Author, as appears in the article.: Rosique-Esteban N, Papandreou C, Romaguera D, Warnberg J, Corella D, Martínez-González MÁ, Díaz-López A, Estruch R, Vioque J, Arós F, Garcia-Rios A, Bueno-Cavanillas A, Vidal J, Serra-Majem L, Sibai AA, Tinahones FJ, Martínez JA, Ordovás JM, Tur JA, Ellacuría MT, Sanllorente A, Pintó X, Buil-Cosiales P, Fernández-Carrion R, Castañer O, Bulló M, Ruiz-Canela M, Garcia-de la Hera M, Pérez-Farinós N, Barón-López FJ, Colom A, Abete I, Ros E, Salas-Salvadó J
Department: Bioquímica i Biotecnologia
URV's Author/s: Bulló Bonet, Mònica / Díaz López, Andres / ROSIQUE ESTEBAN, NÚRIA / Salas Salvadó, Jorge
Keywords: Type 2 diabetes Sleep duration Obesity Night-to-night sleep variability Body composition Adiposity Accelerometry
Abstract: To examine independent and combined associations of sleep duration and sleep variability with body composition, obesity and type 2 diabetes (T2D) in elders at high cardiovascular risk.Cross-sectional analysis of 1986 community-dwelling elders with overweight/obesity and metabolic syndrome from PREDIMED-Plus trial. Associations of accelerometry-derived sleep duration and sleep variability with body mass index (BMI), waist circumference (WC) and body composition were assessed fitting multivariable-adjusted linear regression models. Prevalence ratios (PR) and 95% confidence intervals (CI) for obesity and T2D were obtained using multivariable-adjusted Cox regression with constant time. "Bad sleepers" (age-specific non-recommended sleep duration plus sleep variability above the median) and "good sleepers" (age-specific recommended sleep duration plus sleep variability below the median) were characterized by combining sleep duration and sleep variability, and their associations with these outcomes were examined.One hour/night increment in sleep duration was inversely associated with BMI (? -0.38 kg/m 2 [95% CI -0.54, -0.23]), WC (? -0.86 cm [95% CI -1.25, -0.47]), obesity (PR 0.96 [95% CI 0.93, 0.98]), T2D (PR 0.93 [95% CI 0.88, 0.98]) and other DXA-derived adiposity-related measurements (android fat and trunk fat, all p < .05). Each 1-hour increment in sleep variability was positively associated with T2D (PR 1.14 [95% CI 1.01, 1.28]). Compared with "good sleepers," "bad sleepers" were positively associated with obesity (PR 1.12 [95% CI 1.01, 1.24]) and T2D (PR 1.62 [95% CI 1.28, 2.06]).This study revealed cross-sectional associations of sleep duration with adiposity parameters and obesity. Sleep duration and sleep variability were associated with T2D. Considering simultaneously sleep duration and sleep variability could have additional value, particularly for T2D, as they may act synergistically.
Thematic Areas: Saúde coletiva Psychology Psychiatry Psicología Physiology (medical) Neurosciences Neurology (clinical) Medicine (all) Medicina ii Medicina i Interdisciplinar Engenharias iv Enfermagem Educação física Clinical neurology Ciencias sociales Ciências biológicas ii Ciências biológicas i Biotecnología Behavioral sciences
licence for use: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 01618105
Author's mail: andres.diaz@urv.cat jordi.salas@urv.cat monica.bullo@urv.cat
Author identifier: 0000-0002-7500-5629 0000-0003-2700-7459 0000-0002-0218-7046
Record's date: 2024-05-23
Papper version: info:eu-repo/semantics/acceptedVersion
Link to the original source: https://academic.oup.com/sleep/article/41/12/zsy190/5115226?login=false
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Sleep. 41 (12):
APA: Rosique-Esteban N, Papandreou C, Romaguera D, Warnberg J, Corella D, Martínez-González MÁ, Díaz-López A, Estruch R, Vioque J, Arós F, Garcia-Rios A, B (2018). Cross-sectional associations of objectively-measured sleep characteristics with obesity and type 2 diabetes in the PREDIMED-Plus trial.. Sleep, 41(12), -. DOI: 10.1093/sleep/zsy190
Article's DOI: 10.1093/sleep/zsy190
Entity: Universitat Rovira i Virgili
Journal publication year: 2018
Publication Type: Journal Publications
Repositori URV