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Interaction of poor sleep quality, family history of type 2 diabetes, and abdominal obesity on impaired fasting glucose: a population-based cross-sectional survey in China

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Abstract

This study aims to explore the interaction of sleep quality, family history of type 2 diabetes, and obesity in relation to impaired fasting glucose in a Chinese population. A representative population-based cross-sectional study was conducted, and 15,145 residents aged between 18 and 75 years were selected from 11 districts of Xuzhou City, Jiangsu Province. The Pittsburgh Sleep Quality Index was used to evaluate sleep conditions, with categories of good and poor. Impaired fasting glucose (IFG) was assessed by fasting blood glucose. Interaction of sleep quality, obesity, and family history of diabetes (FHD) on IFG was analyzed by logistic regression. Relative excess risk due to interaction (RERI) and the synergy index (SI) were applied to evaluate the additive interaction between the two factors. Either poor sleep or positive FHD was independently associated with an increased odds ratio (OR) for IFG. Those with both poor sleep and positive FHD had a significantly increased risk compared with those without poor sleep and FHD (OR 20.6, 95 % confidence interval (CI) 16.4–29.0, P < 0.001). The corresponding RERI and SI was 14.6 (8.6–20.6) and 3.7 (1.4–5.1), respectively. Both abdominal obesity and FHD significantly increased the risk of being IFG. The synergistic effect of abdominal obesity and FHD on IFG was statistically significant (OR 40.1, 95 % CI 28.8–61.5). The results suggest that additive interactions exist between poor sleep quality, abdominal obesity, and family history of diabetes in relation to impaired fasting glucose.

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Acknowledgments

We thank all the participants involved in the survey. We thank the Regional Centers for Disease Control and Prevention as well as clinics in Xuzhou City for their collaboration. The help of Dr. Virginia Routley from Monash University for English review of the manuscript is very much acknowledged. This research was funded by the Preventive Medicine Research Projects from the Department of Health in Jiangsu Province in 2012 (Y2012025) and the Science and Technology Projects of Xuzhou City in 2011 (XF11C090). Yu Qin was financed by Jiangsu Provincial Center for Disease Control and Prevention (JKRC2011006).

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The authors declare that they have no competing interests.

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Authors and Affiliations

  1. Department of Non-communicable Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China

    Yu Qin

  2. Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou Center for Disease Control and Prevention, 142 West Erhuan Road, Xuzhou City, Jiangsu Province, People’s Republic of China

    Peian Lou, Peipei Chen, Lei Zhang, Pan Zhang, Guiqiu Chang, Ning Zhang, Ting Li & Cheng Qiao

  3. School of Public Health, Xuzhou Medical University, Xuzhou, China

    Peian Lou

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  1. Yu Qin
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Correspondence to Peian Lou.

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Qin, Y., Lou, P., Chen, P. et al. Interaction of poor sleep quality, family history of type 2 diabetes, and abdominal obesity on impaired fasting glucose: a population-based cross-sectional survey in China. Int J Diabetes Dev Ctries 36, 277–282 (2016). https://doi.org/10.1007/s13410-015-0410-4

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