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Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes

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单位: [1]Shanghai Jiao Tong Univ, Sch Med,Minist Hlth, State Key Lab Med Genom,Key Lab Endocrine & Metab, Natl Clin Res Ctr Metab Dis,Collaborat Innovat Ct, Shanghai 200030, Peoples R China [2]Shanghai Jiao Tong Univ, Sch Med, Rui Jin Hosp, Shanghai Clin Ctr Endocrine & Metab Dis, Shanghai 200030, Peoples R China [3]Chinese Peoples Liberat Army Gen Hosp, Beijing, Peoples R China [4]Shandong Univ, Shandong Prov Hosp, Jinan 250100, Peoples R China [5]Jiangsu Prov Hosp Integrat Chinese & Western Med, Nanjing, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Wuhan 430074, Peoples R China [7]Guiyang Med Coll, Affiliated Hosp, Guiyang, Peoples R China [8]Harbin Med Univ, Affiliated Hosp 2, Harbin, Peoples R China [9]Nanjing Med Univ, Jiangsu Prov Hosp, Affiliated Hosp 1, Nanjing, Jiangsu, Peoples R China [10]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Guangzhou 510275, Guangdong, Peoples R China [11]Luzhou Med Coll, Affiliated Hosp, Luzhou, Peoples R China [12]Karamay Municipal Peoples Hosp, Xinjiang, Peoples R China [13]Jilin Univ, Hosp 1, Changchun 130023, Peoples R China [14]Guangxi Med Univ, Affiliated Hosp 1, Nanning, Peoples R China [15]Lanzhou Univ, Hosp 1, Lanzhou 730000, Peoples R China [16]Fujian Med Univ, Fujian Prov Hosp, Fuzhou, Peoples R China [17]Jiangxi Peoples Hosp, Nanchang, Peoples R China [18]Dalian Municipal Cent Hosp, Dalian, Peoples R China [19]Shanghai Jiao Tong Univ, Sch Med, Xinhua Hosp, Shanghai 200030, Peoples R China [20]Zhejiang Prov Ctr Dis Control & Prevent, Hangzhou, Zhejiang, Peoples R China [21]Anhui Med Univ, Affiliated Hosp 1, Hefei, Peoples R China [22]Zhengzhou Univ, Affiliated Hosp 1, Zhengzhou 450052, Peoples R China [23]Chongqing Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China [24]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Wuhan 430074, Peoples R China [25]Wenzhou Med Univ, Affiliated Hosp 1, Wenzhou, Peoples R China [26]Shandong Univ, Sch Med, Qilu Hosp, Jinan 250100, Peoples R China [27]Johns Hopkins Univ, Sch Med, Baltimore, MD USA [28]Mt Sinai Sch Med, New York, NY USA [29]Univ Texas MD Anderson Canc Ctr, Dept Gastrointestinal Med Oncol, Houston, TX 77030 USA
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AimsFew studies have analysed the effect of sleep duration and snoring on hypertension and glycaemic control in patients with diabetes. This study aims to investigate the relationship of sleep duration and snoring on prevalent hypertension and glycaemic control in people with diabetes. MethodsIn the baseline survey of the REACTION study, 56032 patients with diabetes were categorized into four groups according to self-reported sleep duration: <6, 6-7.9, 8-8.9 and 9h. Snoring frequency was evaluated as usually', occasionally' or never'. Hypertension was assessed by systolic blood pressure, diastolic blood pressure, self-reported previous diagnosis and antihypertensive medications. Good' glycaemic control was defined as HbA(1c) <53mmol/mol (7.0%) and poor' glycaemic control as HbA(1c) 53mmol/mol (7.0%). ResultsControlling for potential confounders and intermediates, sleep 9h relative to intermediate sleep (6-7.9h) was significantly associated with prevalent hypertension (OR: 1.25, 95% CI: 1.18-1.32) and poor glycaemic control (OR: 1.11, 95% CI: 1.05-1.18), and a U-shaped association was found between sleep duration and prevalent hypertension (P for quadratic trend=0.019). Usually snoring was positively associated with prevalent hypertension (OR: 1.30, 95% CI: 1.23-1.37), whereas the association between snoring and poor glycaemic control was only on the borderline of statistical significance. ConclusionsCompared with a sleep duration of 6-7.9h, longer sleep duration was associated with a higher prevalence of hypertension and poor glycaemic control in people with diabetes. Moreover, the relationship between sleep duration and prevalent hypertension was U-shaped. These findings may propose important public health implications for diabetes management. What's new? <list list-type="bulleted" id="dme12809-list-0001"> Longer sleep duration (8h) was positively associated with prevalent hypertension and poor glycaemic control in patients with diabetes, and the association between sleep duration and prevalent hypertension was U-shaped. The findings may have implications for diabetes management.

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出版当年[2014]版:
大类 | 3 区 医学
小类 | 3 区 内分泌学与代谢
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 内分泌学与代谢
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出版当年[2013]版:
Q2 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q2 ENDOCRINOLOGY & METABOLISM

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第一作者单位: [1]Shanghai Jiao Tong Univ, Sch Med,Minist Hlth, State Key Lab Med Genom,Key Lab Endocrine & Metab, Natl Clin Res Ctr Metab Dis,Collaborat Innovat Ct, Shanghai 200030, Peoples R China [2]Shanghai Jiao Tong Univ, Sch Med, Rui Jin Hosp, Shanghai Clin Ctr Endocrine & Metab Dis, Shanghai 200030, Peoples R China
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通讯机构: [1]Shanghai Jiao Tong Univ, Sch Med,Minist Hlth, State Key Lab Med Genom,Key Lab Endocrine & Metab, Natl Clin Res Ctr Metab Dis,Collaborat Innovat Ct, Shanghai 200030, Peoples R China [2]Shanghai Jiao Tong Univ, Sch Med, Rui Jin Hosp, Shanghai Clin Ctr Endocrine & Metab Dis, Shanghai 200030, Peoples R China
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