| Title |
Association between sleeping difficulty and type 2 diabetes in women
|
|---|---|
| Published in |
Diabetologia, January 2016
|
| DOI | 10.1007/s00125-015-3860-9 |
| Pubmed ID | |
| Authors |
Yanping Li, Xiang Gao, John W. Winkelman, Elizabeth M. Cespedes, Chandra L. Jackson, Arthur S. Walters, Eva Schernhammer, Susan Redline, Frank B. Hu |
| Abstract |
Sleeping difficulty has been associated with type 2 diabetes in some prior studies. Whether the observed associations are independent of health behaviours, other cardiovascular risk factors or other sleep disorders is unclear. We analysed data from 133,353 women without diabetes, cardiovascular disease and cancer at baseline in the Nurses' Health Study (NHS, 2000-2010) and the NHSII (2001-2011). Sleeping difficulty was assessed as having difficulty falling or staying asleep 'all of the time' or 'most of the time' at baseline (2000 in NHS and 2001 in NHSII). We documented 6,407 incident cases of type 2 diabetes during up to 10 years of follow-up. After adjustment for lifestyle factors at baseline, comparing women with and without sleeping difficulty, the multivariate-adjusted HR (95% CI) for type 2 diabetes was 1.45 (95% CI 1.33, 1.58), which changed to 1.22 (95% CI 1.12, 1.34) after further adjustment for hypertension, depression and BMI based on the updated repeated measurements. Women who reported all four sleep conditions (sleeping difficulty, frequent snoring, sleep duration ≤6 h and sleep apnoea in NHS or rotating shift work in NHSII) had more than a fourfold increased likelihood of type 2 diabetes (HR 4.17, 95% CI 2.93, 5.91). Sleeping difficulty was significantly associated with type 2 diabetes. This association was partially explained by associations with hypertension, BMI and depression symptoms, and was particularly strong when combined with other sleep disorders. Our findings highlight the importance of sleep disturbance in the development and prevention of type 2 diabetes. |
X Demographics
The data shown below were collected from the profiles of 40 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 8 | 20% |
| Saudi Arabia | 3 | 8% |
| United Kingdom | 3 | 8% |
| Netherlands | 2 | 5% |
| Turkey | 1 | 3% |
| France | 1 | 3% |
| Venezuela, Bolivarian Republic of | 1 | 3% |
| Germany | 1 | 3% |
| Japan | 1 | 3% |
| Other | 0 | 0% |
| Unknown | 19 | 48% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 30 | 75% |
| Scientists | 6 | 15% |
| Practitioners (doctors, other healthcare professionals) | 3 | 8% |
| Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 135 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 135 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 21 | 16% |
| Student > Master | 20 | 15% |
| Student > Postgraduate | 10 | 7% |
| Student > Ph. D. Student | 10 | 7% |
| Researcher | 8 | 6% |
| Other | 26 | 19% |
| Unknown | 40 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 31 | 23% |
| Nursing and Health Professions | 19 | 14% |
| Biochemistry, Genetics and Molecular Biology | 5 | 4% |
| Psychology | 5 | 4% |
| Linguistics | 3 | 2% |
| Other | 16 | 12% |
| Unknown | 56 | 41% |
Attention Score in Context
This research output has an Altmetric Attention Score of 168. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 December 2023.
All research outputs
#245,281
of 25,732,188 outputs
Outputs from Diabetologia
#140
of 5,376 outputs
Outputs of similar age
#4,296
of 407,511 outputs
Outputs of similar age from Diabetologia
#3
of 65 outputs
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