Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of U.S. military service members in the Millennium Cohort Study
Research has suggested that a higher risk of type 2 diabetes associated with sleep characteristics exists. However, studies have not thoroughly assessed the potential confounding effects of mental health conditions associated with alterations in sleep. We prospectively assessed the association betwe...
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| Veröffentlicht in: | Diabetes care 2013-10, Vol.36 (10), p.3154-3161 |
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| creator | BOYKO, Edward J SEELIG, Amber D JACOBSON, Isabel G HOOPER, Tomoko I SMITH, Besa SMITH, Tyler C CRUM-CIANFLONE, Nancy F |
| description | Research has suggested that a higher risk of type 2 diabetes associated with sleep characteristics exists. However, studies have not thoroughly assessed the potential confounding effects of mental health conditions associated with alterations in sleep.
We prospectively assessed the association between sleep characteristics and self-reported incident diabetes among Millennium Cohort Study participants prospectively followed over a 6-year time period. Surveys are administered approximately every 3 years and collect self-reported data on demographics, height, weight, lifestyle, features of military service, sleep, clinician-diagnosed diabetes, and mental health conditions assessed by the PRIME-MD Patient Health Questionnaire and the PTSD Checklist-Civilian Version. Statistical methods for longitudinal data were used for data analysis.
We studied 47,093 participants (mean 34.9 years of age; mean BMI 26.0 kg/m2; 25.6% female). During 6 years of follow-up, 871 incident diabetes cases occurred (annual incidence 3.6/1,000 person-years). In univariate analyses, incident diabetes was significantly more likely among participants with self-reported trouble sleeping, sleep duration |
| doi_str_mv | 10.2337/DC13-0042 |
| format | Article |
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We prospectively assessed the association between sleep characteristics and self-reported incident diabetes among Millennium Cohort Study participants prospectively followed over a 6-year time period. Surveys are administered approximately every 3 years and collect self-reported data on demographics, height, weight, lifestyle, features of military service, sleep, clinician-diagnosed diabetes, and mental health conditions assessed by the PRIME-MD Patient Health Questionnaire and the PTSD Checklist-Civilian Version. Statistical methods for longitudinal data were used for data analysis.
We studied 47,093 participants (mean 34.9 years of age; mean BMI 26.0 kg/m2; 25.6% female). During 6 years of follow-up, 871 incident diabetes cases occurred (annual incidence 3.6/1,000 person-years). In univariate analyses, incident diabetes was significantly more likely among participants with self-reported trouble sleeping, sleep duration<6 h, and sleep apnea. Participants reporting incident diabetes were also significantly older, of nonwhite race, of higher BMI, less likely to have been deployed, and more likely to have reported baseline symptoms of panic, anxiety, posttraumatic stress disorder, and depression. After adjusting for covariates, trouble sleeping (odds ratio 1.21 [95% CI 1.03-1.42]) and sleep apnea (1.78 [1.39-2.28]) were significantly and independently related to incident diabetes.
Trouble sleeping and sleep apnea predict diabetes risk independent of mental health conditions and other diabetes risk factors.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/DC13-0042</identifier><identifier>PMID: 23835691</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adult ; Armed forces ; Biological and medical sciences ; Body Mass Index ; Diabetes ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes Mellitus, Type 2 - psychology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Health aspects ; Humans ; Male ; Medical sciences ; Mental health ; Mental Health - statistics & numerical data ; Metabolic diseases ; Middle Aged ; Military personnel ; Military Personnel - statistics & numerical data ; Miscellaneous ; Original Research ; Polls & surveys ; Post-traumatic stress disorder ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk factors ; Sleep ; Sleep Wake Disorders - physiopathology ; Type 2 diabetes</subject><ispartof>Diabetes care, 2013-10, Vol.36 (10), p.3154-3161</ispartof><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2013 American Diabetes Association</rights><rights>Copyright American Diabetes Association Oct 2013</rights><rights>2013 by the American Diabetes Association. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27789114$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23835691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BOYKO, Edward J</creatorcontrib><creatorcontrib>SEELIG, Amber D</creatorcontrib><creatorcontrib>JACOBSON, Isabel G</creatorcontrib><creatorcontrib>HOOPER, Tomoko I</creatorcontrib><creatorcontrib>SMITH, Besa</creatorcontrib><creatorcontrib>SMITH, Tyler C</creatorcontrib><creatorcontrib>CRUM-CIANFLONE, Nancy F</creatorcontrib><creatorcontrib>Millennium Cohort Study Team</creatorcontrib><title>Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of U.S. military service members in the Millennium Cohort Study</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>Research has suggested that a higher risk of type 2 diabetes associated with sleep characteristics exists. However, studies have not thoroughly assessed the potential confounding effects of mental health conditions associated with alterations in sleep.
We prospectively assessed the association between sleep characteristics and self-reported incident diabetes among Millennium Cohort Study participants prospectively followed over a 6-year time period. Surveys are administered approximately every 3 years and collect self-reported data on demographics, height, weight, lifestyle, features of military service, sleep, clinician-diagnosed diabetes, and mental health conditions assessed by the PRIME-MD Patient Health Questionnaire and the PTSD Checklist-Civilian Version. Statistical methods for longitudinal data were used for data analysis.
We studied 47,093 participants (mean 34.9 years of age; mean BMI 26.0 kg/m2; 25.6% female). During 6 years of follow-up, 871 incident diabetes cases occurred (annual incidence 3.6/1,000 person-years). In univariate analyses, incident diabetes was significantly more likely among participants with self-reported trouble sleeping, sleep duration<6 h, and sleep apnea. Participants reporting incident diabetes were also significantly older, of nonwhite race, of higher BMI, less likely to have been deployed, and more likely to have reported baseline symptoms of panic, anxiety, posttraumatic stress disorder, and depression. After adjusting for covariates, trouble sleeping (odds ratio 1.21 [95% CI 1.03-1.42]) and sleep apnea (1.78 [1.39-2.28]) were significantly and independently related to incident diabetes.
Trouble sleeping and sleep apnea predict diabetes risk independent of mental health conditions and other diabetes risk factors.</description><subject>Adult</subject><subject>Armed forces</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Mental Health - statistics & numerical data</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Military personnel</subject><subject>Military Personnel - statistics & numerical data</subject><subject>Miscellaneous</subject><subject>Original Research</subject><subject>Polls & surveys</subject><subject>Post-traumatic stress disorder</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - physiopathology</subject><subject>Type 2 diabetes</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0l9rFDEQAPBFFHtWH_wCEhDBh-65-be76YNwbNUKLYJnn5dsbnKXmk3OJHvQ7-CHNoentXLkIZD8ZjIzpChe4mpOKG3eXXSYllXFyKNihgXlJeesfVzMKsxEyYUgJ8WzGG-rTFjbPi1OCG0prwWeFT-XFmCLuo0MUiUIJiaj4hm6BpekRZcgbdqcIelW6MLIARJE9NXE7-dogbbBxy2oZHaAYppWd8hrdDNfztForEky3KEIYWcUoBHGAUJExqG0AXRtrAXnzDSizm98SGi5j39ePNHSRnhx2E-Lm48fvnWX5dWXT5-7xVW5ZkSkUlKJqeLQUlVxVtWqphXDg1Kq0VwLUdOaSUkob8Sgoea8lgMmLW6IJlRoTU-L97_zbqdhhJXKvQZp-20wYy6699L0D2-c2fRrv-tp02LOq5zg7SFB8D8miKkfTVRgrXTgp9hjRhuMBaMk09f_0Vs_BZfb2yuBactEe6_W0kJvnPb5XbVP2i8oazipaE2zKo-oNTjIRXoH2uTjB35-xOe1gtGoowGv_h3M34n8-S8ZvDkAGZW0OkinTLx3TdMKnPv6BQUNzFg</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>BOYKO, Edward J</creator><creator>SEELIG, Amber D</creator><creator>JACOBSON, Isabel G</creator><creator>HOOPER, Tomoko I</creator><creator>SMITH, Besa</creator><creator>SMITH, Tyler C</creator><creator>CRUM-CIANFLONE, Nancy F</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131001</creationdate><title>Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of U.S. military service members in the Millennium Cohort Study</title><author>BOYKO, Edward J ; SEELIG, Amber D ; JACOBSON, Isabel G ; HOOPER, Tomoko I ; SMITH, Besa ; SMITH, Tyler C ; CRUM-CIANFLONE, Nancy F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g429t-a3a13c5e83c05406c63041bccc7f5f996364aa23579bfe6556ab128172f239ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Armed forces</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Mental Health - statistics & numerical data</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Military personnel</topic><topic>Military Personnel - statistics & numerical data</topic><topic>Miscellaneous</topic><topic>Original Research</topic><topic>Polls & surveys</topic><topic>Post-traumatic stress disorder</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk factors</topic><topic>Sleep</topic><topic>Sleep Wake Disorders - physiopathology</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BOYKO, Edward J</creatorcontrib><creatorcontrib>SEELIG, Amber D</creatorcontrib><creatorcontrib>JACOBSON, Isabel G</creatorcontrib><creatorcontrib>HOOPER, Tomoko I</creatorcontrib><creatorcontrib>SMITH, Besa</creatorcontrib><creatorcontrib>SMITH, Tyler C</creatorcontrib><creatorcontrib>CRUM-CIANFLONE, Nancy F</creatorcontrib><creatorcontrib>Millennium Cohort Study Team</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BOYKO, Edward J</au><au>SEELIG, Amber D</au><au>JACOBSON, Isabel G</au><au>HOOPER, Tomoko I</au><au>SMITH, Besa</au><au>SMITH, Tyler C</au><au>CRUM-CIANFLONE, Nancy F</au><aucorp>Millennium Cohort Study Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of U.S. military service members in the Millennium Cohort Study</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>36</volume><issue>10</issue><spage>3154</spage><epage>3161</epage><pages>3154-3161</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>Research has suggested that a higher risk of type 2 diabetes associated with sleep characteristics exists. However, studies have not thoroughly assessed the potential confounding effects of mental health conditions associated with alterations in sleep.
We prospectively assessed the association between sleep characteristics and self-reported incident diabetes among Millennium Cohort Study participants prospectively followed over a 6-year time period. Surveys are administered approximately every 3 years and collect self-reported data on demographics, height, weight, lifestyle, features of military service, sleep, clinician-diagnosed diabetes, and mental health conditions assessed by the PRIME-MD Patient Health Questionnaire and the PTSD Checklist-Civilian Version. Statistical methods for longitudinal data were used for data analysis.
We studied 47,093 participants (mean 34.9 years of age; mean BMI 26.0 kg/m2; 25.6% female). During 6 years of follow-up, 871 incident diabetes cases occurred (annual incidence 3.6/1,000 person-years). In univariate analyses, incident diabetes was significantly more likely among participants with self-reported trouble sleeping, sleep duration<6 h, and sleep apnea. Participants reporting incident diabetes were also significantly older, of nonwhite race, of higher BMI, less likely to have been deployed, and more likely to have reported baseline symptoms of panic, anxiety, posttraumatic stress disorder, and depression. After adjusting for covariates, trouble sleeping (odds ratio 1.21 [95% CI 1.03-1.42]) and sleep apnea (1.78 [1.39-2.28]) were significantly and independently related to incident diabetes.
Trouble sleeping and sleep apnea predict diabetes risk independent of mental health conditions and other diabetes risk factors.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>23835691</pmid><doi>10.2337/DC13-0042</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetes care, 2013-10, Vol.36 (10), p.3154-3161 |
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| subjects | Adult Armed forces Biological and medical sciences Body Mass Index Diabetes Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - physiopathology Diabetes Mellitus, Type 2 - psychology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Health aspects Humans Male Medical sciences Mental health Mental Health - statistics & numerical data Metabolic diseases Middle Aged Military personnel Military Personnel - statistics & numerical data Miscellaneous Original Research Polls & surveys Post-traumatic stress disorder Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Risk factors Sleep Sleep Wake Disorders - physiopathology Type 2 diabetes |
| title | Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of U.S. military service members in the Millennium Cohort Study |
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