Interaction of sleep quality and sleep duration on impaired fasting glucose: a population-based cross-sectional survey in China
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OBJECTIVES: To explore the interactions of sleep quality and sleep duration and their effects on impaired fasting glucose (IFG) in Chinese adults. DESIGN: Cross-sectional survey. SETTING: Community-based investigation in Xuzhou, China. PARTICIPANTS: 15 145 Chinese men and women aged 18-75 years old who fulfilled the inclusion criteria. PRIMARY AND SECONDARY OUTCOME MEASURES: The Pittsburgh Sleep Quality Index was used to produce sleep quality categories of good, common and poor. Fasting blood glucose levels were assessed for IFG. Sleep duration was measured by average hours of sleep per night, with categories of <6, 6-8 and >8 h. The products of sleep and family history of diabetes, obesity and age were added to the logistic regression model to evaluate the addictive interaction and relative excess risk of interaction (RERI) on IFG. The attributable proportion (AP) of the interaction and the synergy index (S) were applied to evaluate the additive interaction of two factors. Bootstrap measures were used to calculate 95% CI of RERI, AP and S. RESULTS: The prevalence of IFG was greatest in those with poor sleep quality and short sleep duration (OR 6.37, 95% CI 4.66 to 8.67; p<0.001) compared with those who had good sleep quality and 6-8 h sleep duration, after adjusting for confounders. After adjusting for potential confounders RERI, AP and S values (and their 95% CI) were 1.69 (0.31 to 3.76), 0.42 (0.15 to 0.61) and 2.85 (2.14 to 3.92), respectively, for the interaction between poor sleep quality and short sleep duration, and 0.78 (0.12 to 1.43), 0.61 (0.26 to 0.87) and -65 (-0.94 to -0.27) for the interaction between good sleep quality and long sleep duration. CONCLUSIONS: The results suggest that there are additive interactions between poor sleep quality and short sleep duration.
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Compared to good sleepers who sleep 6-8 hours, all other groups had increased odds of having impaired fasting glucose.
“Compared to good sleepers who sleep 6–8 hours all other groups had increased odds of having IFG.”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [182]
Poor sleepers who sleep <6 hours had the highest odds of impaired fasting glucose (OR 6.37, 95% CI 4.66 to 8.67).
“Poor sleepers who sleep <6 hours had the highest odds (OR 6.37, 95%CI 4.66 to 8.67)”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [182]
Good sleepers who sleep >8 hours had the second highest odds of impaired fasting glucose (OR 3.17, 95% CI 2.29 to 4.41).
“and good sleepers who sleep >8 hours had the second highest odds of IFG (OR 3.17, 95%CI 2.29 to 4.41) [182].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [182]
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- Authors
- Lou, P., Chen, P., Zhang, L., Zhang, P., Chang, G., Zhang, N., Li, T., & Qiao, C.
- Affiliations
- Xuzhou Medical College (CN)
- Corresponding author
- Lou, Peian
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2014-03
- Volume
- 4
- Issue
- 3
- Pages
- e004436
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC3963090
- OpenAlex
- W2108884391
- Cited by
- 67
- References
- 44
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 9 · 2021: 10 · 2020: 5 · 2019: 8 · 2018: 3 · 2017: 2 · 2016: 7 · 2015: 5 · 2014: 2
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Government of Jiangsu Province
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep quality, sleep duration, impaired fasting glucose, prediabetes, additive interaction, synergy index, attributable proportion, diabetes risk, Chinese adults
- MeSH terms
- Blood Glucose, China, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Fasting, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Prediabetic State, Surveys and Questionnaires, Risk Factors, Sleep, Sleep Wake Disorders, Prevalence, Logistic Models, Odds Ratio
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