Association between sleep duration and diabetes mellitus: Isfahan Healthy Heart Program
Open accessAbstract
BACKGROUND: Recent studies revealed an association between sleep disturbance and metabolic disorders, such as obesity and metabolic syndrome. An aim of this study was to assess the relation between sleep duration and diabetes mellitus in a representative sample of the Iranian population. MATERIALS AND METHODS: Participants were 12514 individuals, (6123 men and 6391 women) studied in the baseline survey of a community based program entitled Isfahan healthy heart program (IHHP). Sleep time was obtained by validated questionnaire. Diabetes mellitus was defined as fasting glucose over 126 mg/dl or 2 hour post prandial glucose at glucose tolerance test over 200 mg/dl, or if the patient was on diabetic medication. The relation between the sleep time and diabetes was examined using categorical logistic regression with adjustment for sex, body mass index and waist circumference. RESULTS: Compared with those, sleeping 7-8 hours per night, the individuals with sleeping time of 5 hours or less and aged <60 years had an increased odd ratio for diabetes and an impaired glucose tolerance. (OR = 1.37 and 95% CI = 1.13, 1.67). CONCLUSION: Sleep duration of 5 hours or less in individuals under age 60 years is associated with an increased prevalence of diabetes mellitus and an impaired glucose tolerance test. This finding should be confirmed in longitudinal studies.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Insufficient sleep and poor sleep quality may develop and exacerbate insulin resistance.
“Some studies have shown that insufficient sleep and poor sleep quality may develop and exacerbate insulin resistance. [44][45]][46]”
From Shift work and diabetes mellitus: a meta-analysis of observational studies (2015) · cites this paper as [45]
Cites
Impact of sleep debt on metabolic and endocrine function
Spiegel, K., Leproult, R., & Van Cauter, E. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01376-8 · Cited by 3,668 · see citing works
Mortality Associated With Sleep Duration and Insomnia
Kripke, D. F., Garfinkel, L., Wingard, D. L., Klauber, M. R., & Marler, M. R. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.131 · Cited by 1,614 · see citing works
A prospective study of self-reported sleep duration and incident diabetes in women
Ayas, N. T., White, D. P., Al-Delaimy, W. K., Manson, J. E., Stampfer, M. J., Speizer, F. E., Patel, S., & Hu, F. B. (2003) · Diabetes Care · doi:10.2337/diacare.26.2.380 · Cited by 883 · see citing works
Sleep duration as a risk factor for the development of type 2 diabetes
Yaggi, H. K., Araujo, A. B., & McKinlay, J. B. (2006) · Diabetes Care · doi:10.2337/diacare.29.03.06.dc05-0879 · Cited by 790 · see citing works
Diabetes and Sleep Disturbances
Resnick, H. E., Redline, S., Shahar, E., Gilpin, A., Newman, A., Walter, R., Ewy, G. A., Howard, B. V., & Punjabi, N. M. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.702 · Cited by 504 · see citing works
High Incidence of Diabetes in Men With Sleep Complaints or Short Sleep Duration
Mallon, L., Broman, J.-E., & Hetta, J. (2005) · Diabetes Care · doi:10.2337/diacare.28.11.2762 · Cited by 391 · see citing works
Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes
Surwit, R. S., van Tilburg, M. A. L., Zucker, N. L., McCaskill, C. C., Parekh, P. I., Feinglos, M. N., Edwards, C. L., Williams, P., & Lane, J. D. (2002) · Diabetes Care · doi:10.2337/diacare.25.1.30 · Cited by 366 · see citing works
Incidence of Diabetes in Middle-Aged Men Is Related to Sleep Disturbances
Nilsson, P. M., Rööst, M., Engström, G., Hedblad, B., & Berglund, G. (2004) · Diabetes Care · doi:10.2337/diacare.27.10.2464 · Cited by 322 · see citing works
Sleep as restitution: an introduction
Åkerstedt, T., & Nilsson, P. M. (2003) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2003.01195.x · Cited by 275 · see citing works
Sarrafzadegan, N., Sadri, G., Afzali, H. M., et al. (2003) · Acta Cardiologica · doi:10.2143/ac.58.4.2005288 · Cited by 239 · see citing works
Self-citationStudy, T. M. A. C., Meisinger, C., Heier, M., & Loewel, H. (2005) · Diabetologia · doi:10.1007/s00125-004-1634-x · Cited by 234 · see citing works
Sleep Disturbances in Midlife Unrelated to 32-Year Diabetes Incidence
Björkelund, C., Bondyr-Carlsson, D., Lapidus, L., Lissner, L., Månsson, J., Skoog, I., & Bengtsson, C. (2005) · Diabetes Care · doi:10.2337/diacare.28.11.2739 · Cited by 158 · cited 1× · see citing works
“In a number of cohort studies,[7-12] it has been shown that sleep disturbances including either an increased or decreased length of nocturnal sleep may increase an incidence of type-2 diabetes, with a higher rate in men than in women.”
BackgroundPsychological Stress and Metabolic Control in Patients with Type I Diabetes Mellitus
Kemmer, F. W., Bisping, R., Steingrüber, H.-J., Baar, H., Hardtmann, F., Schlaghecke, R., & Berger, M. (1986) · New England Journal of Medicine · doi:10.1056/nejm198604243141704 · Cited by 148 · see citing works
the HIPOP-OHP Research group, Hayashino, Y., Fukuhara, S., Suzukamo, Y., Okamura, T., Tanaka, T., & Ueshima, H. (2007) · BMC Public Health · doi:10.1186/1471-2458-7-129 · Cited by 136 · see citing works
Association between stress and glycemic control in adults with type 1 (insulin-dependent) diabetes.
Lloyd, C. E., Dyer, P., Lancashire, R. J., Harris, T., Daniels, J. E., & Barnett, A. H. (1999) · Diabetes Care · doi:10.2337/diacare.22.8.1278 · Cited by 127 · see citing works
Wiesli, P., Schmid, C., Kerwer, O., Nigg-Koch, C., Klaghofer, R., Seifert, B., Spinas, G. A., & Schwegler, K. (2005) · Diabetes Care · doi:10.2337/diacare.28.8.1910 · Cited by 88 · see citing works
Association between sleep duration and hemoglobin A1c level
Nakajima, H., Kaneita, Y., Yokoyama, E., Harano, S., Tamaki, T., Ibuka, E., Kaneko, A., Takahashi, I., Umeda, T., Nakaji, S., et al. (2007) · Sleep Medicine · doi:10.1016/j.sleep.2007.07.017 · Cited by 86 · see citing works
Enstrom, J. E., Kanim, L. E. A., & Breslow, L. (1986) · American Journal of Public Health · doi:10.2105/ajph.76.9.1124 · Cited by 65 · see citing works
Najafian, J., Toghianifar, N., Mohammadifard, N., & Nouri, F. (2011) · Europe PMC (PubMed Central) · Cited by 39 · see citing works
Self-citationRecent life events, gender, and the control of diabetes mellitus
Stenström, U., Wikby, A., Hörnquist, J. O., & Andersson, P. (1993) · General Hospital Psychiatry · doi:10.1016/0163-8343(93)90101-s · Cited by 34 · see citing works
Is overweight/obesity associated with short sleep duration in older women?
Chaput, J., Lord, C., Aubertin‐Leheudre, M., Dionne, I. J., Khalil, A., & Tremblay, A. (2007) · Aging Clinical and Experimental Research · doi:10.1007/bf03324704 · Cited by 23 · see citing works
Juuti, A.-K., Hiltunen, L. A., Rajala, U., Laakso, M., Härkönen, P. K., Hedberg, P. S. M., Ruokonen, A., Keinanen-Kiukaanniemi, S. M., & Läärä, E. (2008) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2008.02.002 · Cited by 13 · see citing works
Association between Sleep Duration and Body Mass Index and Waist Circumference
Najafian, J., Mohammadifard, N., Siadat, Z. D., Sadri, G., Ramazani, M., & Nouri, F. (2010) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 6 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4950 · Cited by 568 · see citing works
Shift work and diabetes mellitus: a meta-analysis of observational studies
Gan, Y., Yang, C., Tong, X., Sun, H., Cong, Y., Yin, X., Li, L., Cao, S., Dong, X., Gong, Y., et al. (2015) · Occupational and Environmental Medicine · doi:10.1136/oemed-2014-102150 · Cited by 526 · see citing works
Gao, Y., Gan, T., Jiang, L., Yu, L., Tang, D., Wang, Y., Li, X., & Ding, G. (2020) · Chronobiology International · doi:10.1080/07420528.2019.1683570 · Cited by 134 · see citing works
Lou, P., Chen, P., Zhang, L., Zhang, P., Chang, G., Zhang, N., Li, T., & Qiao, C. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-004436 · Cited by 67 · see citing works
van den Berg, R., Mook-Kanamori, D. O., Donga, E., van Dijk, M., van Dijk, J. G., Lammers, G.-J., van Kralingen, K. W., Prehn, C., Adamski, J., Romijn, J. A., et al. (2016) · Archives of Biochemistry and Biophysics · doi:10.1016/j.abb.2015.09.017 · Cited by 55 · see citing works
- Authors
- Najafian, J., Mohamadifard, N., Siadat, Z., Sadri, G., & Rahmati, M.
- Affiliations
- Isfahan University of Medical Sciences (IR)
- Arak University of Medical Sciences (IR)
- ORCID
- Najafian, J
- Venue
- Nigerian Journal of Clinical Practice
- Published
- 2013
- Volume
- 16
- Issue
- 1
- Pages
- 59
- ISSN
- 1119-3077 (ISSN-L)
- OpenAlex
- W2151484465
- Cited by
- 40
- References
- 23
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 8 · 2014: 6 · 2013: 4
- FWCI
- 9.01
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Nigerian Journal of Clinical Practice (publishedVersion, cc-by)
- PubMed (publishedVersion)
- 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 duration, diabetes mellitus, impaired glucose tolerance, short sleep duration, sleep disorders, metabolic syndrome, obesity, body mass index, waist circumference, Iranian population
- MeSH terms
- Adult, Blood Glucose, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Glucose Tolerance Test, Humans, Male, Middle Aged, National Health Programs, Nigeria, Obesity, Sleep, Sleep Wake Disorders, Body Mass Index, Incidence, Prevalence, Odds Ratio, Metabolic Syndrome, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review