Abstract
The aim of this chapter is to review the data, which describes the relationship between sleep disturbance of quantity and quality and the incidence of type-2 diabetes. Firstly the relationship with sleep quantity is described and then with sleep quality (difficulty in initiating sleep and difficulty in maintaining sleep). The review clearly demonstrates that both quantity and quality of sleep consistently and significantly predict the risk of the development of type-2 diabetes. The potential mechanisms that might underlie these associations are considered. Finally, the public health importance of this data is considered with possible health recommendations.
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Abbreviations
- BMI:
-
Body-mass index
- CI:
-
Confidence interval
- OSA:
-
Obstructive sleep apnoea
- RR:
-
Relative risk
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Summary points
Summary points
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The prevalence of type-2 diabetes within the population is high and is growing.
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There is a strong epidemiological link between sleep disturbances (quality and quantity) and risk factors for type-2 diabetes and cardiovascular disease and it is imperative that the potential population and public health implications are assessed.
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Both quantity and quality of sleep are associated with an increased risk of type-2 diabetes and should be regarded as a behavioural risk factor for its development.
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These risk factors are in part determined by the environment, it is possible that they are amenable to modification through both education and counselling.
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Favourable modifications of physical and working environments may also help to promote sufficient sleep and avoid habitual and sustained sleep deprivation and disruption.
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Intervention studies are required to determine if sleep extension or sleep improvement can have beneficial effects.
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Miller, M.A., Cappuccio, F.P. (2013). Sleep quantity and quality and the risk of type-2 diabetes. In: Preedy, V.R., Patel, V.B., Le, LA. (eds) Handbook of nutrition, diet and sleep. Human Health Handbooks, vol 3. Wageningen Academic Publishers, Wageningen. https://doi.org/10.3920/978-90-8686-763-9_18
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DOI: https://doi.org/10.3920/978-90-8686-763-9_18
Publisher Name: Wageningen Academic Publishers, Wageningen
Online ISBN: 978-90-8686-763-9
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