Joint associations of insomnia and sleep duration with prevalent diabetes: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). (21st July 2015)

• Record Type: Journal Article
• Authors: Cespedes, Elizabeth M.; Dudley, Katherine A.; Sotres‐Alvarez, Daniela; Zee, Phyllis C.; Daviglus, Martha L.; Shah, Neomi A.; Talavera, Gregory A.; Gallo, Linda C.; Mattei, Josiemer; Qi, Qibin; Ramos, Alberto R.; Schneiderman, Neil; Espinoza‐Giacinto, Rebeca A.; Patel, Sanjay R.
• Is Part Of: Journal of diabetes. Volume 8:Number 3(2016:May)
• Page Start: 387
• Page End: 397
• Publication Date: 2015-07-21
• Subjects: acculturation -- Hispanic Americans -- insomnia -- sleep -- type 2 diabetes mellitus; 文化适应 -- 西班牙裔美国人 -- 失眠症 -- 睡眠 -- 2型糖尿病; Diabetes -- Periodicals; 618.3646005
• DOI: 10.1111/1753-0407.12308
• Languages: English
• ISSNs: 1753-0393

Abstract

Abstract: Background: Inadequate sleep quantity and quality are associated with a higher risk of type 2 diabetes. This relationship is not well‐examined in US Hispanics/Latinos, and prior analyses may be confounded by sleep apnea. This cross‐sectional study examined joint associations of sleep duration and insomnia with diabetes among diverse US Hispanic/Latinos. Methods: Baseline data on sleep quantity and quality were obtained from 15227 participants (mean age 41; range 18–74 years) from the Hispanic Community Health Study/Study of Latinos. Complex survey multinomial logistic regression was used to examine associations between prevalent diabetes and six phenotypes defined by cross‐classifying sleep duration (short ≤6 h, average >6–9 h, long >9 h) and insomnia, adjusting for sex, age, site and Hispanic/Latino background interaction, education, physical activity, diet quality, and sleep apnea. Results: In the weighted population, 14% had diabetes, 28% had insomnia, 9% were short sleepers, and 19% were long sleepers. Compared with those with average sleep and no insomnia, those with short sleep and insomnia were more likely to have diabetes (odds ratio [OR] 1.46; 95% confidence interval [CI] 1.02, 2.11). Average sleepers with insomnia (1.28; 95% CI 1.02, 1.61) and long sleepers without insomnia (1.33; 95% CI 1.07, 1.65) also had elevated odds of diabetes. Further adjustment for body mass index attenuated associations, except with long sleep without insomnia. Conclusions: Both decreased quantity and quality of sleep are associated with diabetes in Hispanic/Latinos, with the greatest odds among those with short sleep duration and insomnia. The association is largely explained by obesity.