Association of Sleep Behaviors, Insulin Resistance Surrogates, and the Risk of Hypertension in Chinese Adults with Type 2 Diabetes Mellitus

Overview

Journal Front Endocrinol (Lausanne)

Specialty Endocrinology

Date 2023 Aug 7

PMID 37547312

Authors

Xuelin Yao

Fangting Lu

Zhen Wang

Yahu Miao

Qing Feng

Yi Zhang

Tian Jiang

Songtao Tang

Nan Zhang

Fang Dai

Honglin Hu

Qiu Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: Our aim was to evaluate the association between midday napping, combined sleep quality, and insulin resistance surrogates and the risk of hypertension in patients with type 2 diabetes mellitus (T2DM).

Methods: Data were collected using a standardized questionnaire. Binary logistic regression was performed to estimate the odds ratio (OR) and 95% confidence interval (CI) for the risk of hypertension. Systolic and diastolic blood pressure were grouped as categorical variables and unpaired two-sided Student's t-test and Spearman correlation analysis were performed to estimate the association between different blood pressure levels and insulin resistance surrogates.

Results: The overall prevalence rate of hypertension was 50%. Age (OR = 1.056, 95% CI:1.044-1.068), poor sleep quality (OR = 1.959, 95% CI:1.393-2.755), hyperlipidemia (OR = 1.821, 95% CI:1.462-2.369), family history of hypertension (OR = 2.811, 95% CI:2.261-3.495), and obesity (OR = 5.515, 95% CI:1.384-21.971) were significantly associated with an increased risk of hypertension. Midday napping for 1-30 min was negatively correlated with the risk of hypertension (OR = 0.534, 95% CI:0.305-0.936, P <0.05).

Conclusion: Poor sleep quality and obesity are independent risk factors for hypertension. Midday napping (1-30 min) is associated with a decreased risk of hypertension in patients with T2DM.

Citing Articles

The relationship between daytime napping and glycemic control in people with type 2 diabetes.

Yuan J, Wang J, Chen Y, Zhang M, Zhao A, Du J Front Endocrinol (Lausanne). 2024; 15:1361906.

PMID: 38505745 PMC: 10948433. DOI: 10.3389/fendo.2024.1361906.

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