Sleep Duration as a Risk Factor for Diabetes Incidence in a Large US Sample

Gangwisch, James E.; Heymsfield, Steven B.; Boden‐Albala, Bernadette; Buijs, Ruud M.; Kreier, Felix; Pickering, Thomas G.; Rundle, Andrew; Zammit, Gary; Malaspina, Dolores

doi:10.1093/sleep/30.12.1667

Cited by 518 publications

(403 citation statements)

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“…This association was not found in female adults in the Nurse Health Study [5] and in the KNHANES III (data not shown), either. Long sleep duration has also been associated with diabetes [2,3,5,11], but this association is thought to be mediated by confounding factors [2,3,5].…”

Section: Discussionmentioning

confidence: 99%

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The association of sleep duration and type 2 diabetes in Korean male adults with abdominal obesity: The Korean National Health and Nutrition Examination Survey 2005

Kim

et al. 2009

Diabetes Research and Clinical Practice

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Section: Discussionmentioning

confidence: 99%

“…Sleep duration has recently been recognized as a novel risk factor for type 2 diabetes. Short or long sleep duration was associated with type 2 diabetes [2][3][4][5]. Obesity, in particular abdominal obesity, is also very strongly related to the development of type 2 diabetes [6].…”

Section: Introductionmentioning

confidence: 99%

The association of sleep duration and type 2 diabetes in Korean male adults with abdominal obesity: The Korean National Health and Nutrition Examination Survey 2005

Kim

et al. 2009

Diabetes Research and Clinical Practice

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“…22,23 Addressing nightmares as a distinct sleep disorder following a traumatic experience is of clinical importance as patients with disturbed sleep have poor outcomes and sleep-focused therapy can lead to improvement in PTSD, anxiety, and depression. 24,25 Research on nightmares in military personnel is limited, though data suggest that veterans who have left military service have a higher prevalence than the general population. 10 The primary objective of this study was to characterize the prevalence of nightmares in United States military personnel with sleep disturbances.…”

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confidence: 99%

Nightmares in United States Military Personnel With Sleep Disturbances

Creamer

Brock

Matsangas

et al. 2018

Journal of Clinical Sleep Medicine

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Study Objectives: Sleep disturbances are common in United States military personnel. Despite their exposure to combat and trauma, little is known about nightmares in this population. The purpose of this study was to describe the prevalence and associated clinical and polysomnographic characteristics of nightmares in United States military personnel with sleep disturbances. Methods: Retrospective review of 500 active duty United States military personnel who underwent a sleep medicine evaluation and polysomnography at our sleep center. The Pittsburgh Sleep Quality Index and the Pittsburgh Sleep Quality Index-Addendum were used to characterize clinically significant nightmares. Subjective and objective sleep attributes were compared between groups. Results: At least weekly nightmares were present in 31.2%; yet, only 3.9% reported nightmares as a reason for evaluation. Trauma-related nightmares occurred in 60% of those patients with nightmares. Patients with nightmares had increased sleep onset latency (SOL) and rapid eye movement (REM) sleep latency (mean SOL/REM sleep latency 16.6/145 minutes, P = .02 and P = .01 respectively) compared to those without (mean SOL/REM sleep latency 12.5/126 minutes I NTRO DUCTI O NNightmares are defined by repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that cause clinically significant distress or impairment in social, occupational, or other areas of functioning. 1 Occasional nightmares are part of a normal adaptive response to life stressors and are not pathologic, with 85% of adults reporting at least one nightmare per year. 2 The prevalence of clinically significant nightmares, which occur at least once per week, is estimated between 0.9% and 6.8%. [3][4][5][6][7][8][9] In the largest study to date (69,813 adults), the prevalence of nightmares was 3.5% in men and 4.8% in women. 10 Participants from the World War II generation had a significantly higher prevalence of 7.2% in men and 7% in women. Nightmares are more common among patients with sleep disturbances, sleep disorders, depression, anxiety, and posttraumatic stress disorder However, most research evaluating sleep disorders in active duty military personnel has focused on insomnia, obstructive sleep apnea (OSA), and PTSD, noting that a recent study focusing on OSA and PTSD did not evaluate nightmares. [18][19][20] Following traumatic experiences, sleep disturbances are frequently reported, including trauma-related nightmares (TRN). 21 The nightmares of trauma survivors tend to be more severe and distressing than idiopathic nightmares. 1,3 Though not exclusive to PTSD, TRN have been referred to as the "hallmark" of this disorder, with rates as high as 90%. 22,23 Addressing nightmares as a distinct sleep disorder following a BRIEF SUMMARY Current Knowledge/Study Rationale: The spectrum of sleep disorders in military personnel is varied and complicated by the presence of comorbidities and psychological disorders. Currently, little is known regarding nightmares, especially trauma-related nig...

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“…Proceedings of the Nutrition Society developing T2DM, studied over varying lengths of followup (7)(8)(9)(10)(11)(12)(13)(14)(15)(16) . Details of their study design and outcomes are shown in Table 1.…”

Section: Association Between Sleep Duration and The Risk Of Type 2 DImentioning

confidence: 99%

“…Details of their study design and outcomes are shown in Table 1. Several big studies in the USA and Germany have shown a U-shaped association between sleep duration and increased risk of T2DM (7)(8)(9) . The studies relied on subjective measures, with sleep duration selfreported at baseline, and T2DM incidence was mainly by self-report of physician's diagnosis.…”

Section: Association Between Sleep Duration and The Risk Of Type 2 DImentioning

confidence: 99%

The role of sleep duration in diabetes and glucose control

Alnaji

Law

2016

Proc. Nutr. Soc.

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Sleep curtailment is common in the Westernised world and coincides with an increase in the prevalence of type 2 diabetes mellitus (T2DM). This review considers the recently published evidence for whether sleep duration is involved in the development of T2DM in human subjects and whether sleep has a role to play in glucose control in people who have diabetes. Data from large, prospective studies indicate a U-shaped relationship between sleep duration and the development of T2DM. Smaller, cross-sectional studies also support a relationship between short sleep duration and the development of both insulin resistance and T2DM. Intervention studies show that sleep restriction leads to insulin resistance, with recent sleep extension studies offering tantalising data showing a potential benefit of sleep extension on glucose control and insulin sensitivity. In people with established diabetes the published literature shows an association between poor glucose control and both short and long sleep durations. However, there are currently no studies that determine the causal direction of this relationship, nor whether sleep interventions are likely to offer benefit for people with diabetes to help them achieve tighter glucose control

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Sleep Duration as a Risk Factor for Diabetes Incidence in a Large US Sample

Cited by 518 publications

References 36 publications

The association of sleep duration and type 2 diabetes in Korean male adults with abdominal obesity: The Korean National Health and Nutrition Examination Survey 2005

The association of sleep duration and type 2 diabetes in Korean male adults with abdominal obesity: The Korean National Health and Nutrition Examination Survey 2005

Nightmares in United States Military Personnel With Sleep Disturbances

The role of sleep duration in diabetes and glucose control

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