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Sleep Duration and Risk of Type 2 Diabetes
Alicja R Rudnicka1, Claire M Nightingale2, Angela S Donin2
1Population Health Research Institute, St George's, University of London, London, United Kingdom; and arudnick@sgul.ac.uk.
Insights
Longer sleep duration in childhood is linked to lower type 2 diabetes risk markers. This study found inverse associations between sleep and key indicators like BMI and insulin resistance, suggesting sleep as a potential prevention strategy.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Metabolic Health
Background:
- Childhood sleep duration's impact on type 2 diabetes (T2D) risk markers is understudied.
- Limited research exists on the relationship between sleep patterns and metabolic health in children.
Purpose of the Study:
- To investigate the association between self-reported sleep duration and T2D risk markers in UK children.
- To explore how sleep duration correlates with anthropometric, metabolic, and cardiovascular risk factors in a pediatric cohort.
Main Methods:
- A cross-sectional study involving 4525 multiethnic children aged 9-10 years.
- Sleep duration assessed via self-report and validated with accelerometry in a subset.
- Statistical analysis using multilevel linear regression models adjusted for various covariates.
Main Results:
- Children sleeping longer had significantly lower BMI, fat mass index, insulin resistance (HOMA-IR), and fasting glucose levels.
- A 1-hour increase in sleep duration correlated with a 0.19 decrease in BMI and a 2.9% decrease in HOMA-IR.
- Associations between sleep duration and insulin/glucose remained significant even after adjusting for adiposity.
Conclusions:
- A novel inverse association was identified between sleep duration and T2D risk markers in childhood.
- Findings suggest that adequate sleep may be a simple strategy for early prevention of type 2 diabetes.
- Further intervention studies are recommended to confirm causality and explore practical applications.
Background:
Associations between sleep duration and type 2 diabetes (T2D) risk markers in childhood have been little studied. We examined associations between self-reported sleep duration and T2D risk markers in children.
Methods:
Cross-sectional study of 4525 multiethnic UK children aged 9 to 10 years. Sleep time was calculated from self-reported usual time of going to bed and getting up on a school day, validated in a subset using accelerometers. Fasting blood samples provided levels of serum lipids and insulin, plasma glucose, and HbA1c. Physical measures included height, weight, bioimpedance, and blood pressure. Multilevel linear regression models of anthropometric, T2D, and cardiovascular risk markers with sleep duration were adjusted for sex, age, month, ethnicity, socioeconomic position, observer (physical measures only), and random effect of school.
Results:
On average, children slept 10.5 hours per night (95% range 8.0-12.0 hours). There were strong inverse graded relationships between sleep duration, adiposity, and diabetes risk markers. In adjusted models, a 1-hour-longer sleep duration was associated with 0.19 lower BMI (95% confidence interval [CI] 0.09 to 0.28), 0.03 kg/m5 lower fat mass index (95% CI 0.00 to 0.05 kg/m5), 2.9% lower homeostasis model assessment insulin resistance (95% CI 1.2% to 4.4%), and 0.24% lower fasting glucose (95% CI 0.03% to 0.44%); there was no association with HbA1c or cardiovascular risk. Associations with insulin and glucose remained after an additional adjustment for adiposity markers.
Conclusions:
The finding of an inverse association between sleep duration and T2D risk markers in childhood is novel. Intervention studies are needed to establish the causality of these associations, which could provide a simple strategy for early T2D prevention.
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