T. ; Yan, L. ; Wan, Q. ; Wu, S. ; Liu, Y. ; Wang, G. ; Luo, Z. ; Tang, X. ; Chen, G. ; Huo, Y. ; Gao, Z. ; Su, Q. ; Ye, Z. ; Wang, Y. ; Qin, G. ; Deng, H. ; Yu, X. ; Shen, F. ; Chen, L. ; Zhao, L. ; Xu, M. ; Sun, J. ; Bi, Y. ; Lai, S. ; Bloomgarden, Z. T. ; Li, D. ; Ning, G.</creator><creatorcontrib>Wang, T. ; Lu, J. ; Wang, W. ; Mu, Y. ; Zhao, J. ; Liu, C. ; Chen, L. ; Shi, L. ; Li, Q. ; Yang, T. ; Yan, L. ; Wan, Q. ; Wu, S. ; Liu, Y. ; Wang, G. ; Luo, Z. ; Tang, X. ; Chen, G. ; Huo, Y. ; Gao, Z. ; Su, Q. ; Ye, Z. ; Wang, Y. ; Qin, G. ; Deng, H. ; Yu, X. ; Shen, F. ; Chen, L. ; Zhao, L. ; Xu, M. ; Sun, J. ; Bi, Y. ; Lai, S. ; Bloomgarden, Z. T. ; Li, D. ; Ning, G.</creatorcontrib><description>Aims
Few studies have analysed the effect of sleep duration and snoring on hypertension and glycaemic control in patients with diabetes. This study aims to investigate the relationship of sleep duration and snoring on prevalent hypertension and glycaemic control in people with diabetes.
Methods
In the baseline survey of the REACTION study, 56 032 patients with diabetes were categorized into four groups according to self‐reported sleep duration: < 6, 6–7.9, 8–8.9 and ≥ 9 h. Snoring frequency was evaluated as ‘usually’, ‘occasionally’ or ‘never’. Hypertension was assessed by systolic blood pressure, diastolic blood pressure, self‐reported previous diagnosis and antihypertensive medications. ‘Good’ glycaemic control was defined as HbA1c < 53 mmol/mol (7.0%) and ‘poor’ glycaemic control as HbA1c ≥ 53 mmol/mol (7.0%).
Results
Controlling for potential confounders and intermediates, sleep ≥ 9 h relative to intermediate sleep (6–7.9 h) was significantly associated with prevalent hypertension (OR: 1.25, 95% CI: 1.18–1.32) and poor glycaemic control (OR: 1.11, 95% CI: 1.05–1.18), and a U‐shaped association was found between sleep duration and prevalent hypertension (P for quadratic trend = 0.019). Usually snoring was positively associated with prevalent hypertension (OR: 1.30, 95% CI: 1.23–1.37), whereas the association between snoring and poor glycaemic control was only on the borderline of statistical significance.
Conclusions
Compared with a sleep duration of 6–7.9 h, longer sleep duration was associated with a higher prevalence of hypertension and poor glycaemic control in people with diabetes. Moreover, the relationship between sleep duration and prevalent hypertension was U‐shaped. These findings may propose important public health implications for diabetes management.
What's new?
Longer sleep duration (≥ 8 h) was positively associated with prevalent hypertension and poor glycaemic control in patients with diabetes, and the association between sleep duration and prevalent hypertension was U‐shaped. The findings may have implications for diabetes management.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.12809</identifier><identifier>PMID: 25996982</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Blood pressure ; China - epidemiology ; Cohort Studies ; Diabetes ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - metabolism ; Female ; Glycated Hemoglobin A - metabolism ; Humans ; Hypertension ; Hypertension - epidemiology ; Insulin ; Longitudinal Studies ; Male ; Middle Aged ; Prevalence ; Prospective Studies ; Sleep ; Sleep disorders ; Snoring - epidemiology ; Time Factors</subject><ispartof>Diabetic medicine, 2015-08, Vol.32 (8), p.1001-1007</ispartof><rights>2015 The Authors. Diabetic Medicine © 2015 Diabetes UK</rights><rights>2015 The Authors. Diabetic Medicine © 2015 Diabetes UK.</rights><rights>Diabetic Medicine © 2015 Diabetes UK</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4579-650392832769a2574cc3883cbe90a216377bc9fb2d508a922658ebc58409c5443</citedby><cites>FETCH-LOGICAL-c4579-650392832769a2574cc3883cbe90a216377bc9fb2d508a922658ebc58409c5443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.12809$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.12809$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25996982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, T.</creatorcontrib><creatorcontrib>Lu, J.</creatorcontrib><creatorcontrib>Wang, W.</creatorcontrib><creatorcontrib>Mu, Y.</creatorcontrib><creatorcontrib>Zhao, J.</creatorcontrib><creatorcontrib>Liu, C.</creatorcontrib><creatorcontrib>Chen, L.</creatorcontrib><creatorcontrib>Shi, L.</creatorcontrib><creatorcontrib>Li, Q.</creatorcontrib><creatorcontrib>Yang, T.</creatorcontrib><creatorcontrib>Yan, L.</creatorcontrib><creatorcontrib>Wan, Q.</creatorcontrib><creatorcontrib>Wu, S.</creatorcontrib><creatorcontrib>Liu, Y.</creatorcontrib><creatorcontrib>Wang, G.</creatorcontrib><creatorcontrib>Luo, Z.</creatorcontrib><creatorcontrib>Tang, X.</creatorcontrib><creatorcontrib>Chen, G.</creatorcontrib><creatorcontrib>Huo, Y.</creatorcontrib><creatorcontrib>Gao, Z.</creatorcontrib><creatorcontrib>Su, Q.</creatorcontrib><creatorcontrib>Ye, Z.</creatorcontrib><creatorcontrib>Wang, Y.</creatorcontrib><creatorcontrib>Qin, G.</creatorcontrib><creatorcontrib>Deng, H.</creatorcontrib><creatorcontrib>Yu, X.</creatorcontrib><creatorcontrib>Shen, F.</creatorcontrib><creatorcontrib>Chen, L.</creatorcontrib><creatorcontrib>Zhao, L.</creatorcontrib><creatorcontrib>Xu, M.</creatorcontrib><creatorcontrib>Sun, J.</creatorcontrib><creatorcontrib>Bi, Y.</creatorcontrib><creatorcontrib>Lai, S.</creatorcontrib><creatorcontrib>Bloomgarden, Z. T.</creatorcontrib><creatorcontrib>Li, D.</creatorcontrib><creatorcontrib>Ning, G.</creatorcontrib><title>Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes</title><title>Diabetic medicine</title><addtitle>Diabet. Med</addtitle><description>Aims
Few studies have analysed the effect of sleep duration and snoring on hypertension and glycaemic control in patients with diabetes. This study aims to investigate the relationship of sleep duration and snoring on prevalent hypertension and glycaemic control in people with diabetes.
Methods
In the baseline survey of the REACTION study, 56 032 patients with diabetes were categorized into four groups according to self‐reported sleep duration: < 6, 6–7.9, 8–8.9 and ≥ 9 h. Snoring frequency was evaluated as ‘usually’, ‘occasionally’ or ‘never’. Hypertension was assessed by systolic blood pressure, diastolic blood pressure, self‐reported previous diagnosis and antihypertensive medications. ‘Good’ glycaemic control was defined as HbA1c < 53 mmol/mol (7.0%) and ‘poor’ glycaemic control as HbA1c ≥ 53 mmol/mol (7.0%).
Results
Controlling for potential confounders and intermediates, sleep ≥ 9 h relative to intermediate sleep (6–7.9 h) was significantly associated with prevalent hypertension (OR: 1.25, 95% CI: 1.18–1.32) and poor glycaemic control (OR: 1.11, 95% CI: 1.05–1.18), and a U‐shaped association was found between sleep duration and prevalent hypertension (P for quadratic trend = 0.019). Usually snoring was positively associated with prevalent hypertension (OR: 1.30, 95% CI: 1.23–1.37), whereas the association between snoring and poor glycaemic control was only on the borderline of statistical significance.
Conclusions
Compared with a sleep duration of 6–7.9 h, longer sleep duration was associated with a higher prevalence of hypertension and poor glycaemic control in people with diabetes. Moreover, the relationship between sleep duration and prevalent hypertension was U‐shaped. These findings may propose important public health implications for diabetes management.
What's new?
Longer sleep duration (≥ 8 h) was positively associated with prevalent hypertension and poor glycaemic control in patients with diabetes, and the association between sleep duration and prevalent hypertension was U‐shaped. The findings may have implications for diabetes management.</description><subject>Aged</subject><subject>Blood pressure</subject><subject>China - epidemiology</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus - metabolism</subject><subject>Female</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Insulin</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Sleep</subject><subject>Sleep disorders</subject><subject>Snoring - epidemiology</subject><subject>Time Factors</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0ctu1DAUBmALgehQWPACKBIbWKT1_bJEpVOQhrIABGJjOc6Z1iVxUjtRmbfHJZ0ukFC98eY7v330I_SS4CNSznHbwxGhGptHaEW45LXghjxGK6w4rRlW5AA9y_kKY0INM0_RARXGSKPpCm2_dABj1c7JTWGIlYttleOQQryoXM6DD26C6iZMl9XlboQ0Qcx7d9HtvIM--MoPcUpDV4VYjSUH4pSXmTa4BibIz9GTresyvLi7D9G39enXkw_15vPZx5N3m9pzoUwtBWaGakaVNI4Kxb1nWjPfgMGOEsmUarzZNrQVWDtDqRQaGi80x8YLztkherPkjmm4niFPtg_ZQ9e5CMOcLdFYSymMZA9TRXChvHznQSqNokQpYQp9_Q-9GuYUy863SpLyNCFFvV2UT0POCbZ2TKF3aWcJtreV2lKp_Vtpsa_uEuemh_Ze7jss4HgBN6GD3f-T7PtPp_vIepkIeYLf9xMu_bJSMSXs9_Mzu_nx83wtxNoa9gfw8rgT</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Wang, T.</creator><creator>Lu, J.</creator><creator>Wang, W.</creator><creator>Mu, Y.</creator><creator>Zhao, J.</creator><creator>Liu, C.</creator><creator>Chen, L.</creator><creator>Shi, L.</creator><creator>Li, Q.</creator><creator>Yang, T.</creator><creator>Yan, L.</creator><creator>Wan, Q.</creator><creator>Wu, S.</creator><creator>Liu, Y.</creator><creator>Wang, G.</creator><creator>Luo, Z.</creator><creator>Tang, X.</creator><creator>Chen, G.</creator><creator>Huo, Y.</creator><creator>Gao, Z.</creator><creator>Su, Q.</creator><creator>Ye, Z.</creator><creator>Wang, Y.</creator><creator>Qin, G.</creator><creator>Deng, H.</creator><creator>Yu, X.</creator><creator>Shen, F.</creator><creator>Chen, L.</creator><creator>Zhao, L.</creator><creator>Xu, M.</creator><creator>Sun, J.</creator><creator>Bi, Y.</creator><creator>Lai, S.</creator><creator>Bloomgarden, Z. T.</creator><creator>Li, D.</creator><creator>Ning, G.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201508</creationdate><title>Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes</title><author>Wang, T. ; Lu, J. ; Wang, W. ; Mu, Y. ; Zhao, J. ; Liu, C. ; Chen, L. ; Shi, L. ; Li, Q. ; Yang, T. ; Yan, L. ; Wan, Q. ; Wu, S. ; Liu, Y. ; Wang, G. ; Luo, Z. ; Tang, X. ; Chen, G. ; Huo, Y. ; Gao, Z. ; Su, Q. ; Ye, Z. ; Wang, Y. ; Qin, G. ; Deng, H. ; Yu, X. ; Shen, F. ; Chen, L. ; Zhao, L. ; Xu, M. ; Sun, J. ; Bi, Y. ; Lai, S. ; Bloomgarden, Z. T. ; Li, D. ; Ning, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4579-650392832769a2574cc3883cbe90a216377bc9fb2d508a922658ebc58409c5443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Blood pressure</topic><topic>China - epidemiology</topic><topic>Cohort Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus - metabolism</topic><topic>Female</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - epidemiology</topic><topic>Insulin</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Sleep</topic><topic>Sleep disorders</topic><topic>Snoring - epidemiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, T.</creatorcontrib><creatorcontrib>Lu, J.</creatorcontrib><creatorcontrib>Wang, W.</creatorcontrib><creatorcontrib>Mu, Y.</creatorcontrib><creatorcontrib>Zhao, J.</creatorcontrib><creatorcontrib>Liu, C.</creatorcontrib><creatorcontrib>Chen, L.</creatorcontrib><creatorcontrib>Shi, L.</creatorcontrib><creatorcontrib>Li, Q.</creatorcontrib><creatorcontrib>Yang, T.</creatorcontrib><creatorcontrib>Yan, L.</creatorcontrib><creatorcontrib>Wan, Q.</creatorcontrib><creatorcontrib>Wu, S.</creatorcontrib><creatorcontrib>Liu, Y.</creatorcontrib><creatorcontrib>Wang, G.</creatorcontrib><creatorcontrib>Luo, Z.</creatorcontrib><creatorcontrib>Tang, X.</creatorcontrib><creatorcontrib>Chen, G.</creatorcontrib><creatorcontrib>Huo, Y.</creatorcontrib><creatorcontrib>Gao, Z.</creatorcontrib><creatorcontrib>Su, Q.</creatorcontrib><creatorcontrib>Ye, Z.</creatorcontrib><creatorcontrib>Wang, Y.</creatorcontrib><creatorcontrib>Qin, G.</creatorcontrib><creatorcontrib>Deng, H.</creatorcontrib><creatorcontrib>Yu, X.</creatorcontrib><creatorcontrib>Shen, F.</creatorcontrib><creatorcontrib>Chen, L.</creatorcontrib><creatorcontrib>Zhao, L.</creatorcontrib><creatorcontrib>Xu, M.</creatorcontrib><creatorcontrib>Sun, J.</creatorcontrib><creatorcontrib>Bi, Y.</creatorcontrib><creatorcontrib>Lai, S.</creatorcontrib><creatorcontrib>Bloomgarden, Z. T.</creatorcontrib><creatorcontrib>Li, D.</creatorcontrib><creatorcontrib>Ning, G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, T.</au><au>Lu, J.</au><au>Wang, W.</au><au>Mu, Y.</au><au>Zhao, J.</au><au>Liu, C.</au><au>Chen, L.</au><au>Shi, L.</au><au>Li, Q.</au><au>Yang, T.</au><au>Yan, L.</au><au>Wan, Q.</au><au>Wu, S.</au><au>Liu, Y.</au><au>Wang, G.</au><au>Luo, Z.</au><au>Tang, X.</au><au>Chen, G.</au><au>Huo, Y.</au><au>Gao, Z.</au><au>Su, Q.</au><au>Ye, Z.</au><au>Wang, Y.</au><au>Qin, G.</au><au>Deng, H.</au><au>Yu, X.</au><au>Shen, F.</au><au>Chen, L.</au><au>Zhao, L.</au><au>Xu, M.</au><au>Sun, J.</au><au>Bi, Y.</au><au>Lai, S.</au><au>Bloomgarden, Z. T.</au><au>Li, D.</au><au>Ning, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet. Med</addtitle><date>2015-08</date><risdate>2015</risdate><volume>32</volume><issue>8</issue><spage>1001</spage><epage>1007</epage><pages>1001-1007</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims
Few studies have analysed the effect of sleep duration and snoring on hypertension and glycaemic control in patients with diabetes. This study aims to investigate the relationship of sleep duration and snoring on prevalent hypertension and glycaemic control in people with diabetes.
Methods
In the baseline survey of the REACTION study, 56 032 patients with diabetes were categorized into four groups according to self‐reported sleep duration: < 6, 6–7.9, 8–8.9 and ≥ 9 h. Snoring frequency was evaluated as ‘usually’, ‘occasionally’ or ‘never’. Hypertension was assessed by systolic blood pressure, diastolic blood pressure, self‐reported previous diagnosis and antihypertensive medications. ‘Good’ glycaemic control was defined as HbA1c < 53 mmol/mol (7.0%) and ‘poor’ glycaemic control as HbA1c ≥ 53 mmol/mol (7.0%).
Results
Controlling for potential confounders and intermediates, sleep ≥ 9 h relative to intermediate sleep (6–7.9 h) was significantly associated with prevalent hypertension (OR: 1.25, 95% CI: 1.18–1.32) and poor glycaemic control (OR: 1.11, 95% CI: 1.05–1.18), and a U‐shaped association was found between sleep duration and prevalent hypertension (P for quadratic trend = 0.019). Usually snoring was positively associated with prevalent hypertension (OR: 1.30, 95% CI: 1.23–1.37), whereas the association between snoring and poor glycaemic control was only on the borderline of statistical significance.
Conclusions
Compared with a sleep duration of 6–7.9 h, longer sleep duration was associated with a higher prevalence of hypertension and poor glycaemic control in people with diabetes. Moreover, the relationship between sleep duration and prevalent hypertension was U‐shaped. These findings may propose important public health implications for diabetes management.
What's new?
Longer sleep duration (≥ 8 h) was positively associated with prevalent hypertension and poor glycaemic control in patients with diabetes, and the association between sleep duration and prevalent hypertension was U‐shaped. The findings may have implications for diabetes management.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25996982</pmid><doi>10.1111/dme.12809</doi><tpages>7</tpages></addata></record> |
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| ispartof | Diabetic medicine, 2015-08, Vol.32 (8), p.1001-1007 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Blood pressure China - epidemiology Cohort Studies Diabetes Diabetes Mellitus - epidemiology Diabetes Mellitus - metabolism Female Glycated Hemoglobin A - metabolism Humans Hypertension Hypertension - epidemiology Insulin Longitudinal Studies Male Middle Aged Prevalence Prospective Studies Sleep Sleep disorders Snoring - epidemiology Time Factors |
| title | Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes |
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