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Sleep duration and glycemic control in patients with diabetes mellitus: Korea National Health and Nutrition Examination Survey 2007-2010.

Authors
Kim, BK; Kim, BS; An, SY; Lee, MS; Choi, YJ; Han, SJ; Chung, YS; Lee, KW; Kim, DJ
Citation
Journal of Korean medical science, 28(9):1334-1339, 2013
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
Short sleep duration has been reported to increase the risk of diabetes. However, the influence of sleep duration on glycemic control in diabetic patients has not been clarified. In this study we evaluated the association between sleep duration and glycemic control in diabetic patients. We analyzed the data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2007-2010. Sleep duration was classified into five groups: <6, 6, 7, 8, and ≥9 h/day. Fasting blood glucose and HbA1c showed a U-shaped trend according to sleep duration. Sleep duration of 7 h/day had the lowest HbA1c (7.26%) among the subjects (P=0.026). In the older age group (≥65 yr), a sleep duration of 6 h/day was associated with the lowest HbA1c (7.26%). The adjusted odds ratio (OR) with a 95% confidence interval (CI) of worse glycemic control (HbA1c ≥7.0%) in group of sleep duration of ≥9 h/day was 1.48 (1.04-2.13) compared with the group of 7 h/day. This relationship disappeared after adjusting duration of diabetes (OR, 1.38; 95% CI, 0.93-2.03). Our results suggest that sleep duration and glycemic control in diabetic patients has U-shaped relationship which was mainly affected by duration of diabetes.
MeSH terms
Age FactorsAgedAsian Continental Ancestry GroupBlood Glucose/*analysisDiabetes Mellitus, Type 2/*diagnosis/metabolismFemaleHemoglobin A, Glycosylated/*analysisHumansInsulin ResistanceMaleMiddle AgedNutrition SurveysOdds RatioRepublic of KoreaRisk FactorsSleep/*physiology
DOI
10.3346/jkms.2013.28.9.1334
PMID
24015039
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
AJOU Authors
최, 용준한, 승진정, 윤석이, 관우김, 대중
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