白天小睡与糖尿病的发生和发展之间的关系:系统性审查和元分析
Mengdie Liu1, Minhui Liu2, Shuo Wang1
1School of Nursing, Xuzhou Medical University, Xuzhou, China.
BMJ open
|September 22, 2023
概括
习惯性小睡与患糖尿病的风险更高,并且在已经诊断出来的人中血糖控制较差. 较长的午睡,超过60分钟,显著提高糖尿病风险,这需要进一步调查午睡时间和糖尿病管理.
科学领域:
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
- 流行病学 流行病学
背景情况:
- 糖尿病是一种全球性健康问题,患病率越来越高.
- 血糖控制对于管理糖尿病和预防并发症至关重要.
- 午睡对糖尿病风险和血糖控制的影响仍然不完全理解.
研究的目的:
- 调查习惯性小睡和患糖尿病的风险之间的联系.
- 为了检查午睡和糖尿病患者的血糖控制之间的关系.
- 探索午睡时间对糖尿病风险和血糖控制的影响.
主要方法:
- 一个系统的审查和观测研究的元分析.
- 在主要数据库 (MEDLINE,EMBASE,Web of Science,Cochrane Library) 进行的文献搜索,截至2023年5月.
- 数据提取和质量评估由两个独立的审查员进行,并使用固定和随机效应模型进行聚合分析.
主要成果:
- 包括40项涉及成年人群的研究.
- 习惯性小睡与糖尿病风险增加 (OR 1.20) 和血糖控制较差 (OR 2.05) 有关.
- 超过60分钟的午睡持续时间显著增加了糖尿病风险 (OR1.31),而持续时间低于30分钟没有显著关联.
结论:
- 午睡与糖尿病风险增加和血糖控制受损有关.
- 睡眠时间超过60分钟,与糖尿病风险增加有显著关联.
- 需要进一步的研究来探索潜在的性别和区域差异,以及糖尿病患者中午睡时间和血糖控制之间的确切关系.
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