PMID- 29680417 OWN - NLM STAT- MEDLINE DCOM- 20190926 LR - 20221207 IS - 1878-5506 (Electronic) IS - 1389-9457 (Linking) VI - 45 DP - 2018 May TI - Gender-specific independent and combined dose-response association of napping and night sleep duration with type 2 diabetes mellitus in rural Chinese adults: the RuralDiab study. PG - 106-113 LID - S1389-9457(18)30033-9 [pii] LID - 10.1016/j.sleep.2017.12.017 [doi] AB - OBJECTIVE: The aim of this study was to explore the independent and combined dose-response association of napping and night sleep duration with type 2 diabetes mellitus (T2DM) among different genders in the rural Chinese population. METHODS: For this research, a total of 19,257 participants were enrolled in the Rural Diabetes, Obesity and Lifestyle (RuralDiab) study. Napping and night sleep duration were assessed using the Pittsburgh Sleep Quality Index (PSQI). Restricted cubic splines and logistic regression were used to estimate the relationship between napping and night sleep duration with T2DM. RESULTS: A linear dose-response relationship between napping duration and T2DM as well as a U-shaped relationship between night sleep duration and T2DM were found. Compared with those who reported no napping, participants who had a napping duration of >/=91 min were associated with a 19% increase in prevalence of T2DM. Adjusted odds ratios (ORs) (95% confidence intervals (CIs)) for T2DM were 1.48 (1.03, 2.14) and 1.50 (1.22, 1.85) for shorter (9 h) night sleep duration compared with the referential group. Additionally, the combination of longer napping duration (>/=91 min) and night sleep duration (>9 h) increased 104% (95% CI: 45%, 128%) prevalence for T2DM. These associations were not found in males but were evident in females. CONCLUSIONS: Longer napping duration and extreme night sleep duration increased the prevalence of T2DM. Meanwhile, longer napping and night sleep duration might be jointly associated with a higher prevalence of T2DM. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Liu, Ruihua AU - Liu R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Li, Yuqian AU - Li Y AD - Department of Clinical Pharmacology, School of Pharmaceutical Science, Zhengzhou University, Henan, PR China. FAU - Mao, Zhenxing AU - Mao Z AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Liu, Xiaotian AU - Liu X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Zhang, Haiqing AU - Zhang H AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Yang, Kaili AU - Yang K AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Zhang, Honglei AU - Zhang H AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Tu, Runqi AU - Tu R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Qian, Xinling AU - Qian X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Jiang, Jingjing AU - Jiang J AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Henan, PR China. FAU - Bie, Ronghai AU - Bie R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, 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, Henan, PR China. Electronic address: tjwcj2005@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180207 PL - Netherlands TA - Sleep Med JT - Sleep medicine JID - 100898759 SB - IM MH - *Asian People MH - China/epidemiology MH - Circadian Rhythm/*physiology MH - Diabetes Mellitus, Type 2/*epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Risk Factors MH - *Rural Population MH - Sex Factors MH - Sleep/*physiology MH - Time Factors OTO - NOTNLM OT - Napping duration OT - Night sleep duration OT - Rural population OT - Type 2 diabetes mellitus EDAT- 2018/04/24 06:00 MHDA- 2019/09/27 06:00 CRDT- 2018/04/23 06:00 PHST- 2017/09/14 00:00 [received] PHST- 2017/12/13 00:00 [revised] PHST- 2017/12/30 00:00 [accepted] PHST- 2018/04/23 06:00 [entrez] PHST- 2018/04/24 06:00 [pubmed] PHST- 2019/09/27 06:00 [medline] AID - S1389-9457(18)30033-9 [pii] AID - 10.1016/j.sleep.2017.12.017 [doi] PST - ppublish SO - Sleep Med. 2018 May;45:106-113. doi: 10.1016/j.sleep.2017.12.017. Epub 2018 Feb 7.