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Daytime napping, sleep duration and increased 8-year risk of type 2 diabetes in a British population.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Leng, Y 
Cappuccio, FP 
Surtees, PG 

Abstract

BACKGROUND AND AIMS: Few studies have prospectively examined the relationship between daytime napping and risk of type 2 diabetes. We aimed to study the effects of daytime napping and the joint effects of napping and sleep duration in predicting type 2 diabetes risk in a middle- to older-aged British population. METHODS AND RESULTS: In 1998-2000, 13 465 individuals with no known diabetes participating in the European Prospective Investigation into Cancer-Norfolk study reported daytime napping habit and 24-h sleep duration. Incident type 2 diabetes cases were identified through multiple data sources until 31 July 2006. After adjustment for age and sex, daytime napping was associated with a 58% higher diabetes risk. Further adjustment for education, marital status, smoking, alcohol intake, physical activity, comorbidities and hypnotic drug use had little influence on the association, but additional adjustment for BMI and Waist Circumference attenuated the Odds ratio (OR) (95% CI) to 1.30 (1.01, 1.69). The adjusted ORs (95% CI) associated with short and long sleep duration were 1.46 (1.10, 1.90) and 1.64 (1.16, 2.32), respectively. When sleep duration and daytime napping were examined together, the risk of developing diabetes more than doubled for those who took day naps and had less than 6 h of sleep, compared to those who did not nap and had 6-8 h of sleep. CONCLUSION: Daytime napping was associated with an increased risk of type 2 diabetes, particularly when combined with short sleep duration. Further physiological studies are needed to confirm the interaction between different domains of sleep in relation to diabetes risk.

Description

Keywords

Cohort, Epidemiology, Prospective, Sleep, Type 2 diabetes, Adiposity, Age Factors, Aged, Body Mass Index, Chi-Square Distribution, Diabetes Mellitus, Type 2, Female, Habits, Humans, Incidence, Life Style, Logistic Models, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Prospective Studies, Risk Assessment, Risk Factors, Sleep, Time Factors, United Kingdom, Waist Circumference

Journal Title

Nutr Metab Cardiovasc Dis

Conference Name

Journal ISSN

0939-4753
1590-3729

Volume Title

26

Publisher

Elsevier BV
Sponsorship
Department of Health (via National Institute for Health Research (NIHR)) (unknown)
Medical Research Council (MR/N003284/1)
Medical Research Council (G1000143)
Medical Research Council (G0401527)
Cancer Research Uk (None)
Medical Research Council (G0401527/1)
The design and conduct of the EPIC-Norfolk study and collection and management of the data was supported by programme grants from the Medical Research Council UK (G9502233, G0300128) and Cancer Research UK (C865/A2883). Funding sources did not have a role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript.
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