Day napping and short night sleeping are associated with higher risk of diabetes in older adults

Qun Xu, Yiqing Song, Albert Hollenbeck, Aaron Blair, Arthur Schatzkin, Honglei Chen

Research output: Contribution to journalArticle

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Abstract

OBJECTIVE - To examine whether day napping or short night sleeping is associated with higher risk of diabetes. RESEARCH DESIGN AND METHODS - This was a prospective study of hours of day napping and night sleeping assessed in 1996-1997 in relation to diabetes diagnosed between 2000 and 2006 (n = 10,143) among 174,542 participants in the National Institutes of Health (NIH)-AARP Diet and Health Study. Odds ratios (ORs) and 95% CI were derived from multivariate logistic regression models. RESULTS - Longer day napping was associated with a higher risk of diabetes. After adjustment for potential confounders, ORs were 1.23 (95% CI 1.18 -1.29) for those reporting <1 h and 1.55 (95% CI 1.45-1.66) for those reporting ≥1 h of napping compared with individuals who did not nap (Ptrend < 0.0001). For night sleeping, with 7-8 h as the referent, the OR was 1.46 (95% CI 1.31-1.63) for <5 h, 1.11 (1.06 -1.16) for 5-6 h, and 1.11 (0.99-1.24) for ≥9 h. In both analyses, additional adjustment for BMI only modestly attenuated the associations. Further analysis showed a statistically significant interaction between hours of napping and sleeping on diabetes (Pinteraction < 0.0001). Among participants with no napping, only short night sleeping was associated with higher occurrence of diabetes, whereas among those with ≥1 h of napping, both long and short sleeping was associated with higher risk. CONCLUSIONS - Day napping and short night sleeping are associated with higher risk of diabetes. The association between sleep duration and diabetes may be modified by napping habit.

Original languageEnglish (US)
Pages (from-to)78-83
Number of pages6
JournalDiabetes Care
Volume33
Issue number1
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

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Odds Ratio
Logistic Models
National Institutes of Health (U.S.)
Habits
Sleep
Research Design
Prospective Studies
Diet
Health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

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Day napping and short night sleeping are associated with higher risk of diabetes in older adults. / Xu, Qun; Song, Yiqing; Hollenbeck, Albert; Blair, Aaron; Schatzkin, Arthur; Chen, Honglei.

In: Diabetes Care, Vol. 33, No. 1, 01.01.2010, p. 78-83.

Research output: Contribution to journalArticle

Xu, Qun ; Song, Yiqing ; Hollenbeck, Albert ; Blair, Aaron ; Schatzkin, Arthur ; Chen, Honglei. / Day napping and short night sleeping are associated with higher risk of diabetes in older adults. In: Diabetes Care. 2010 ; Vol. 33, No. 1. pp. 78-83.
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abstract = "OBJECTIVE - To examine whether day napping or short night sleeping is associated with higher risk of diabetes. RESEARCH DESIGN AND METHODS - This was a prospective study of hours of day napping and night sleeping assessed in 1996-1997 in relation to diabetes diagnosed between 2000 and 2006 (n = 10,143) among 174,542 participants in the National Institutes of Health (NIH)-AARP Diet and Health Study. Odds ratios (ORs) and 95{\%} CI were derived from multivariate logistic regression models. RESULTS - Longer day napping was associated with a higher risk of diabetes. After adjustment for potential confounders, ORs were 1.23 (95{\%} CI 1.18 -1.29) for those reporting <1 h and 1.55 (95{\%} CI 1.45-1.66) for those reporting ≥1 h of napping compared with individuals who did not nap (Ptrend < 0.0001). For night sleeping, with 7-8 h as the referent, the OR was 1.46 (95{\%} CI 1.31-1.63) for <5 h, 1.11 (1.06 -1.16) for 5-6 h, and 1.11 (0.99-1.24) for ≥9 h. In both analyses, additional adjustment for BMI only modestly attenuated the associations. Further analysis showed a statistically significant interaction between hours of napping and sleeping on diabetes (Pinteraction < 0.0001). Among participants with no napping, only short night sleeping was associated with higher occurrence of diabetes, whereas among those with ≥1 h of napping, both long and short sleeping was associated with higher risk. CONCLUSIONS - Day napping and short night sleeping are associated with higher risk of diabetes. The association between sleep duration and diabetes may be modified by napping habit.",
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