The association between social jetlag and parameters of metabolic syndrome and type 2 diabetes: a systematic review and meta‐analysis

Bouman, Emma J.; Beulens, Joline; Groeneveld, Lenka; Kruijk, Rozemarijn S de; Schoonmade, Linda J; Remmelzwaal, Sharon; Elders, Petra J. M.; Rutters, Femke

doi:10.1111/jsr.13770

Cited by 17 publications

(5 citation statements)

References 71 publications

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“…Overall, our results show that social jet lag is associated with several glycemic and metabolic markers. Previous research has supported these findings, as our recent meta-analysis showed that social jet lag was significantly associated with higher BMI, waist circumference, HbA1c levels, and systolic blood pressure in general but also in people with diabetes [7]. This is also in agreement with findings in people with type 1 diabetes [8][9][10][11].…”

Section: Discussionsupporting

confidence: 89%

“…Our recent meta-analysis of the associations among social jet lag and parameters of the metabolic syndrome and T2D has shown that social jet lag is associated with increased levels of glycated hemoglobin (HbA1c), higher body mass index (BMI), higher waist circumference, and higher odds of obesity [7]. Social jet lag has also been associated with worse glycemic control, higher HbA1c levels, and higher insulin requirements in people with type 1 diabetes [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Social jet lag and (changes in) glycemic and metabolic control in people with type 2 diabetes

Bouman

Beulens

Braver

et al. 2023

Obesity

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Objective: Social jet lag, i.e., the discordance among social and biological rhythms, is associated with poor metabolic control. This study aimed to assess cross-sectional and longitudinal associations among social jet lag and glycemic and metabolic control in people with type 2 diabetes.Methods: In a prospective cohort (N = 990) with type 2 diabetes, social jet lag was measured at baseline using daily diaries and was categorized (high, moderate, or low).Metabolic outcomes were assessed at baseline and at 1 and 2 years of follow-up.Associations among social jet lag and glycemic and metabolic control were analyzed using linear regression and linear mixed models adjusted for confounding factors.Analyses were stratified for work status (retired vs. working; p value for interaction = 0.007 for glycated hemoglobin [HbA1c]).Results: In working people, a cross-sectional association between high social jet lag and HbA1c (1.87 mmol/mol [95% CI: 0.75 to 2.99]) and blood pressure (5.81 mm Hg [95% CI: 4.04 to 7.59]) was observed. For retired people, high social jet lag was negatively associated with HbA1c (À1.58 mmol/mol [95% CI: À2.54 to À0.62]), glucose (À0.19 mmoL/L [95% CI:À0.36 to À0.01]), and blood pressure (À3.70 mm Hg [95% CI: À5.36 to À2.04]), and the association with BMI was positive (1.12 kg/m 2 [95% CI: 0.74 to 1.51]). Prospective associations had the same direction as cross-sectional findings but were nonsignificant for working or retired people.Conclusions: Social jet lag was cross-sectionally, but not prospectively, associated with glycemic and metabolic markers. Interaction with work status was present, and directions of the associations were generally detrimental in the working population, whereas higher social jet lag was associated with improved glycemic and metabolic control for retired people.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Social jet lag and (changes in) glycemic and metabolic control in people with type 2 diabetes

Bouman

Beulens

Braver

et al. 2023

Obesity

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“…Whereas our study did not find a significant association between social jetlag and the risk of metabolic syndrome, 1–2 h of social jetlag was linked to a reduced risk of metabolic syndrome among non-shift workers after additional adjustment for the interaction between shift work and social jetlag. Earlier studies reported that higher social jetlag was associated with an increased likelihood of higher waist circumference, a component of metabolic syndrome [ 38 , 39 ]. One plausible reason for this result may be the comprehensive adjustment for various factors in our analysis, including shift work status, sleep duration, and the interaction between social jetlag and shift work as a potential confounding factor.…”

Section: Discussionmentioning

confidence: 99%

Association between Sleep Duration, Social Jetlag, and the Metabolic Syndrome by Shift Works

Kyung,

Park,

Park

et al. 2024

IJERPH

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Lifestyle factors, including sleep characteristics, have been implicated in the development of metabolic syndrome, particularly among shift workers. This study aimed to explore the relationship between shift work, sleep duration, social jetlag, and the risk of metabolic syndrome among U.S. workers and the moderating effect of sleep duration and social jetlag on this relationship. Data from the National Health and Nutrition Examination Survey (NHANES) in 2017–2020 March were analyzed. Poisson regression models were employed to examine associations. Among 4136 U.S. workers, 53.3% had metabolic syndrome, with a higher proportion of shift workers (63.8% vs. 56.7%, p = 0.001) and those sleeping less than 6 h or more than 9 h per week (22.3% vs. 19.1%, p = 0.044) in the affected group. Shift workers were initially found to have an increased risk of metabolic syndrome (Coef. = 0.03, 95% CI: 0.02, 0.16); however, this association was mitigated when accounting for the interaction with social jetlag. Specifically, 1 to <2 h of social jetlag interacted significantly, increasing metabolic risk (Coef. = 0.15, 95% CI: 0.09, 0.22), whereas 1 to <2 h alone showed a protective effect (Coef. = −0.11, 95% CI: −0.17, −0.06). These findings suggest that optimizing sleep schedules and addressing social jetlag may be crucial in mitigating metabolic syndrome risks among shift workers.

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“…No statistically significant associations were observed for T2D development. 25 Overall, limited to no evidence has been found on the role of (maternal) sleep (duration or quality) as well as circadian disturbance in the development of T1D. A prospective observational study found an association of sleep initiation and maintenance with adult-onset autoimmune diabetes (hazard ratio 95% CI 1.01-2.22), but there were only a limited number of people with "classical" T1D in this group.…”

Section: Circadian Rhythmmentioning

confidence: 93%

“…60 Finally, also in our meta-analysis we showed that social jetlag was associated with suboptimal glycemic (ie, glucose) and metabolic outcomes (ie, hypertension) in people with diabetes (both types). 25…”

Section: Circadian Rhythmmentioning

confidence: 99%

Sleep and Circadian Rhythm Disturbances in Diabetes: A Narrative Review

Rutters¹,

Nefs²

2022

DMSO

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Sleep and circadian rhythm disturbances are less-known risk factors for the development and suboptimal outcomes of diabetes. The goal of this narrative review is to highlight the importance of sleep and circadian rhythm disturbances in the development and outcomes of type 1 diabetes (T1D) and type 2 diabetes (T2D), assess current treatment options and the possible mediating mechanisms. We performed a literature search using PubMed and selected relevant English and Dutch papers. Disturbances of sleep and circadian rhythm are common in people with diabetes. They are associated with an increased risk of developing T2D as well as with suboptimal diabetes outcomes (including higher HbA 1c levels and reduced quality of life) for T1D and T2D. Preliminary data suggest that treatment of sleep and circadian rhythm disturbances could improve diabetes outcomes in people with T1D and T2D. Finally, the association with medical parameters appears to be mediated by disturbance in hormones, and by suboptimal self-care including forgetting or postponing glucose monitoring or medication use as well as higher consumption of high fat/high sugary foods. Diabetes may also disturb sleep, for example through nocturnal hypoglycemia and nocturia. We concluded that sleep and circadian rhythm disturbances are closely linked with diabetes. More attention to sleep in regular diabetes care is warranted, while further research is needed on treatment of sleep and circadian rhythm disturbances in the prevention of diabetes and its suboptimal outcomes.

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The association between social jetlag and parameters of metabolic syndrome and type 2 diabetes: a systematic review and meta‐analysis

Cited by 17 publications

References 71 publications

Social jet lag and (changes in) glycemic and metabolic control in people with type 2 diabetes

Social jet lag and (changes in) glycemic and metabolic control in people with type 2 diabetes

Association between Sleep Duration, Social Jetlag, and the Metabolic Syndrome by Shift Works

Sleep and Circadian Rhythm Disturbances in Diabetes: A Narrative Review

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