Short sleep duration and longer daytime napping are associated with non‐alcoholic fatty liver disease in Chinese adults

Peng, Kui; Lin, Lin; Wang, Zhengyi; Ding, Lin; Huang, Ya; Wang, Po; Xu, Yu; Lu, Jieli; Xu, Min; Bi, Yufang; Wang, Weiqing; Chen, Yuhong; Ning, Guang

doi:10.1111/1753-0407.12489

Cited by 51 publications

(53 citation statements)

References 41 publications

(93 reference statements)

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“…To reduce the effect of diabetes, we conducted stratified analysis according to insulin resistance status (yes/no). However, the results showed that the associations between short sleep durations and NAFLD were generally similar across subgroups . We agree with Kawada that there may be a synergistic effect between prolonged napping and short nightly sleep duration.…”

supporting

confidence: 84%

“…We thank Tomoyuki Kawada for his comments in response to our recent article in the Journal of Diabetes entitled “Short sleep duration and longer daytime napping are associated with non‐alcoholic fatty liver disease in Chinese adults,” in which we assessed the association between sleep habit and non‐alcoholic fatty liver disease (NAFLD). Kawada commented on the conclusions and confounding factors in the article.…”

mentioning

confidence: 99%

“…According to current categories of nightly sleep duration (≤6.0, 6.1–7, 7.1–8, 8.1–9, and >9 h [reference group]), shorter sleep durations tend to be associated with higher risk of prevalent NAFLD . In addition, when fatty liver index (FLI)‐diagnosed NAFLD (i.e.…”

mentioning

confidence: 99%

“…In addition, when fatty liver index (FLI)‐diagnosed NAFLD (i.e. FLI ≥60) was used as the outcome, an increased risk of prevalent NAFLD was only associated with 6.1–7 and <6 h sleep duration . We did not specify the “short” nightly sleep duration that increased the risk of NAFLD in the study's conclusion because a different study population structure could generate different nightly sleep patterns, including sleep duration.…”

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confidence: 99%

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Response to Kawada: Sleep habits and non‐alcoholic fatty liver disease: Risk assessment by adjusting confounders

Peng

Chen

2018

Journal of Diabetes

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confidence: 84%

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confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Response to Kawada: Sleep habits and non‐alcoholic fatty liver disease: Risk assessment by adjusting confounders

Peng

Chen

2018

Journal of Diabetes

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“…Although most of research has proven a consistent association between sleep and body weight among adults [17,18,19], there are limited studies on the question of these relationships among infants [9,20]. A few studies showed that infants who sleep less than 12 h/d and who have frequent night waking were associated with higher body mass index and increased risks of being overweight at three years old [21,22], while another study showed no significant association between these factors [15].…”

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confidence: 99%

Association between Sleep and Body Weight: A Panel Data Model Based on a Retrospective Longitudinal Cohort of Chinese Infants

Sha

Gao

Xiang

et al. 2017

IJERPH

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The focus of this article is on sleep duration and sleep problems in infants and their association with body weight. A retrospective birth cohort of 519 infants was enrolled in a community-based study conducted in Changsha, China. Infant weight and other health-related information were collected during regular standard checkups at the Community Health Service Centers when infants were 1, 3, 6, 8, and 12 months old. The sleep duration and sleep problems of infants were assessed by maternal self-reports. Panel data model was used to evaluate the association of sleep duration and sleep problems with infant body weight. Significant relevance between self-reported sleep duration and weight of infants has been reported in the literature tested by the fixed effects model (p < 0.01). However, this study indicated that sleep problems of infants had no effect on their weight (p = 0.151), after adjusting feeding patterns and socioeconomic factors of their families. This paper argues that, as a potentially modifiable risk factor, infant sleep duration deserves more attention from their parents and families in order to prevent and control overweight or obesity in infants as well as reducing the incidence of obesity in adults.

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Association of bedtime with the risk of non‐alcoholic fatty liver disease among middle‐aged and elderly Chinese adults with pre‐diabetes and diabetes

Zhang

Wang

et al. 2020

Diabetes Metabolism Res

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Background Emerging evidence indicated that sleep characteristics may play important roles in the development of metabolic disorders. However, little is known as to the association between bedtime and the risk of non‐alcoholic fatty liver disease (NAFLD) in individuals with pre‐diabetes and diabetes. Methods In a prospective cohort of 10 375 adults aged ≥40 years, 1960 of 3484 eligible pre‐diabetic and diabetic individuals were identified for the current study. NAFLD was diagnosed using liver ultrasonography at baseline and at follow‐up. Information on bedtime was obtained at baseline using a standard questionnaire. Results We documented 433 incident cases of NAFLD among this study population. In multivariable‐adjusted logistic regression model, later bedtime was associated with increased risk of NAFLD (29% increased risk per hour of later bedtime). Compared to individuals with bedtime ≤20:00, the odds ratios (95% confidence intervals) of NAFLD for bedtime of 20:00‐22:00 and ≥22:00 were 1.56 (1.04‐2.34) and 2.05 (1.31‐3.20), respectively. In the subgroup analysis, significant associations were observed among those who were overweight or physically inactive, or those with metabolic syndrome or elevated 10‐year risks for atherosclerotic cardiovascular disease. When estimating the joint effect of bedtime and other sleep characteristics, higher risk of incident NAFLD was observed in groups of late bed/early rise, late bed/napping (yes), late bed/bad sleeper, or late bed/shorter sleep durations. Conclusions Later bedtime was significantly associated with an increased risk of incident NAFLD in adults with pre‐diabetes and diabetes, underscoring the importance of sleep behaviour management in the prevention of NAFLD.

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Short sleep duration and longer daytime napping are associated with non‐alcoholic fatty liver disease in Chinese adults

Abstract: Short sleep duration and longer daytime napping were associated with an increased risk of prevalent NAFLD in a middle-aged and elderly Chinese population.

Cited by 51 publications

References 41 publications

Response to Kawada: Sleep habits and non‐alcoholic fatty liver disease: Risk assessment by adjusting confounders

Response to Kawada: Sleep habits and non‐alcoholic fatty liver disease: Risk assessment by adjusting confounders

Association between Sleep and Body Weight: A Panel Data Model Based on a Retrospective Longitudinal Cohort of Chinese Infants

Association of bedtime with the risk of non‐alcoholic fatty liver disease among middle‐aged and elderly Chinese adults with pre‐diabetes and diabetes

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