PMID- 28449890 OWN - NLM STAT- MEDLINE DCOM- 20180216 LR - 20180622 IS - 1878-5506 (Electronic) IS - 1389-9457 (Linking) VI - 33 DP - 2017 May TI - Age- and gender-specific associations of napping duration with type 2 diabetes mellitus in a Chinese rural population: the RuralDiab study. PG - 119-124 LID - S1389-9457(16)30215-5 [pii] LID - 10.1016/j.sleep.2016.09.004 [doi] AB - BACKGROUND: The consistency and strength of the relationship between napping duration and type 2 diabetes mellitus (T2DM) remained uncertain, especially in the rural population. The purpose of this study was to explore the relationship between napping duration and T2DM in a Chinese rural population. METHODS: A total of 12663 participants (4365 males and 8298 females) were derived from the RuralDiab study in China. Napping duration was obtained through a standardized questionnaire, and was divided into five categories: no napping (reference), 1 approximately , 31 approximately , 61 approximately , and >/=91 min. Fasting blood glucose was measured. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). A meta-analysis including seven studies was conducted to validate the result of the RuralDiab study. RESULTS: The crude and age-standardized prevalence of T2DM were 10.31% and 8.14%, respectively. Compared with no napping, the adjusted OR (95%CI) for napping duration >/=91 min was 1.23 (1.05-1.45). A similar relationship was found only in females aged 45-54 years, but not in males and other age group females. In addition, napping duration was associated with T2DM in a positive dose-dependent manner among females aged 45-54 years (P for trend <0.05). The meta-analysis demonstrated this association, and the pooled OR (95%CI) for the longest napping duration compared with no napping was 1.28 (1.22-1.35). CONCLUSION: Longer napping duration is associated with higher risk of T2DM in the Chinese rural population, and this association varies across gender and age. Further multi-center prospective researches are needed to confirm the relationship and reveal underlying mechanisms. CI - Copyright (c) 2016 Elsevier B.V. All rights reserved. FAU - Liu, Ruihua AU - Liu R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Li, Yuqian AU - Li Y AD - Department of Clinical Pharmacology, School of Pharmaceutical Science, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Wang, Fang AU - Wang F AD - Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, PR China. FAU - Liu, Xiaotian AU - Liu X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Zhou, Hao AU - Zhou H AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Wang, Panpan AU - Wang P AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Fan, Jingjing AU - Fan J AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Xu, Fei AU - Xu F AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Yang, Kaili AU - Yang K AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Hu, Dongsheng AU - Hu D AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China; Department of Prevention Medicine, Shenzhen University School of Medicine, Shenzhen, PR China. FAU - Bie, Ronghai AU - Bie R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. Electronic address: bierh2012@126.com. FAU - Wang, Chongjian AU - Wang C AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. Electronic address: tjwcj2005@126.com. LA - eng PT - Comparative Study PT - Journal Article PT - Meta-Analysis DEP - 20161029 PL - Netherlands TA - Sleep Med JT - Sleep medicine JID - 100898759 RN - 0 (Blood Glucose) SB - IM MH - Adult MH - Aged MH - Blood Glucose/*analysis MH - China/epidemiology MH - Circadian Rhythm/*physiology MH - Diabetes Mellitus, Type 2/blood/*epidemiology/mortality MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Risk Factors MH - Rural Population/*statistics & numerical data MH - Sleep/*physiology OTO - NOTNLM OT - Napping duration OT - Rural population OT - Type 2 diabetes mellitus EDAT- 2017/04/30 06:00 MHDA- 2018/02/17 06:00 CRDT- 2017/04/29 06:00 PHST- 2016/07/14 00:00 [received] PHST- 2016/09/22 00:00 [revised] PHST- 2016/09/30 00:00 [accepted] PHST- 2017/04/29 06:00 [entrez] PHST- 2017/04/30 06:00 [pubmed] PHST- 2018/02/17 06:00 [medline] AID - S1389-9457(16)30215-5 [pii] AID - 10.1016/j.sleep.2016.09.004 [doi] PST - ppublish SO - Sleep Med. 2017 May;33:119-124. doi: 10.1016/j.sleep.2016.09.004. Epub 2016 Oct 29.