Sleep Disturbances Compared to Traditional Risk Factors for Diabetes Development: Systematic Review and Meta-Analysis

Details

• Personal Author:
  Anothaisintawee T ; Reutrakul S ; Thakkinstian A ; Van Cauter E
• Description:
  Sleep disturbances [short (<6 h) and long (>8 h) sleeping time, insomnia (initiating or maintaining sleep), obstructive sleep apnea (OSA) and abnormal sleep timing] have been associated with increased diabetes risk but the effect size relative to that of traditional risk factors is unknown. We conducted a systematic review and meta-analysis to compare the risk associated with sleep disturbances to traditional risk factors. Studies were identified from Medline and Scopus. Cohort studies measuring the association between sleep disturbances and incident diabetes were eligible. For traditional risk factors (i.e., overweight, family history, and physical inactivity), systematic reviews with or without meta-analysis were included. Thirty-six studies (1,061,555 participants) were included. Pooled relative risks (RRs) of sleep variables were estimated using a random-effect model. Pooled RRs of sleeping =5 h, 6 h, and =9 h/d were respectively 1.48 (95%CI:1.25,1.76), 1.18 (1.10,1.26) and 1.36 (1.12,1.65). Poor sleep quality, OSA and shift work were associated with diabetes with a pooled RR of 1.40 (1.21,1.63), 2.02 (1.57, 2.61) and 1.40 (1.18,1.66), respectively. The pooled RRs of being overweight, having a family history of diabetes, and being physically inactive were 2.99 (2.42,3.72), 2.33 (1.79,2.79), and 1.20 (1.11,1.32), respectively. In conclusion, the risk of developing diabetes associated with sleep disturbances is comparable to that of traditional risk factors. Sleep disturbances should be considered in clinical guidelines for type 2 diabetes screening. [Description provided by NIOSH]
• Subjects:
  Blood Cohort Studies Energy Metabolism Hematologic Diseases Occupational Health Risk Assessment Risk Factors Safety Shift Work Schedule Sleep Sleep Initiation And Maintenance Disorders

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• Keywords:
  Author Keywords: Sleep Duration Blood Sugar Disorders Cohort Studies Diabetes Family History Of Diabetes Insomnia Metabolic Effects Obstructive Sleep Apnea Overweight Physical Activity Physical Fitness Risk Factors Shift Work Shift Workers Sleep Apnea Sleep Deprivation Sleep Quality Weight Factors

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• ISSN:
  1087-0792
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  11-24
• Volume:
  30
• NIOSHTIC Number:
  nn:20052702
• Citation:
  Sleep Med Rev 2016 Dec; 30:11-24
• Contact Point Address:
  Sirimon Reutrakul, Division of Endocrinology and Metabolism, Department of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Rd, Ratchathewi, Bangkok, 10400, Thailand
• Email:
  sreutrak10800@gmail.com
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Chicago
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  Sleep Medicine Reviews
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9d71dc0f005d9e525ad021d0a3470191db55330419f7c63e7a4194396a759c112bc510fe14f7102ca54b6981b3bb34b880d373d57079b6a8a3bede52c9140b9b
• Download URL:
  https://stacks.cdc.gov/view/cdc/212196/cdc_212196_DS1.pdf
• File Type:
  [PDF - 736.08 KB ]