Open Access伴有或不伴有睡眠呼吸暂停的社区人群中睡眠效率与糖尿病发生的相关性研究
Author(s) -
Yan Bin,
Zhao Binbin,
Fan Yajuan,
Yang Jian,
Zhu Feng,
Chen Yunchun,
Ma Xiancang
Publication year - 2020
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12987
Subject(s) - medicine , polysomnography , diabetes mellitus , sleep (system call) , odds ratio , confidence interval , sleep onset latency , confounding , sleep onset , physical therapy , cardiology , endocrinology , insomnia , psychiatry , apnea , computer science , operating system
Background Sleeping habits have been reported to be associated with diabetes mellitus. This study aimed to explore the relationship of sleep efficiency with diabetes mellitus in individuals with or without sleep‐disordered breathing based on polysomnography records. Methods We enrolled participants from the Sleep Heart Health Study. Objective indicators of sleep characteristics including sleep efficiency, sleep latency, slow‐wave sleep, wake after sleep onset, and total arousal index were monitored via in‐home polysomnography. Sleep efficiency was divided into grade 1 (≥85%), grade 2 (80%‐84.9%), and grade 3 (<80%). Multivariate logistic regression models were utilized to investigate the association between sleep quality and diabetes mellitus. Results The present study comprised 4737 participants with a mean age of 63.6 ± 11.0 years. The prevalence of diabetes mellitus was higher in those with grade 3 sleep efficiency than that in those with grade 1 and grade 2 sleep efficiency in participants with (10.9% vs 8.5% vs 8.3%, respectively; P =.134) or without (9.5% vs 5.6% vs 3.5%, respectively; P <.001) sleep‐disordered breathing. After adjusting for potential confounding factors, sleep efficiency <80% was associated with the prevalence of diabetes mellitus only in participants without sleep‐disordered breathing (odds ratio, 1.894; 95% confidence interval, 1.187‐3.022, P =.007). Conclusion Poor sleep efficiency is associated with diabetes mellitus in those without sleep‐disordered breathing. Therefore, the relationship between sleep efficiency and diabetes mellitus is worth further investigation.