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The association between self-reported lack of sleep, low vitality and impaired glucose tolerance: A Swedish cross-sectional study
University of Skövde, School of Life Sciences. Institute of Health and Care Sciences, The Sahlgrenska Academy of the University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-2188-4306
Institute of Health and Care Sciences, The Sahlgrenska Academy of the University of Gothenburg, Gothenburg, Sweden / Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Institute of Health and Care Sciences, The Sahlgrenska Academy of the University of Gothenburg, Gothenburg, Sweden / Faculty of Social Sciences, Department of Health, University of Stavanger, Stavanger, Norway.
Institute of Medicine, Department of Primary Health Care, The Sahlgrenska Academy of the University of Gothenburg, Gothenburg, Sweden.
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2013 (English)In: BMC Public Health, ISSN 1471-2458, Vol. 13, no 1, 700Article in journal (Refereed) Published
Abstract [en]

Background: The increased incidence of impaired glucose tolerance (IGT), are serious public health issues, and several studies link sleeping disorders with increased risk of developing type 2 diabetes, impaired glucose tolerance and insulin resistance (IR). This study explore how self-reported lack of sleep and low vitality, are associated with IGT in a representative Swedish population. Methods. A cross-sectional survey conducted in two municipalities in South-western Sweden. Participants aged 30-75 were randomly selected from the population in strata by sex and age. Altogether, 2,816 participants were surveyed with a participation rates at 76%. Participants with normal glucose tolerance (n=2,314), and those with IGT (n=213) were retained for analyses. The participants answered a questionnaire before the oral glucose tolerance test (OGTT). Associations for questions concerning sleeping disorders, vitality and IGT were analysed using logistic regression and were expressed as odds ratios (OR) with 95% CI. Results: In men a statistically significant age-adjusted association was found between self-reported lack of sleep and IGT: OR 2.4 (95% CI: 1.1-5.4). It did not weaken after further adjustment for body mass index (BMI), smoking, education, and leisure time physical activity 2.3 (1.0-5.5, p=0.044). No such associations were found in females. Corresponding age-adjusted associations between low vitality and IGT in both men 2.8 (1.3-5.8), and women 2.0 (1.2-3.4) were successively lost with increasing adjustment. Conclusions: Insufficient sleep seems independently associated with IGT in men, while low vitality was not independently associated with IGT neither in men nor women, when multiple confounders are considered. IGT should be considered in patients presenting these symptoms, and underlying mechanisms further explored. © 2013 Andersson et al.; licensee BioMed Central Ltd.

Place, publisher, year, edition, pages
BioMed Central, 2013. Vol. 13, no 1, 700
Keyword [en]
Fatigue, Health conversation, Impaired glucose tolerance, Primary health care, Sleeping disorders
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-8594DOI: 10.1186/1471-2458-13-700ISI: 000322788800001PubMedID: 23902570ScopusID: 2-s2.0-84880935365OAI: oai:DiVA.org:his-8594DiVA: diva2:660486
Available from: 2013-10-30 Created: 2013-10-30 Last updated: 2015-05-21Bibliographically approved

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