Titre du document / Document title

High incidence of diabetes in men with sleep complaints or short sleep duration : A 12-year follow-up study of a middle-aged population

Auteur(s) / Author(s)

MALLON Lena ⁽¹⁾ ; BROMAN Jan-Erik ⁽¹⁾ ; HETTA Jerker ⁽²⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Neuroscience, Psychiatry, University Hospital, Uppsala, SUEDE
⁽²⁾ Karo linska Institutet, Neurotec/Psychiatry, Karolinska University Hospital, Huddinge, SUEDE

Résumé / Abstract

OBJECTIVE - The aim of this study was to investigate the possible relationship among sleep complaints, sleep duration, and the development of diabetes prospectively over a 12-year period in a middle-aged Swedish population. RESEARCH DESIGN AND METHODS- A random sample of 2,663 subjects aged 45-65 years living in mid-Sweden were sent a postal questionnaire including questions about sleep complaints, sleep duration, sociodemographic characteristics, behavioral risk factors, medical conditions, and depression (response rate 70.2%). Twelve years later, a new questionnaire with almost identical questions was sent to all the survivors (n = 1,604) in 1995, and the questionnaire was answered by 1,244 subjects (77.6%). RESULTS - Men reporting new diabetes at follow-up more often reported short sleep duration (≤5 h per night) (16.0 vs. 5.9%, P < 0.01), difficulties initiating sleep (16.0 vs. 3.1%, P < 0.001), and difficulties maintaining sleep (28.0 vs. 6.3%, P < 0.001) at baseline than men who did not develop diabetes. Women reporting new diabetes at follow-up reported long sleep duration (≥9 h per night) more often at baseline than women not developing diabetes (7.9 vs. 2.4%, P < 0.05). In multiple logistic regression models, the relative risk (95% CI) for development of diabetes was higher in men with short sleep duration (2.8 [1.1-7.3]) or difficulties maintaining sleep (4.8 [1.9-12.5]) after adjustment forage and other relevant risk factors. Short or long sleep duration or sleep complaints did not influence the risk of new diabetes in women. CONCLUSIONS- Difficulties maintaining sleep or short sleep duration (≤5 h) are associated with an increased incidence of diabetes in men.

Revue / Journal Title

Diabetes care   ISSN 0149-5992   CODEN DICAD2 

Source / Source

2005, vol. 28, n^o11, pp. 2762-2767 [6 page(s) (article)] (45 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Diabetes Association, Alexandria, VA, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Neurological disorder ; Nervous system diseases ; Sleep wake cycle ; Endocrinopathy ; Duration ; Age ; Follow up study ; Public health ; Sleep ; Adult ; Male ; Human ; Sleep disorder ; Epidemiology ; Incidence ; Diabetes mellitus ;

Mots-clés français / French Keywords

Trouble neurologique ; Système nerveux pathologie ; Cycle veille sommeil ; Endocrinopathie ; Durée ; Age ; Etude longitudinale ; Santé publique ; Sommeil ; Adulte ; Mâle ; Homme ; Trouble sommeil ; Epidémiologie ; Incidence ; Diabète ;

Mots-clés espagnols / Spanish Keywords

Trastorno neurológico ; Sistema nervioso patología ; Ciclo sueño vigilia ; Endocrinopatía ; Duración ; Edad ; Estudio longitudinal ; Salud pública ; Sueño ; Adulto ; Macho ; Hombre ; Trastorno sueño ; Epidemiología ; Incidencia ; Diabetes ;

Localisation / Location

INIST-CNRS, Cote INIST : 18054, 35400013196622.0270