Shorter Sleep Duration is Associated with Decreased Insulin Sensitivity in Healthy White Men
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STUDY OBJECTIVES: Short sleep has been linked to increased risk for type 2 diabetes and incident cardiovascular disease and acute sleep restriction impairs insulin-mediated glucose disposal. Here, we examined whether indices of glucose metabolism vary with naturally occurring differences in sleep duration. DESIGN AND MEASURES: Subjects were midlife, nondiabetic community volunteers (N = 224; mean age 44.5 ± 6.6 y [range: 30-54]; 52% female; 89% white). Laboratory measures of insulin sensitivity (Si) and acute secretion (AIRg), glucose effectiveness (Sg), and disposition index (Di) were obtained from a 180-min, intravenous glucose tolerance test. RESULTS: Shorter self-reported sleep duration (in hours) was associated with lower Si (P = 0.043), although an interaction of sleep duration with participant race (β = -0.81, P = 0.002) showed this association significant only in whites. Moreover, sex-stratified analyses revealed that shorter sleep duration predicted lower Si in white men (β = 0.29, P = 0.003) but not in white women (P = 0.22). Findings were similar for AIRg. The relationship between sleep duration and AIRg was moderated by race as well as sex, such that shorter sleep duration associated with greater insulin release only in white men (β = -0.28, P = 0.004). Sleep duration was unrelated to Sg and Di (P's > 0.05). CONCLUSIONS: Our findings suggest that shorter sleep duration may impair insulin sensitivity and beta-cell function in nondiabetic white men, possibly contributing to later type 2 diabetes and cardiovascular disease.
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The association of self-reported short sleep duration with lower insulin sensitivity was only significant in White individuals and persisted only for white men and not white women.
“Wong et al. reported that the association of self-reported short sleep duration with lower insulin sensitivity was only significant in White individuals and additional sex stratification indicated that this relationship persisted only for white men and not white women.13”
From The effects of sleep disruption on metabolism, hunger, and satiety, and the influence of psychosocial stress and exercise: A narrative review (2024) · cites this paper as [13]
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- Authors
- Wong, P. M., Manuck, S. B., DiNardo, M. M., Korytkowski, M., & Muldoon, M. F.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Wong, Patricia M.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-02-01
- Volume
- 38
- Issue
- 2
- Pages
- 223-231
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC4288603
- OpenAlex
- W2313326814
- Cited by
- 49
- References
- 64
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 8 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 2
- FWCI
- 7.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sanofi
- University of Pittsburgh
- Regeneron Pharmaceuticals
- National Institutes of Health (HL040962)
- School of Nursing, University of Pittsburgh
- National Heart, Lung, and Blood Institute (P01HL040962)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK095780, R01DK096028, U01DK057002)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, insulin sensitivity, insulin secretion, beta-cell function, glucose metabolism, type 2 diabetes risk, cardiovascular risk, sex differences, racial differences, non-diabetic adults, intravenous glucose tolerance test
- MeSH terms
- Insulin Secretion, Adult, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Female, Glucose, Glucose Tolerance Test, Humans, Insulin, Insulin Resistance, Male, Middle Aged, Sex Characteristics, Sleep, Time Factors, White People, Insulin-Secreting Cells, Self Report, Healthy Volunteers
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