Habitual snoring, adiposity measures and risk of type 2 diabetes in 0.5 million Chinese adults: a 10-year cohort. Issue 1 (27th February 2020)

• Record Type: Journal Article
• Authors: Wei, Yuxia; Zheng, Bang; Fan, Junning; Lv, Jun; Guo, Yu; Bian, Zheng; Du, Huaidong; Yang, Ling; Chen, Yiping; Chen, Jianxin; Zhong, Xunfu; Chen, Junshi; Chen, Zhengming; Yu, Canqing; Li, Liming
• Other Names: author non-byline.; Chen Junshi author non-byline.; Chen Zhengming author non-byline.; Clarke Robert author non-byline.; Collins Rory author non-byline.; Guo Yu author non-byline.; Li Liming author non-byline.; Lv Jun author non-byline.; Peto Richard author non-byline.; Walters Robin author non-byline.; Avery Daniel author non-byline.; Boxall Ruth author non-byline.; Bennett Derrick author non-byline.; Chang Yumei author non-byline.; Chen Yiping author non-byline.; Chen Zhengming author non-byline.; Clarke Robert author non-byline.; Du Huaidong author non-byline.; Gilbert Simon author non-byline.; Hacker Alex author non-byline.; Hill Mike author non-byline.; Holmes Michael author non-byline.; Iona Andri author non-byline.; Kartsonaki Christiana author non-byline.; Kerosi Rene author non-byline.; Kong Ling author non-byline.; Kurmi Om author non-byline.; Lancaster Garry author non-byline.; Lewington Sarah author non-byline.; Lin Kuang author non-byline.; McDonnell John author non-byline.; Millwood Iona author non-byline.; Nie Qunhua author non-byline.; Radhakrishnan Jayakrishnan author non-byline.; Ryder Paul author non-byline.; Sansome Sam author non-byline.; Schmidt Dan author non-byline.; Sherliker Paul author non-byline.; Sohoni Rajani author non-byline.; Stevens Becky author non-byline.; Turnbull Iain author non-byline.; Walters Robin author non-byline.; Wang Jenny author non-byline.; Wang Lin author non-byline.; Wright Neil author non-byline.; Yang Ling author non-byline.; Yang Xiaoming author non-byline.; Bian Zheng author non-byline.; Guo Yu author non-byline.; Han Xiao author non-byline.; Hou Can author non-byline.; Lv Jun author non-byline.; Pei Pei author non-byline.; Liu Chao author non-byline.; Tan Yunlong author non-byline.; Yu Canqing author non-byline.; Pang Zengchang author non-byline.; Gao Ruqin author non-byline.; Li Shanpeng author non-byline.; Wang Shaojie author non-byline.; Liu Yongmei author non-byline.; Du Ranran author non-byline.; Zang Yajing author non-byline.; Cheng Liang author non-byline.; Tian Xiaocao author non-byline.; Zhang Hua author non-byline.; Zhai Yaoming author non-byline.; Ning Feng author non-byline.; Sun Xiaohui author non-byline.; Li Feifei author non-byline.; Lv Silu author non-byline.; Wang Junzheng author non-byline.; Hou Wei author non-byline.; Zeng Mingyuan author non-byline.; Jiang Ge author non-byline.; Zhou Xue author non-byline.; Yang Liqiu author non-byline.; He Hui author non-byline.; Yu Bo author non-byline.; Li Yanjie author non-byline.; Xu Qinai author non-byline.; Kang Quan author non-byline.; Guo Ziyan author non-byline.; Wang Dan author non-byline.; Hu Ximin author non-byline.; Chen Jinyan author non-byline.; Fu Yan author non-byline.; Fu Zhenwang author non-byline.; Wang Xiaohuan author non-byline.; Weng Min author non-byline.; Guo Zhendong author non-byline.; Wu Shukuan author non-byline.; Li Yilei author non-byline.; Li Huimei author non-byline.; Fu Zhifang author non-byline.; Wu Ming author non-byline.; Zhou Yonglin author non-byline.; Zhou Jinyi author non-byline.; Tao Ran author non-byline.; Yang Jie author non-byline.; Su Jian author non-byline.; liu Fang author non-byline.; Zhang Jun author non-byline.; Hu Yihe author non-byline.; Lu Yan author non-byline.; Ma Liangcai author non-byline.; Tang Aiyu author non-byline.; Zhang Shuo author non-byline.; Jin Jianrong author non-byline.; Liu Jingchao author non-byline.; Tang Zhenzhu author non-byline.; Chen Naying author non-byline.; Huang Ying author non-byline.; Li Mingqiang author non-byline.; Meng Jinhuai author non-byline.; Pan Rong author non-byline.; Jiang Qilian author non-byline.; Lan Jian author non-byline.; Liu Yun author non-byline.; Wei Liuping author non-byline.; Zhou Liyuan author non-byline.; Chen Ningyu author non-byline.; Wang Ping author non-byline.; Meng Fanwen author non-byline.; Qin Yulu author non-byline.; Wang Sisi author non-byline.; Wu Xianping author non-byline.; Zhang Ningmei author non-byline.; Chen Xiaofang author non-byline.; Zhou Weiwei author non-byline.; Luo Guojin author non-byline.; Li Jianguo author non-byline.; Chen Xiaofang author non-byline.; Zhong Xunfu author non-byline.; Liu Jiaqiu author non-byline.; Sun Qiang author non-byline.; Ge Pengfei author non-byline.; Ren Xiaolan author non-byline.; Dong Caixia author non-byline.; Zhang Hui author non-byline.; Mao Enke author non-byline.; Wang Xiaoping author non-byline.; Wang Tao author non-byline.; Zhang Xi author non-byline.; Zhang Ding author non-byline.; Zhou Gang author non-byline.; Feng Shixian author non-byline.; Chang Liang author non-byline.; Fan Lei author non-byline.; Gao Yulian author non-byline.; He Tianyou author non-byline.; Sun Huarong author non-byline.; He Pan author non-byline.; Hu Chen author non-byline.; Zhang Xukui author non-byline.; Wu Huifang author non-byline.; He Pan author non-byline.; Yu Min author non-byline.; Hu Ruying author non-byline.; Wang Hao author non-byline.; Qian Yijian author non-byline.; Wang Chunmei author non-byline.; Xie Kaixu author non-byline.; Chen Lingli author non-byline.; Zhang Yidan author non-byline.; Pan Dongxia author non-byline.; Gu Qijun author non-byline.; Huang Yuelong author non-byline.; Chen Biyun author non-byline.; Li Yin Huilin Liu author non-byline.; Fu Zhongxi author non-byline.; Xu Qiaohua author non-byline.; Xu Xin author non-byline.; Zhang Hao author non-byline.; Long Huajun author non-byline.; Li Xianzhi author non-byline.; Zhang Libo author non-byline.; Qiu Zhe author non-byline.;
• Is Part Of: BMJ open diabetes research and care. Volume 8:Issue 1(2020)
• Publication Date: 2020-02-27
• Subjects: sleep -- adiposity -- type 2 diabetes -- Chinese; Diabetes -- Periodicals; 616.462005
• DOI: 10.1136/bmjdrc-2019-001015
• Languages: English
• ISSNs: 2052-4897

Abstract

Abstract : Objectives: The present study aimed to examine whether habitual snoring was independently associated with risk of type 2 diabetes among Chinese adults, and to assess the role that adiposity measures play in the snoring–diabetes association, as well as to evaluate the joint influence of snoring and adiposity measures on diabetes. Research design and methods: The China Kadoorie Biobank study recruited 512 715 adults aged 30–79 years from 10 regions in China during 2004 and 2008. Data from 482 413 participants without baseline diabetes were analyzed in the present study. Autoregressive cross-lagged panel analysis was used to assess the longitudinal relationship between adiposity measures and habitual snoring. Cox proportional hazards models were used to examine the association between habitual snoring and diabetes risk. Results: Both higher body mass index and waist circumference were associated with higher risks of subsequent habitual snoring, whereas no reverse association was detected. A total of 16 479 type 2 diabetes cases were observed during a 10-year follow-up. Habitual snoring was independently associated with 12% (95% CI 6% to 18%) and 14% (95% CI 9% to 19%) higher risks of diabetes among men and women, respectively. Habitual snorers who had general obesity or central obesity were about twice as likely to develop diabetes as non-snorers at the lowest levels of adiposity measures. Conclusion: Habitual snoring was independently associated with a higher risk of type 2 diabetes among Chinese adults. It is important to maintain both a healthy weight and a normal waist circumference to prevent or alleviate habitual snoring and ultimately prevent diabetes among Chinese adults.