期刊论文详细信息
BMC Public Health
Association of sleep duration and insulin resistance in Taiwanese vegetarians
Jui-Kun Chiang2  Vivia Yu-Ying Kao1  Malcolm Koo3  Jiunn-Kae Chang1 
[1] Department of Biotechnology, Chia Nan University of Pharmacy & Science, Tainan, Taiwan;Department of Family Medicine, Buddhist Dalin Tzu Chi General Hospital, 2 Min-Sheng Road, Dalin, Chiayi, Taiwan;Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
关键词: Vegetarian;    Insulin resistance;    Sleep duration;   
Others  :  1163268
DOI  :  10.1186/1471-2458-12-666
 received in 2012-04-04, accepted in 2012-07-20,  发布年份 2012
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【 摘 要 】

Background

Short sleep duration has been reported to associate with increased insulin resistance. However, no studies have investigated whether such association exists in vegetarians. The aim of this study was to investigate the association between sleep duration and insulin resistance in Taiwanese vegetarians.

Methods

A total of 1290 individuals were recruited from a regional hospital in south Taiwan during their regular routine physical examination. Only individuals who described themselves as Buddhist vegetarians were included in the study. Demographic information and clinical characteristics were collected and multiple logistic regression analysis was used to evaluate the association between sleep duration and insulin resistance.

Results

A total of 433 vegetarians were included in the study. Results from univariate logistic regression indicated that insulin resistance was significantly associated with male sex, greater waist circumference, higher triglyceride levels, lower high-density lipoprotein cholesterol levels, higher plasma creatinine levels, higher alanine transaminase levels, greater energy expenditure, and sleep duration of more than 8 hours per night. Multiple logistic regression revealed that insulin resistance was significantly and independently associated with sleep duration of more than 8 hours per night (odd ratios = 2.27, 95% confidence interval = 1.24, 4.11) after adjusting for waist circumference and levels of alanine transaminase.

Conclusions

Sleep duration of more than 8 hours per night is an independent risk factor associated with increased insulin resistance in vegetarians.

【 授权许可】

   
2012 Chang et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Wheaton AG, Perry GS, Chapman DP, McKnight-Eily LR, Presley-Cantrell LR, Croft JB: Relationship between body mass index and perceived insufficient sleep among U.S. adults: an analysis of 2008 BRFSS data. BMC Publ Health 2011, 11:295. BioMed Central Full Text
  • [2]Shi Z, Taylor AW, Gill TK, Tuckerman J, Adams R, Martin J: Short sleep duration and obesity among Australian children. BMC Publ Health 2010, 10:609. BioMed Central Full Text
  • [3]Van Cauter E, Spiegel K, Tasali E, Leproult R: Metabolic consequences of sleep and sleep loss. Sleep Med 2008, 9(Suppl 1):S23-S28.
  • [4]Patel SR, Hu FB: Short sleep duration and weight gain: a systematic review. Obesity 2008, 16:643-653.
  • [5]Kim J, Jo I: Age-dependent association between sleep duration and hypertension in the adult Korean population. Am J Hypertens 2010, 23:1286-1291.
  • [6]Hoevenaar-Blom MP, Spijkerman AM, Kromhout D, van den Berg JF, Verschuren WM: Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study. Sleep 2011, 34:1487-1492.
  • [7]Thompson CL, Larkin EK, Patel S, Berger NA, Redline S, Li L: Short duration of sleep increases risk of colorectal adenoma. Cancer 2011, 117:841-847.
  • [8]Koren D, Levitt Katz LE, Brar PC, Gallagher PR, Berkowitz RI, Brooks LJ: Sleep architecture and glucose and insulin homeostasis in obese adolescents. Diabetes Care 2011, 34:2442-2447.
  • [9]Choi KM, Lee JS, Park HS, Baik SH, Choi DS, Kim SM: Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001. Int J Obes 2008, 32:1091-1097.
  • [10]Chao CY, Wu JS, Yang YC, Shih CC, Wang RH, Lu FH, Chang CJ: Sleep duration is a potential risk factor for newly diagnosed type 2 diabetes mellitus. Metabolism 2011, 60:799-804.
  • [11]Yaggi HK, Araujo AB, McKinlay JB: Sleep duration as a risk factor for the development of type 2 diabetes. Diabetes Care 2006, 29:657-661.
  • [12]Cappuccio FP, D'Elia L, Strazzullo P, Miller MA: Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep 2010, 33:585-592.
  • [13]Liu R, Zee PC, Chervin RD, Arguelles LM, Birne J, Zhang S, Christoffel KK, Brickman WJ, Zimmerman D, Wang B, Wang G, Xu X, Wang X: Short sleep duration is associated with insulin resistance independent of adiposity in Chinese adult twins. Sleep Med 2011, 12:914-919.
  • [14]Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T: Relation between metabolic syndrome and sleep duration in Japan: a large scale cross-sectional study. Intern Med 2011, 50:103-107.
  • [15]Wang WS, Wahlqvist ML, Hsu CC, Chang HY, Chang WC, Chen CC: Age- and gender-specific population attributable risks of metabolic disorders on all-cause and cardiovascular mortality in Taiwan. BMC Publ Health 2012, 12:111. BioMed Central Full Text
  • [16]Jennings JR, Muldoon MF, Hall M, Buysse DJ, Manuck SB: Self-reported sleep quality is associated with the metabolic syndrome. Sleep 2007, 30:219-223.
  • [17]Hall MH, Muldoon MF, Jennings JR, Buysse DJ, Flory JD, Manuck SB: Self-reported sleep duration is associated with the metabolic syndrome in midlife adults. Sleep 2008, 31:635-643.
  • [18]Reaven GM: Insulin resistance: the link between obesity and cardiovascular disease. Med Clin North Am 2011, 95:875-892.
  • [19]Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J, Salonen JT: The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA 2002, 288:2709-2716.
  • [20]Kashyap SR, Defronzo RA: The insulin resistance syndrome: physiological considerations. Diab Vasc Dis Res 2007, 4:13-19.
  • [21]Valachovicová M, Krajcovicová-Kudlácková M, Blazícek P, Babinská K: No evidence of insulin resistance in normal weight vegetarians. A case control study. Eur J Nutr 2006, 45:52-54.
  • [22]Zhang L, Qin LQ, Liu AP, Wang PY: Prevalence of risk factors for cardiovascular disease and their associations with diet and physical activity in suburban Beijing, China. J Epidemiol 2010, 20:237-243.
  • [23]Rizzo NS, Sabaté J, Jaceldo-Siegl K, Fraser GE: Vegetarian dietary patterns are associated with a lower risk of metabolic syndrome: the adventist health study 2. Diabetes Care 2011, 34:1225-1227.
  • [24]Fu CH, Yang CC, Lin CL, Kuo TB: Effects of long-term vegetarian diets on cardiovascular autonomic functions in healthy postmenopausal women. Am J Cardiol 2006, 97:380-383.
  • [25]Wang YF, Chiu JS, Chuang MH, Chiu JE, Lin CL: Bone mineral density of vegetarian and non-vegetarian adults in Taiwan. Asia Pac J Clin Nutr 2008, 17:101-106.
  • [26]Lu SC, Wu WH, Lee CA, Chou HF, Lee HR, Huang PC: LDL of Taiwanese vegetarians are less oxidizable than those of omnivores. J Nutr 2000, 130:1591-1596.
  • [27]Hung CJ, Huang PC, Li YH, Lu SC, Ho LT, Chou HF: Taiwanese vegetarians have higher insulin sensitivity than omnivores. Br J Nutr 2006, 95:129-135.
  • [28]Patel SR, Zhu X, Storfer-Isser A, Mehra R, Jenny NS, Tracy R, Redline S: Sleep duration and biomarkers of inflammation. Sleep 2009, 32:200-204.
  • [29]Chien MY, Wu YT, Kwan WK, Chien CL: Reliability of the Chinese version of the 7-day recall physical activity questionnaire and its correlation with impairments of disease and function. Formosan J Phys Ther 2003, 28:1-8.
  • [30]Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC: Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985, 28:412-419.
  • [31]Balkau B, Charles MA, Drivsholm T, Borch-Johnsen K, Wareham N, Yudkin JS, Morris R, Zavaroni I, van Dam R, Feskins E, Gabriel R, Diet M, Nilsson P, Hedblad B: Frequency of the WHO metabolic syndrome in European cohorts, and an alternative definition of an insulin resistance syndrome. Diabetes Metab 2002, 28:364-366.
  • [32]R 2.13.0. Development Core Team: R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2011. http://www.R-project.org webcite
  • [33]Knutson KL, Van Cauter E: Associations between sleep loss and increased risk of obesity and diabetes. Ann N Y Acad Sci 2008, 1129:287-304.
  • [34]Spiegel K, Leproult R, Van Cauter E: Impact of sleep debt on metabolic and endocrine function. Lancet 1999, 354:1435-1439.
  • [35]Patel SR, Malhotra A, Gottlieb DJ, White DP, Hu FB: Correlates of long sleep duration. Sleep 2006, 29:881-889.
  • [36]Stranges S, Dorn JM, Shipley MJ, Kandala NB, Trevisan M, Miller MA, Donahue RP, Hovey KM, Ferrie JE, Marmot MG, Cappuccio FP: Correlates of short and long sleep duration: a cross-cultural comparison between the United Kingdom and the United States: the Whitehall II Study and the Western New York Health Study. Am J Epidemiol 2008, 168:1353-1364.
  • [37]Pradhan AD, Manson JE, Rifai N, Buring JE, Ridker PM: C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA 2001, 286:327-334.
  • [38]Rankinen T, Kim SY, Pérusse L, Després JP, Bouchard C: The prediction of abdominal visceral fat level from body composition and anthropometry: ROC analysis. Int J Obes Relat Metab Disord 1999, 23:801-809.
  • [39]Wahrenberg H, Hertel K, Leijonhufvud BM, Persson LG, Toft E, Arner P: Use of waist circumference to predict insulin resistance: retrospective study. BMJ 2005, 330:1363-1364.
  • [40]Lee JM, Davis MM, Woolford SJ, Gurney JG: Waist circumference percentile thresholds for identifying adolescents with insulin resistance in clinical practice. Pediatr Diabetes 2009, 10:336-342.
  • [41]Nilsson G, Hedberg P, Jonason T, Lonnberg I, Tenerz A, Forberg R, Ohrvik J: Waist circumference alone predicts insulin resistance as good as the metabolic syndrome in elderly women. Eur J Int Med 2008, 19:520-526.
  • [42]Vozarova B, Stefan N, Lindsay RS, Saremi A, Pratley RE, Bogardus C, Tataranni PA: High alanine aminotransferase is associated with decreased hepatic insulin sensitivity and predicts the development of type 2 diabetes. Diabetes 2002, 51:1889-1895.
  • [43]Sattar N, Scherbakova O, Ford I, O’Reilly DS, Stanley A, Forrest E, Macfarlane PW, Packard CJ, Cobbe SM, Shepherd J: Elevated alanine aminotransferase predicts new-onset type 2 diabetes independently of classical risk factors, metabolic syndrome, and C-reactive protein in the West of Scotland Coronary Prevention Study. Diabetes 2004, 53:2855-2860.
  • [44]Martins RC, Andersen ML, Tufik S: The reciprocal interaction between sleep and type 2 diabetes mellitus: facts and perspectives. Braz J Med Biol Res 2008, 41:180-187.
  • [45]Tasali E, Ip MS: Obstructive sleep apnea and metabolic syndrome: alterations in glucose metabolism and inflammation. Proc Am Thorac Soc 2008, 5:207-217.
  • [46]McIntyre RS, Soczynska JK, Konarski JZ, Woldeyohannes HO, Law CW, Miranda A, Fulgosi D, Kennedy SH: Should Depressive Syndromes Be Reclassified as "Metabolic Syndrome Type II"? Ann Clin Psychiatry 2007, 19:257-264.
  • [47]Signal TL, Gale J, Gander PH: Sleep measurement in flight crew: comparing actigraphic and subjective estimates to polysomnography. Aviat Space Environ Med 2005, 76:1058-1063.
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