Sleep duration and food intake in people with type 2 diabetes mellitus and factors affecting confectionery intake. Issue 5 (6th February 2023)

• Record Type: Journal Article
• Authors: Akiyama, Tomoaki; Yamakawa, Tadashi; Orime, Kazuki; Suzuki, Jun; Sakamoto, Rika; Matsuura‐Shinoda, Minori; Shigematsu, Erina; Takahashi, Kenichiro; Kaneshiro, Mizuki; Asakura, Taro; Tanaka, Shunichi; Kawata, Takehiro; Yamada, Yoshihiko; Isozaki, Tetsuo; Takahashi, Atsushi; Osada, Uru Nezu; Kadonosono, Kazuaki; Terauchi, Yasuo
• Is Part Of: Journal of diabetes investigation. Volume 14:Issue 5(2023)
• Page Start: 716
• Page End: 724
• Publication Date: 2023-02-06
• Subjects: Confectionery intake -- Sleep duration -- Type 2 diabetes mellitus; Diabetes -- Periodicals; Diabetes -- Research -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462005
• DOI: 10.1111/jdi.13987
• Languages: English
• ISSNs: 2040-1116

Abstract

ABSTRACT: Aims/Introduction: We carried out a cross‐sectional study of people with type 2 diabetes mellitus to elucidate the association between sleep duration and food intake. Materials and Methods: Overall, 2, 887 participants with type 2 diabetes mellitus (mean age 63.0 years; 61.1% men; mean glycated hemoglobin level 7.5%) were included in this study. The participants' self‐reported dietary habits and sleep duration were evaluated using a brief self‐administered dietary history questionnaire and Pittsburgh Sleep Quality Index, respectively. The participants were categorized into the following four groups based on sleep duration: <6, 6–6.9, 7–7.9 (reference) and ≥8 h. Results: No significant differences were observed between the groups regarding energy intake (kcal/day), absolute intake (g/day) or relative intake (% energy) of carbohydrates, total fat, proteins and fibers. However, confectionery intake was higher in the <6 h group and lower in the ≥8 h group than in the reference group after adjustment for confounding factors. In multivariate analysis, sleep durations <6 h and ≥8 h significantly correlated with increased (95% confidence interval 0.55 to 3.6; P = 0.0078) and decreased (95% confidence interval −4.0 to −0.32; P = 0.021) confectionery intake, respectively. Confectionery intake was positively correlated with female sex, glycated hemoglobin level and dyslipidemia, whereas it was negatively correlated with alcohol consumption and current smoking status. Conclusions: Short sleep duration is associated with high confectionery intake in people with type 2 diabetes mellitus; this might disturb their glycemic control. Therefore, short sleepers with type 2 diabetes mellitus could improve their glycemic control by avoiding confectionery intake and maintaining adequate sleep duration.