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The effect of sleep duration on the risk of diabetes mellitus in an open population of men aged 45–64 years (international epidemiological studies)

https://doi.org/10.14412/2074-2711-2021-6-23-28

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Abstract

Objective: to study the effect of sleep duration on the 16-year risk of developing type 2 diabetes mellitus (DM) in an open population of men aged 45–64 years living in Novosibirsk.
Patients and methods. In 2003–2005 during the IV screening (HAPIEE project), a representative sample of men aged 45–69 years (n=781; mean age – 56.48±0.2 years, response rate – 61%) was examined. A standard clinical and epidemiological examination was carried out: sleep duration was assessed using the Jenkins scale, the level of state-trait anxiety (STA) – using the Spielberger self-assessment scale, depression, life exhaustion, family and workplace stress – with MONICA-MOPSY scales. Social support was assessed with Berkman–Syme Social Network Index. The cohort was followed up for 16 years.
Results and discussion. In the studied population of men aged 45–64 years, the most common sleep duration was 7 hours (44.7%), in second place – 8 hours of sleep (27.6%), in third place – 6 hours of sleep (16.4%). Among people with newly diagnosed DM, 7-hour sleep prevailed – 39.2%, 6- and 8-hour sleep – 25.3% each (÷2=7.774; df=5; p>0.05). In men with 5–6 hours of sleep, compared with men sleeping for 7–8 hours, we found a 1.72-fold increased 16-year risk of developing diabetes (95% CI 1.066–2.776; p<0.05), and in men aged 45–54 years – a 1.868-fold increase (95% CI 1.089–3.927; p<0.05). In the Cox-proportional multivariate model, an independent effect on the diabetes risk was observed for: 5–6 hours of sleep at night: hazard ratio (HR) 1.561 (95% CI 1.063–2.83; p<0.001), depression (HR 1.767; 95% CI 1.058–2.952; p<0.05), life exhaustion (HR 1.511; 95% CI 1.266–2.984; p<0.05), and low and medium-1 SNI (HR 1.956; 95% CI 1.074–3.560; p<0.05).
Conclusion. Short and very short sleep duration could be defined as a major risk factor of DM.

About the Authors

V. V. Gafarov
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences; Collaborative Laboratory of Cardiovascular Diseases Epidemiology
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



E. A. Gromova
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences; Collaborative Laboratory of Cardiovascular Diseases Epidemiology
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



D. O. Panov
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences; Collaborative Laboratory of Cardiovascular Diseases Epidemiology
Russian Federation

175/1, B. Bogatkov St., Novosibirsk 630089, Russia



L. V. Shcherbakova
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



A. N. Tripelgorn
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



S. K. Malyutina
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



O. D. Rymar
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



S. V. Mustafina
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



I. V. Gagulin
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences; Collaborative Laboratory of Cardiovascular Diseases Epidemiology
Russian Federation

 175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



A. V. Gafarova
Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center «Research Institute of Cytology and Genetics», Siberian Branch, Russian Academy of Sciences; Collaborative Laboratory of Cardiovascular Diseases Epidemiology
Russian Federation

175/1, B. Bogatkov St., Novosibirsk 630089, Russia 



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For citations:


Gafarov V.V., Gromova E.A., Panov D.O., Shcherbakova L.V., Tripelgorn A.N., Malyutina S.K., Rymar O.D., Mustafina S.V., Gagulin I.V., Gafarova A.V. The effect of sleep duration on the risk of diabetes mellitus in an open population of men aged 45–64 years (international epidemiological studies). Neurology, Neuropsychiatry, Psychosomatics. 2021;13(6):23-28. https://doi.org/10.14412/2074-2711-2021-6-23-28

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)