Sleep duration and insulin resistance in healthy black and white adolescents
Open accessAbstract
STUDY OBJECTIVES: Poor sleep may play a role in insulin resistance and diabetes risk. Yet few studies of sleep and insulin resistance have focused on the important developmental period of adolescence. To address this gap, we examined the association of sleep and insulin resistance in healthy adolescents. DESIGN: Cross-sectional. SETTING: Community setting in one high school. PARTICIPANTS: 245 (137 African Americans, 116 males) high school students. MEASUREMENTS AND RESULTS: Participants provided a fasting blood draw and kept a sleep log and wore a wrist actigraph for one week during the school year. Participants' families were from low to middle class based on family Hollingshead scores. Total sleep time across the week averaged 7.4 h by diary and 6.4 h by actigraph; homeostatic model assessment of insulin resistance ([HOMA-IR] unadjusted) averaged 4.13. Linear regression analyses adjusted for age, race, gender, body mass index, and waist circumference showed that the shorter the sleep, the higher the HOMA-IR, primarily due to sleep duration during the week. No evidence was found for long sleep being associated with elevated HOMA-IR. Fragmented sleep was not associated with HOMA-IR but was associated with glucose levels. CONCLUSIONS: Reduced sleep duration is associated with HOMA-IR in adolescence. Long sleep duration is not associated. Interventions to extend sleep duration may reduce diabetes risk in youth.
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Short sleep duration is linked to impaired glucose metabolism in children and adolescents.
“Additionally, there is robust evidence linking short sleep duration to impaired glucose metabolism.”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [191]
In adolescents, sleep reduction is associated with measurable changes in insulin sensitivity, whereas durations of sleep longer than average are not associated with such changes.
“For instance, in adolescents, sleep reduction is associated with measurable changes in insulin sensitivity,45 whereas durations of sleep longer than average are not associated with such changes.”
From Sleep Deprivation and Circadian Disruption (2015) · cites this paper as [45]
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Getting a Good Night's Sleep in Adolescence: Do Strategies for Coping With Stress Matter?
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Daily timing of the adolescent sleep phase: Insights from a cross-species comparison
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Dietary Patterns in Relation to Prospective Sleep Duration and Timing among Mexico City Adolescents
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Association Between Shiftwork and Glomerular Filtration Rate in Police Officers
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Effect of Slow Wave Sleep Disruption on Metabolic Parameters in Adolescents
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Effects of sports training on sleep characteristics of Asian adolescent athletes
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Sleep deficiency on school days in Icelandic youth, as assessed by wrist accelerometry
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Rechenberg, K., Grey, M. J., & Sadler, L. S. (2018) · Research in Nursing & Health · doi:10.1002/nur.21913 · Cited by 27 · see citing works
Impact of menstrual cycle phase on endocrine effects of partial sleep restriction in healthy women
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Lifestyle Interventions to Reduce Diabetes and Cardiovascular Disease Risk Among Children
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Effects of Sleep Deficiency on Hormones, Cytokines, and Metabolism
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Sleep duration and timing are prospectively linked with insulin resistance during late adolescence
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Is daytime napping associated with inflammation in adolescents?
Jakubowski, K., Hall, M. H., Marsland, A. L., & Matthews, K. A. (2016) · Health Psychology · doi:10.1037/hea0000369 · Cited by 20 · see citing works
Sleeping patterns and childhood obesity: an epidemiological study in 1,728 children in Greece
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Effects of chronic sleep deprivation on glucose homeostasis in rats
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Sleep in children with cystic fibrosis: More under the covers
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The diagnosis and management of common sleep disorders in adolescents
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The association between social jetlag and depression is independent of sleep debt
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Impact of short sleep on metabolic variables in obese children with obstructive sleep apnea
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Normal Sleep in Children and Adolescence
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Sleep Problems and Health Outcomes Among Urban American Indian and Alaska Native Adolescents
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Glycated hemoglobin and sleep apnea syndrome in children: beyond the apnea–hypopnea index
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The puzzle of metabolic effects of obstructive sleep apnoea in children
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Sleep and Insulin Resistance in Adolescents
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Adolescent’s Health Behaviors and Risk for Insulin Resistance: A Review of the Literature
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- Authors
- Matthews, K. A., Dahl, R. E., Owens, J. F., Lee, L., & Hall, M.
- Affiliations
- University of Pittsburgh (US)
- University of California, Berkeley (US)
- Corresponding author
- Matthews, Karen A.
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-10
- Volume
- 35
- Issue
- 10
- Pages
- 1353-1358
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC3443761
- OpenAlex
- W2005989015
- Cited by
- 140
- References
- 38
- Citations by year
- 2026: 2 · 2024: 6 · 2023: 7 · 2022: 6 · 2021: 11 · 2020: 15 · 2019: 4 · 2018: 14 · 2017: 9 · 2016: 19 · 2015: 18 · 2014: 20 · 2013: 6 · 2012: 3
- FWCI
- 20.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL025767, R01HL025767)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep duration, insulin resistance, adolescents, African American adolescents, racial differences, diabetes risk, HOMA-IR, sleep fragmentation, glucose concentration, actigraphy, sleep diary
- MeSH terms
- Adolescent, Black or African American, Blood Glucose, Cross-Sectional Studies, Female, Humans, Insulin Resistance, Male, Sleep, Sleep Deprivation, Time Factors, Black People, White People, Actigraphy
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