Interactive association of sleep duration and sleep quality with the prevalence of metabolic syndrome in adult Chinese males

Lu,Kai; Zhao,Yue; Chen,Jia; Hu,Dayi; Xiao,Hua

doi:10.3892/etm.2019.8290

Interactive association of sleep duration and sleep quality with the prevalence of metabolic syndrome in adult Chinese males

Authors:
- Kai Lu
- Yue Zhao
- Jia Chen
- Dayi Hu
- Hua Xiao
View Affiliations

Affiliations: Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China, Department of Clinical Nutrition, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
Published online on: December 5, 2019 https://doi.org/10.3892/etm.2019.8290
Pages: 841-848
Copyright: © Lu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The present study aimed to examine the separate and combined association of self‑reported sleep duration and quality with the prevalence of metabolic syndrome (MetS) in adult Chinese males. A total of 4,144 subjects were enrolled in the present crossed‑sectional study. All participants were subjected to anthropometric measurements, blood tests and a survey based on a standardized questionnaire. Multivariate logistic regression was used to assess the influence of sleep duration and quality on the prevalence of MetS. The group that had 7 h of sleep had the best results as compared with those with shorter or longer sleep durations, and the prevalence of MetS was the lowest in this group. In addition, poor vs. good sleep quality was associated with an increased risk of MetS. Further analysis suggested that sleep duration and quality had an additive effect on the prevalence of MetS. In conclusion, sleep duration as well as quality should be considered when exploring the potential association between sleep and other conditions.

View Figures

View References

1	Mamcarz A, Podolec P, Kopeć G, Czarnecka D, Rynkiewicz A, Stańczyk J, Undas A, Godycki-Cwirko M, Kozek E, Pajak A, et al: Polish forum for prevention guidelines on metabolic syndrome. Kardiol Pol. 68:121–124. 2010.PubMed/NCBI
2	Shen J, Goyal A and Sperling L: The emerging epidemic of obesity, diabetes, and the metabolic syndrome in china. Cardiol Res Pract. 2012:1786752012. View Article : Google Scholar : PubMed/NCBI
3	Wu MC, Yang YC, Wu JS, Wang RH, Lu FH and Chang CJ: Short sleep duration associated with a higher prevalence of metabolic syndrome in an apparently healthy population. Prev Med. 55:305–309. 2012. View Article : Google Scholar : PubMed/NCBI
4	Katano S, Nakamura Y, Nakamura A, Murakami Y, Tanaka T, Takebayashi T, Okayama A, Miura K, Okamura T and Ueshima H; HIPOP-OHP Research Group, : Relationship between sleep duration and clustering of metabolic syndrome diagnostic components. Diabetes Metab Syndr Obes. 4:119–125. 2011.PubMed/NCBI
5	Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK and Malaspina D: Short sleep duration as a risk factor for hypertension: Analyses of the first National Health and Nutrition Examination Survey. Hypertension. 47:833–839. 2006. View Article : Google Scholar : PubMed/NCBI
6	Ju SY and Choi WS: Sleep duration and metabolic syndrome in adult populations: A meta-analysis of observational studies. Nutr Diabetes. 3:e652013. View Article : Google Scholar : PubMed/NCBI
7	Choi KM, Lee JS, Park HS, Baik SH, Choi DS and Kim SM: Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001. Int J Obes (Lond). 32:1091–1097. 2008. View Article : Google Scholar : PubMed/NCBI
8	Xi B, He D, Zhang M, Xue J and Zhou D: Short sleep duration predicts risk of metabolic syndrome: A systematic review and meta-analysis. Sleep Med Rev. 18:293–297. 2014. View Article : Google Scholar : PubMed/NCBI
9	Arora T, Jiang CQ, Thomas GN, Lam KB, Zhang WS, Cheng KK, Lam TH and Taheri S: Self-reported long total sleep duration is associated with metabolic syndrome: The Guangzhou Biobank Cohort Study. Diabetes Care. 34:2317–2319. 2011. View Article : Google Scholar : PubMed/NCBI
10	Santos AC, Ebrahim S and Barros H: Alcohol intake, smoking, sleeping hours, physical activity and the metabolic syndrome. Prev Med. 44:328–334. 2007. View Article : Google Scholar : PubMed/NCBI
11	Basnet S, Merikanto I, Lahti T, Männistö S, Laatikainen T, Vartiainen E and Partonen T: Associations of common chronic non-communicable diseases and medical conditions with sleep-related problems in a population-based health examination study. Sleep Sci. 9:249–254. 2016. View Article : Google Scholar : PubMed/NCBI
12	Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N, Umeda T and Nakaji S; Hirosaki University Graduate School of Medicine, : Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health. 14:5622014. View Article : Google Scholar : PubMed/NCBI
13	Hung HC, Yang YC, Ou HY, Wu JS, Lu FH and Chang CJ: The association between self-reported sleep quality and metabolic syndrome. PLoS One. 8:e543042013. View Article : Google Scholar : PubMed/NCBI
14	Lu K, Chen J, Wu S, Chen J and Hu D: Interaction of sleep duration and sleep quality on hypertension prevalence in adult Chinese males. J Epidemiol. 25:415–422. 2015. View Article : Google Scholar : PubMed/NCBI
15	Lou P, Chen P, Zhang L, Zhang P, Chang G, Zhang N, Li T and Qiao C: Interaction of sleep quality and sleep duration on impaired fasting glucose: A population-based cross-sectional survey in China. BMJ Open. 4:e0044362014. View Article : Google Scholar : PubMed/NCBI
16	Buysse DJ, Reynolds CF III, Monk TH, Berman SR and Kupfer DJ: The pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 28:193–213. 1989. View Article : Google Scholar : PubMed/NCBI
17	Donker T, van Straten A, Marks I and Cuijpers P: Quick and easy self-rating of Generalized Anxiety Disorder: Validity of the Dutch web-based GAD-7, GAD-2 and GAD-SI. Psychiatry Res. 188:58–64. 2011. View Article : Google Scholar : PubMed/NCBI
18	Zhang Y, Ting R, Lam M, Lam J, Nan H, Yeung R, Yang W, Ji L, Weng J, Wing YK, et al: Measuring depressive symptoms using the Patient Health Questionnaire-9 in Hong Kong Chinese subjects with type 2 diabetes. J Affect Disord. 151:660–666. 2013. View Article : Google Scholar : PubMed/NCBI
19	Weng J, Ji L, Jia W, Lu J, Zhou Z, Zou D, Zhu D, Chen L, Chen L, Guo L, et al: Standards of care for type 2 diabetes in China. Diabetes Metab Res Rev. 32:442–458. 2016. View Article : Google Scholar : PubMed/NCBI
20	Najafian J, Toghianifar N, Mohammadifard N and Nouri F: Association between sleep duration and metabolic syndrome in a population-based study: Isfahan healthy heart program. J Res Med Sci. 16:801–806. 2011.PubMed/NCBI
21	Kazman JB, Abraham PA, Zeno SA, Poth M and Deuster PA: Self-reported sleep impairment and the metabolic syndrome among African Americans. Ethn Dis. 22:410–415. 2012.PubMed/NCBI
22	Zuo HJ, Yao CH, Hu YS and Kong LZ: Relations between smoking, alcohol intake, physical activity, sleeping hours and the metabolic syndrome in Chinese male aged 18–45 years old. Zhonghua Liu Xing Bing Xue Za Zhi. 32:235–238. 2011.(In Chinese). PubMed/NCBI
23	Bidulescu A, Din-Dzietham R, Coverson DL, Chen Z, Meng YX, Buxbaum SG, Gibbons GH and Welch VL: Interaction of sleep quality and psychosocial stress on obesity in African Americans: The Cardiovascular Health Epidemiology Study (CHES). BMC Public Health. 10:5812010. View Article : Google Scholar : PubMed/NCBI
24	Bonnet F: Associations between anxiety, depression, and the metabolic syndrome. Biol Psychiatry. 62:1251–1257. 2007. View Article : Google Scholar : PubMed/NCBI
25	Kahl KG, Schweiger U, Correll C, Müller C, Busch ML, Bauer M and Schwarz P: Depression, anxiety disorders, and metabolic syndrome in a population at risk for type 2 diabetes mellitus. Brain Behav. 5:e003062015. View Article : Google Scholar : PubMed/NCBI
26	Nyer M, Farabaugh A, Fehling K, Soskin D, Holt D, Papakostas GI, Pedrelli P, Fava M, Pisoni A, Vitolo O and Mischoulon D: Relationship between sleep disturbance and depression, anxiety, and functioning in college students. Depress Anxiety. 30:873–880. 2013. View Article : Google Scholar : PubMed/NCBI
27	Taheri S, Lin L, Austin D, Young T and Mignot E: Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med. 1:210–217. 2004. View Article : Google Scholar
28	Li L, Fu J, Yu XT, Li G, Xu L, Yin J, Cheng H, Hou D, Zhao X, Gao S, et al: Sleep duration and cardiometabolic risk among chinese school-aged children: Do adipokines play a mediating role? Sleep. 40:2017. View Article : Google Scholar
29	Lusardi P, Zoppi A, Preti P, Pesce RM, Piazza E and Fogari R: Effects of insufficient sleep on blood pressure in hypertensive patients: A 24-h study. Am J Hypertens. 12:63–68. 1999. View Article : Google Scholar : PubMed/NCBI
30	Stamatakis KA and Punjabi NM: Effects of sleep fragmentation on glucose metabolism in normal subjects. Chest. 137:95–101. 2010. View Article : Google Scholar : PubMed/NCBI
31	Kanagasabai T and Ardern CI: Contribution of inflammation, oxidative stress, and antioxidants to the relationship between sleep duration and cardiometabolic health. Sleep. 38:1905–1912. 2015. View Article : Google Scholar : PubMed/NCBI
32	Knutson KL, Wu D, Patel SR, Loredo JS, Redline S, Cai J, Gallo LC, Mossavar-Rahmani Y, Ramos AR, Teng Y, et al: Association between sleep timing, obesity, diabetes: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) cohort study: Sleep timing, obesity, and diabetes. Sleep. 40:2017. View Article : Google Scholar : PubMed/NCBI
33	Signal TL, Gale J and Gander PH: Sleep measurement in flight crew: Comparing actigraphic and subjective estimates to polysomnography. Aviat Space Environ Med. 76:1058–1063. 2005.PubMed/NCBI
34	Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, et al: Prevalence of diabetes among men and women in China. N Engl J Med. 362:1090–1101. 2010. View Article : Google Scholar : PubMed/NCBI