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Clinical Science| Volume 63, ISSUE 12, P1520-1527, December 2014

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Association between habitual daytime napping and metabolic syndrome: a population-based study

  • Author Footnotes
    1 Diaozhu Lin and Kan Sun contributed equally to this work.
    Diaozhu Lin
    Footnotes
    1 Diaozhu Lin and Kan Sun contributed equally to this work.
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Diaozhu Lin and Kan Sun contributed equally to this work.
    Kan Sun
    Footnotes
    1 Diaozhu Lin and Kan Sun contributed equally to this work.
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Feng Li
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Yiqin Qi
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Meng Ren
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Chulin Huang
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
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  • Juying Tang
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
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  • Shengneng Xue
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
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  • Yan Li
    Correspondence
    Corresponding authors at: No. 107 Yan jiang West Road, Guangzhou, 510120, China. Tel.: +86 20 81332518; fax: +86 20 81332042.
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Li Yan
    Correspondence
    Corresponding authors at: No. 107 Yan jiang West Road, Guangzhou, 510120, China. Tel.: +86 20 81332518; fax: +86 20 81332042.
    Affiliations
    Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Guangzhou 510120, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Diaozhu Lin and Kan Sun contributed equally to this work.

      Abstract

      Objective

      Our objective was to evaluate the association between habitual daytime napping and the prevalence of metabolic syndrome.

      Materials and Methods

      We conducted a population-based study of 8,547 subjects aged 40 years or older. Metabolic syndrome was defined according to a harmonized definition from a joint statement and the recommended thresholds for the Chinese population. Information about sleep duration was self-reported.

      Results

      The prevalence of metabolic syndrome in the no daytime napping group, the 0 to 1 hour daytime napping group and the more than 1 hour daytime napping group were 35.0%, 36.0% and 44.5% among the females (P < 0.0001). Increased daytime napping hours were positively associated with parameters of metabolic syndrome in the female subjects, including waist circumference, systolic blood pressure, triglycerides and fasting plasma glucose (P < 0.05 for all). Multivariate adjusted logistic regression analysis revealed that, compared to the no habitual daytime napping females, napping for more than 1 hour was independently associated with an increased prevalence of metabolic syndrome (odds ratio 1.39, 95% confidence interval, 1.13–1.72). Compared to the female subjects in the no daytime napping group, those habitually napped for more than 1 hour exhibited 46% and 26% increases in the prevalence of central obesity and hypertriglyceridemia (all P < 0.05). No statistically significant associations were detected between daytime napping hours and metabolic syndrome among the male subjects.

      Conclusion

      Daytime napping is associated with an increased prevalence of metabolic syndrome in middle-aged non-obese Chinese women.

      Abbreviations:

      MET-h/week (metabolic equivalent hours per week), BMI (body-mass index), WC (waist circumference), FPG (fasting plasma glucose), HbA1c (Hemoglobin), TG (triglycerides), TC (total cholesterol), HDL-C (high-density lipoprotein cholesterol), LDL-C (low-density lipoprotein cholesterol), HOMA-IR (homeostasis model assessment of insulin resistance), SBP (systolic blood pressure), DBP (diastolic blood pressure), SD (standard deviation), ORs (odds ratios), CI (confidence intervals)

      Keywords

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