Sleep Duration and Glycemic Control in Patients with Diabetes Mellitus: Korea National Health and Nutrition Examination Survey 2007-2010
Journal of Korean Medical Science 2013³â 28±Ç 9È£ p.1334 ~ p.1339
±èºÎ°æ(Kim Bu-Kyung) - Kosin University College of Medicine Department of Internal Medicine
±èºÀ¼ø(Kim Bong-Sun) - Ajou University School of Medicine Department of Endocrinology and Metabolism
¾È¼Ò¿¬(An So-Yeon) - Ajou University School of Medicine Department of Endocrinology and Metabolism
À̹μ®(Lee Min-Suk) - Ajou University College of Medicine Department of Endocrinology and Metabolism
ÃÖ¿ëÁØ(Choi Yong-Jun) - Ajou University School of Medicine Department of Endocrinology and Metabolism
ÇѽÂÁø(Han Seung-Jin) - Ajou University College of Medicine Department of Endocrinology and Metabolism
Á¤À±¼®(Chung Yoon-Sok) - Ajou University School of Medicine Department of Endocrinology and Metabolism
ÀÌ°ü¿ì(Lee Kwan-Woo) - Ajou University College of Medicine Department of Endocrinology and Metabolism
±è´ëÁß(Kim Dae-Jung) - Ajou University School of Medicine Department of Endocrinology and Metabolism
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 ¡Ã9 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 (¡Ã65 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 ¡Ã7.0%) in group of sleep duration of ¡Ã9 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.
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Sleep, Diabetes Mellitus, Insulin Resistance
KMID :
0191120130280091334
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À¯È¿¼º°á°ú(Recomendation)
Shorter and longer sleep durations are associated with worse glycemic control and associated with central obesity and insulin resistance in Korean adults with diabetes.