Associations of sleep duration and prediabetes prevalence in a middle‐aged and elderly Chinese population with regard to age and hypertension: The China Health and Retirement Longitudinal Study baseline survey: 在中老年中国人群中研究老龄化和高血压对睡眠时长与糖尿病前期患病率之间关系:中国健康与养老追踪基线调查. Issue 11 (26th April 2018)

• Record Type: Journal Article
• Authors: Yan, Mingming; Fu, Zhen; Qin, Tingting; Wu, Nanjin; Lv, Yalan; Wei, Qinyun; Jiang, Hongwei; Yin, Ping
• Is Part Of: Journal of diabetes. Volume 10:Issue 11(2018)
• Page Start: 847
• Page End: 856
• Publication Date: 2018-04-26
• Subjects: aging -- hypertension -- prediabetes -- prevalence -- sleep duration; 老龄化 -- 高血压 -- 糖尿病前期 -- 患病率 -- 睡眠时长; Diabetes -- Periodicals; 618.3646005
• DOI: 10.1111/1753-0407.12662
• Languages: English
• ISSNs: 1753-0393

Abstract

Abstract: Background: The aim of the present study was to examine the age‐specific associations between self‐reported sleep duration and prevalent prediabetes in middle‐aged and elderly Chinese with or without hypertension. Methods: In all, 2985 Chinese adults aged ≥45 years from the China Health and Retirement Longitudinal Study (CHARLS) baseline survey were selected for analysis. Sleep duration was assessed by structured questionnaires and then categorized into three groups (≤6, 6–8, and >8 h). The prevalence of prediabetes was defined using fasting plasma glucose (100–125 mg/dL) and/or HbA1c (5.7%–6.4%) in conjunction with no previous diabetes diagnosis and no antidiabetic medication. Relationships between self‐reported sleep duration and prevalent prediabetes were examined according to age (45–60 years, middle‐aged; ≥60 years, elderly) and hypertension groups using Poisson regression models to estimate prevalence ratios (PRs) and 95% confidence intervals (CI). Results: Compared with the reference group of 6–8 h sleep/night, short sleep (≤6 h/night) was associated with an increased risk of prediabetes in the whole sample (PR 1.09, 95% CI 1.01–1.17) after adjusting for confounders. This association was more pronounced in elderly participants without hypertension (PR 1.27, 95% CI 1.07–1.51). Conclusion: This study suggests that participants with a short sleep period are at a moderately increased risk of prediabetes, particularly in elderly subjects without hypertension. Aging and hypertension may be important in the relationship between short sleep and impaired glucose metabolism. Abstract : Highlights In a cross‐sectional study of middle‐aged and elderly Chinese, short sleep duration was a modifiable lifestyle factor associated with a higher risk of prediabetes. Aging and hypertension may be important in the relationship between short sleep duration and impaired glucose metabolism.