Association of napping and night-time sleep with impaired glucose regulation, insulin resistance and glycated haemoglobin in Chinese middle-aged adults with no diabetes: a cross-sectional study

Huang, Baoying; Chen, Hongjie; Qiu, Changsheng; Peijian, Wu; Lin, Qian; Lin, Yuan; Huang, Huibin; Liang, Jing; Li, Liantao; Chen, Ling; Tang, Kaka; Chen, Zichun; Li, Lin; Lu, Jieli; Bi, Yufang; Ning, Guang; Zhu, Pingting; Wen, Junping; Chen, Gang

doi:10.1136/bmjopen-2013-004419

Cited by 27 publications

(27 citation statements)

References 28 publications

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“…Studies appoint that napping is more prevalent among men. [7][8] On the other hand, some experts have found no significant results regarding sex. 9 The influence of education and family income on elderly napping seems to be unclear.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Duration of Naps Among Community-Dwelling Elderly: Data From the Multicenter Study Fibra

Santos-Orlandi

Ceolim

Pavarini

et al. 2016

Texto contexto - enferm.

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This study aimed to analyze the association between the duration of the nap and the variables gender, age, education, family income, frailty levels and frailty criteria of community-dwelling elderly. This was a descriptive and cross-sectional study, an excerpt from the multicenter project Frailty in Elderly Brazilians. A total of 3,075 older adults were evaluated, aged 65 and over, using a sociodemographic questionnaire, question about nap (Minnesota Leisure Activity Questionnaire), phenotype of frailty proposed by Fried and screening test for cognitive impairment (Mini Mental State Examination). Descriptive analysis, Mann-Whitney and Kruskal-Wallis tests (p<0.05) and multiple linear regression were applied. Ethical principles were respected. Most of the elderly participants napped (61.7%), with an average of 53.4±42.7 min/day. There was an association between duration of naps and variables gender (p=0.002), frailty (p=0.022) and frailty criterion "hand grip strength" (p=0.008). It was observed that the length of the naps is greater for male and frail elderly.

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Section: Introductionmentioning

confidence: 99%

Factors Associated With Duration of Naps Among Community-Dwelling Elderly: Data From the Multicenter Study Fibra

Santos-Orlandi

Ceolim

Pavarini

et al. 2016

Texto contexto - enferm.

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“…Recent studies have underlined the association of sleep complaints and sleep duration with IR in non-diabetic middle-aged patients [12,13]. In our study, all the patients were referred to our hospital for sleep complaints, but only AHI was independently associated with IR, not the objective sleep duration (TST).…”

Section: Discussionmentioning

confidence: 76%

“…However, these analyzes, though showing the strong association between OSA and IR, did not take into account other potential confounding factors, such as duration, quality and fragmentation of sleep, snoring and daytime sleepiness as suggested by other studies [10,11]. Indeed, in large population-based studies in middle-aged individuals without diabetes, subjective sleep complaints, self-reported sleep duration and daytime napping have been associated with IR, though without an objective OSA diagnosis by nocturnal recording [12,13]. Also in non-diabetic older subjects, self-reported symptoms of sleep-disordered breathing are associated with IR and increased incidence of type 2 diabetes [11].…”

Section: Introductionmentioning

confidence: 99%

Relationship between sleep parameters, insulin resistance and age-adjusted insulin like growth factor-1 score in non diabetic older patients

et al. 2017

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BackgroundSleep complaints are prevalent in older patients. Sleepiness, short or long sleep duration and obstructive sleep apnea (OSA) are associated with insulin resistance (IR). These parameters have not yet been considered together in the same study exploring the possible association between IR and sleep in older patients. IR is involved in cardiovascular and metabolic diseases, pathologies which are highly prevalent in older patients. Here we assess, in older non-diabetic patients with sleep complaints, the associations between IR and sleep parameters objectively recorded by polysomnography (PSG) rather than self-report. The Growth Hormone/Insulin like growth factor-1 axis could play a role in the development of IR during sleep disorders. The second objective of this study was to analyze the association between sleep parameters and age-adjusted IGF-1 score, which could explain the association between OSA and IR.Methods72 non-diabetic older patients, mean age 74.5 ± 7.8 years, were included in this observational study. We evaluated anthropometric measures, subjective and objective sleepiness, polysomnography, Homeostatic Model Assessment for IR (HOMA-IR) and age-adjusted IGF-1 score. A multivariate regression was used to determine factors associated with HOMA-IR.ResultsThe 47 OSA patients were over-weight but not obese and had higher IR than the non-OSA patients. In multilinear regression analysis, apnea-hypopnea index was independently associated with IR after adjustment for several confounding factors. Neither IGF-1 level nor IGF-1 score were different in the two groups.ConclusionsWe demonstrate that in non-diabetic older patients with sleep complaints, OSA is independently associated with IR, regardless of anthropometric measurements and sleep parameters (sleep duration/sleepiness/arousals). Targeting OSA to reduce IR could be useful in the elderly, although further exploration is required.

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“…Studies have corroborated these findings and found that naps are more prevalent in men. [1][2] Currently, the labor situation has undergone changes and an increasing number of women are inserted in the labor market. This means that women, in addition to the eight-hour day's paid work, come home and face domestic chores.…”

Section: Resultsmentioning

confidence: 99%

“…There seems to be no gender difference in relation to the nap, with higher rates among elderly men. [1][2] However, another study found no significant difference between the sexes. 3 The prevalence of nap seems to increase with advancing age, 4 and older adults report more frequent naps when compared to younger ones.…”

mentioning

confidence: 94%

Fatores associados à ocorrência de cochilos entre idosos comunitários

Santos-Orlandi

Ceolim

Pavarini

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: analisar associação gênero, idade, escolaridade, renda familiar, níveis de fragilidade e cinco critérios de fragilidade com ocorrência dos cochilos de idosos. Método: estudo quantitativo, transversal, descritivo. Foram avaliados 3.075 idosos, utilizando questionário sociodemográfico, questão do Minnesota Leisure Activity Questionnaire, fenótipo de fragilidade de Fried e o Mini Exame do Estado Mental. Foram aplicados o teste Qui-quadrado e a regressão logística univariada e multivariada (α=5,0%). Os princípios éticos foram respeitados. Resultados: dos idosos, 61,7% cochilavam durante o dia. Houve associação entre ocorrência de cochilo e idade, gênero e renda familiar. Conclusão: a avaliação dos pacientes deve estudar questões do sono, especialmente considerando idade, sexo e renda, para detectar previamente problemas e desenvolver ações que mantenham a autonomia e a independência dos idosos. Descritores: Idoso; Enfermagem Geriátrica; Sono; Saúde do Idoso; Atenção Integral à Saúde; Enfermagem.ABSTRACTObjective: to analyze the association of sex, age, schooling, family income, levels of frailty and five criteria of frailty with occurrence of naps among the elderly. Method: quantitative, cross-sectional and descriptive study. 3,075 elderly people were evaluated using a sociodemographic questionnaire, Minnesota Leisure Activity Questionnaire question, Fried frailty phenotype and Mini Mental State Examination. The Chi-square test and the univariate and multivariate logistic regression (α = 5.0%) were applied. Ethical principles have been respected. Results: 61.7% of the elderly take a nap during the day. There was an association between taking a nap and age, sex and family income. Conclusion: the evaluation of patients should study sleep issues, especially considering age, sex and income, to detect problems previously and develop actions that maintain the elderly’s autonomy and independence. Descriptors: Elderly; Geriatric Nursing; Sleep; Health of the Elderly; Comprehensive Health Care; Nursing.RESUMENObjetivo: analizar la asociación de género, edad, escolaridad, renta familiar, niveles de fragilidad y cinco criterios de fragilidad con ocurrencias de las siestas de ancianos. Método: estudio cuantitativo, transversal, descriptivo. Fueron evaluados 3.075 ancianos, utilizando cuestionario sociodemográfico, pregunta del Minnesota Leisure Activity Questionnaire, fenotipo de fragilidad de Fried y el Mini Examen del Estado Mental. Fueron aplicados el test Chi-cuadrado y la regresión logística univariada y multivariada (α=5,0%). Los principios éticos fueron respetados. Resultados: de los ancianos, 61,7% tomaban uma siesta durante el dia. Hubo asociación entre ocurrencia de siesta y edad, género y renta familiar. Conclusión: la evaluación de los pacientes debe estudiar cuestiones del sueño, especialmente considerando edad, sexo y renta, para detectar previamente problemas y desarrollar acciones que mantengan la autonomía y la independencia de los ancianos. Descriptores: Anciano; Enfermería Geriátrica; Sueño; Salud del Anciano; Atención Integral de Salud; Enfermería.

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Association of napping and night-time sleep with impaired glucose regulation, insulin resistance and glycated haemoglobin in Chinese middle-aged adults with no diabetes: a cross-sectional study

Cited by 27 publications

References 28 publications

Factors Associated With Duration of Naps Among Community-Dwelling Elderly: Data From the Multicenter Study Fibra

Factors Associated With Duration of Naps Among Community-Dwelling Elderly: Data From the Multicenter Study Fibra

Relationship between sleep parameters, insulin resistance and age-adjusted insulin like growth factor-1 score in non diabetic older patients

Fatores associados à ocorrência de cochilos entre idosos comunitários

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