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Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis

OBJECTIVE: To assess the relationship between habitual sleep disturbances and the incidence of type 2 diabetes and to obtain an estimate of the risk. RESEARCH DESIGN AND METHODS: We conducted a systematic search of publications using MEDLINE (1955–April 2009), EMBASE, and the Cochrane Library and ma...

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Autores principales: Cappuccio, Francesco P., D'Elia, Lanfranco, Strazzullo, Pasquale, Miller, Michelle A.
Formato: Texto
Lenguaje:English
Publicado: American Diabetes Association 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809295/
https://www.ncbi.nlm.nih.gov/pubmed/19910503
http://dx.doi.org/10.2337/dc09-1124
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author Cappuccio, Francesco P.
D'Elia, Lanfranco
Strazzullo, Pasquale
Miller, Michelle A.
author_facet Cappuccio, Francesco P.
D'Elia, Lanfranco
Strazzullo, Pasquale
Miller, Michelle A.
author_sort Cappuccio, Francesco P.
collection PubMed
description OBJECTIVE: To assess the relationship between habitual sleep disturbances and the incidence of type 2 diabetes and to obtain an estimate of the risk. RESEARCH DESIGN AND METHODS: We conducted a systematic search of publications using MEDLINE (1955–April 2009), EMBASE, and the Cochrane Library and manual searches without language restrictions. We included studies if they were prospective with follow-up >3 years and had an assessment of sleep disturbances at baseline and incidence of type 2 diabetes. We recorded several characteristics for each study. We extracted quantity and quality of sleep, how they were assessed, and incident cases defined with different validated methods. We extracted relative risks (RRs) and 95% CI and pooled them using random-effects models. We performed sensitivity analysis and assessed heterogeneity and publication bias. RESULTS: We included 10 studies (13 independent cohort samples; 107,756 male and female participants, follow-up range 4.2–32 years, and 3,586 incident cases of type 2 diabetes). In pooled analyses, quantity and quality of sleep predicted the risk of development of type 2 diabetes. For short duration of sleep (≤5–6 h/night), the RR was 1.28 (95% CI 1.03–1.60, P = 0.024, heterogeneity P = 0.015); for long duration of sleep (>8–9 h/night), the RR was 1.48 (1.13–1.96, P = 0.005); for difficulty in initiating sleep, the RR was 1.57 (1.25–1.97, P < 0.0001); and for difficulty in maintaining sleep, the RR was 1.84 (1.39–2.43, P < 0.0001). CONCLUSIONS: Quantity and quality of sleep consistently and significantly predict the risk of the development of type 2 diabetes. The mechanisms underlying this relation may differ between short and long sleepers.
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spelling pubmed-28092952011-02-01 Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis Cappuccio, Francesco P. D'Elia, Lanfranco Strazzullo, Pasquale Miller, Michelle A. Diabetes Care Reviews/Commentaries/ADA Statements OBJECTIVE: To assess the relationship between habitual sleep disturbances and the incidence of type 2 diabetes and to obtain an estimate of the risk. RESEARCH DESIGN AND METHODS: We conducted a systematic search of publications using MEDLINE (1955–April 2009), EMBASE, and the Cochrane Library and manual searches without language restrictions. We included studies if they were prospective with follow-up >3 years and had an assessment of sleep disturbances at baseline and incidence of type 2 diabetes. We recorded several characteristics for each study. We extracted quantity and quality of sleep, how they were assessed, and incident cases defined with different validated methods. We extracted relative risks (RRs) and 95% CI and pooled them using random-effects models. We performed sensitivity analysis and assessed heterogeneity and publication bias. RESULTS: We included 10 studies (13 independent cohort samples; 107,756 male and female participants, follow-up range 4.2–32 years, and 3,586 incident cases of type 2 diabetes). In pooled analyses, quantity and quality of sleep predicted the risk of development of type 2 diabetes. For short duration of sleep (≤5–6 h/night), the RR was 1.28 (95% CI 1.03–1.60, P = 0.024, heterogeneity P = 0.015); for long duration of sleep (>8–9 h/night), the RR was 1.48 (1.13–1.96, P = 0.005); for difficulty in initiating sleep, the RR was 1.57 (1.25–1.97, P < 0.0001); and for difficulty in maintaining sleep, the RR was 1.84 (1.39–2.43, P < 0.0001). CONCLUSIONS: Quantity and quality of sleep consistently and significantly predict the risk of the development of type 2 diabetes. The mechanisms underlying this relation may differ between short and long sleepers. American Diabetes Association 2010-02 2009-11-12 /pmc/articles/PMC2809295/ /pubmed/19910503 http://dx.doi.org/10.2337/dc09-1124 Text en © 2010 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Reviews/Commentaries/ADA Statements
Cappuccio, Francesco P.
D'Elia, Lanfranco
Strazzullo, Pasquale
Miller, Michelle A.
Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis
title Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis
title_full Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis
title_fullStr Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis
title_full_unstemmed Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis
title_short Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A systematic review and meta-analysis
title_sort quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis
topic Reviews/Commentaries/ADA Statements
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809295/
https://www.ncbi.nlm.nih.gov/pubmed/19910503
http://dx.doi.org/10.2337/dc09-1124
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