4.6 Article

Sleep duration and insulin resistance in individuals without type 2 diabetes: The PPP-Botnia Study

Journal

ANNALS OF MEDICINE
Volume 46, Issue 5, Pages 324-329

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.3109/07853890.2014.902226

Keywords

Insulin resistance; sleep complaints; sleep duration

Funding

  1. Finnish Academy [263401, 267882]
  2. Sigrid Juselius Foundation
  3. Folkhalsan Research Foundation
  4. Nordic Center of Excellence in Disease Genetic
  5. Signe and Ane Gyllenberg Foundation
  6. Swedish Cultural Foundation in Finland
  7. Finnish Diabetes Research Foundation
  8. Foundation for Life and Health in Finland
  9. Finnish Medical Society
  10. Finnish Ministry of Education and Culture
  11. Paavo Nurmi Foundation
  12. Perklen Foundation
  13. Ollqvist Foundation
  14. Narpes Health Care Foundation
  15. Municipal Health Care Center and Hospital in Jakobstad
  16. Health Care Centers in Vasa, Narpes, and Korsholm

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Introduction. Both short and long sleep duration may increase risk of type 2 diabetes (diabetes). We studied if short and long sleep durations were associated with insulin resistance (IR) and insulin secretion in individuals without diabetes, and if the associations remained after we excluded individuals who reported more frequent and severe complaints of sleep apnea and insomnia. Participants and methods. An oral glucose tolerance test (OGTT) was performed for 722 adults without diabetes. Indices of IR and insulin secretion were calculated. Sleep duration and complaints of sleep apnea and insomnia were self-reported. Results. In comparison to average sleepers (6 - 9 h/night), short sleepers (< 6 h/night) had higher 120-min insulin and AUC glucose, and long sleepers (>= 9 h/night) had higher fasting and 120-min insulin, 120-min glucose, and HOMA(IR) and lower Insulin Sensitivity Index. After adjusting for confounders and after excluding individuals who reported more frequent and severe complaints of sleep apnea and insomnia, long sleep duration remained significantly associated with IR and insulin secretion. Discussion. Long but not short sleep duration is associated with IR and insulin secretion in individuals without diabetes whether or not accompanied by sleep complaints. Long sleepers may benefit from targeted preventions and interventions that aim at reducing risk of future diabetes.

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