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Obesity, diabetes, and exercise associated with sleep-related complaints in the American population

Journal of Public Health volume 19, pages 463–474 (2011)Cite this article

Abstract

Aim

Previous studies have demonstrated relationships between sleep and both obesity and diabetes. Additionally, exercise may improve sleep and daytime function, in addition to weight and metabolic function. The present study extends these findings by examining how general sleep-related complaints are associated with body mass index (BMI), diabetes diagnosis, and exercise in a large, nationally representative sample.

Subject and methods

Participants were respondents to the Behavioral Risk Factor Surveillance System (BRFSS). Sleep complaint (SC) was measured with “Over the last 2 weeks, how many days have you had trouble falling asleep or staying asleep or sleeping too much?” Daytime complaint (DC) was measured with “Over the last 2 weeks, how many days have you felt tired or had little energy?” Responses were dichotomized, with ≥6 days indicating complaint. Covariates included age, race/ethnicity, income, and education.

Results

Being overweight was associated with DC in women only. Obesity was significantly associated with SC and DC in women, and DC in men. Diabetes was associated with SC and DC in both genders. Any exercise in the past 30 days did not attenuate any BMI or diabetes relationships, but was independently associated with a decrease in SC and DC in both men and women.

Conclusion

These results suggest that for both men and women diabetes is a significant predictor of sleep and daytime complaints, and there is a relationship between obesity and sleep and complaints for women to a greater extent than men. Finally, exercise was associated with much fewer sleep and daytime complaints in both genders.

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References

  • American Academy of Sleep Medicine, Winkelman JW, Kotagal S, Olson CM, Scammell T, Schenck C, Spielman A (2006) The International Classification of Sleep Disorders, 2nd edn. American Academy of Sleep Medicine, Westchester

    Google Scholar 

  • Barf RP, Meerlo P, Scheurink AJ (2010) Chronic sleep disturbance impairs glucose homeostasis in rats. Int J Endocrinol 2010:819414

    PubMed  Google Scholar 

  • Barone MT, Menna-Barreto L (2010) Diabetes and sleep: a complex cause-and-effect relationship. Diabetes Res Clin Pract

  • Beihl DA, Liese AD, Haffner SM (2009) Sleep duration as a risk factor for incident type 2 diabetes in a multiethnic cohort. Ann Epidemiol 19(5):351–357

    Article  PubMed  Google Scholar 

  • Bopparaju S, Surani S (2010) Sleep and diabetes. Int J Endocrinol 2010:759509

    PubMed  Google Scholar 

  • Brand S, Gerber M, Beck J, Hatzinger M, Pühse U, Holsboer-Trachsler E (2010) High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: a comparison of athletes and controls. J Adolesc Health 46(2):133–141

    Article  PubMed  Google Scholar 

  • Buxton OM, Pavlova M, Reid EW, Wang W, Simonson DC, Adler GK (2010) Sleep restriction for 1 week reduces insulin sensitivity in healthy men. Diabetes 59(9):2126–2133

    Article  PubMed  CAS  Google Scholar 

  • Cappuccio FP, Stranges S, Kandala NB, Miller MA, Taggart FM, Kumari M, Ferrie JE, Shipley MJ, Brunner EJ, Marmot MG (2007) Gender-specific associations of short sleep duration with prevalent and incident hypertension: the Whitehall II Study. Hypertension 50(4):693–700

    Article  PubMed  CAS  Google Scholar 

  • Cappuccio FP, Taggart FM, Kandala NB, Currie A, Peile E, Stranges S, Miller MA (2008) Meta-analysis of short sleep duration and obesity in children and adults. Sleep 31(5):619–626

    PubMed  Google Scholar 

  • Celen YT, Hedner J, Carlson J, Peker Y (2010) Impact of gender on incident diabetes mellitus in obstructive sleep apnea: a 16-year follow-up. J Clin Sleep Med 6(3):244–250

    PubMed  Google Scholar 

  • Centers for Disease Control (2007) Behavioral Risk Factor Surveillance System. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta

    Google Scholar 

  • Chaput JP, Després JP, Bouchard C, Tremblay A (2007) Short sleep duration is associated with reduced leptin levels and increased adiposity: results from the Quebec family study. Obesity (Silver Spring) 15(1):253–261

    Article  CAS  Google Scholar 

  • Chaput JP, Després JP, Bouchard C, Astrup A, Tremblay A (2009a) Sleep duration as a risk factor for the development of type 2 diabetes or impaired glucose tolerance: analyses of the Quebec Family Study. Sleep Med 10:919–924

    Article  PubMed  Google Scholar 

  • Chaput JP, Leblanc C, Pérusse L, Després JP, Bouchard C, Tremblay A (2009b) Risk factors for adult overweight and obesity in the Quebec Family Study: have we been barking up the wrong tree? Obesity (Silver Spring) 17:1964–1970

    Article  Google Scholar 

  • Cole JC, Dubois D, Kosinski M (2007) Use of patient-reported sleep measures in clinical trials of pain treatment: a literature review and synthesis of current sleep measures and a conceptual model of sleep disturbance in pain. Clin Ther 29(Suppl):2580–2588

    Article  PubMed  Google Scholar 

  • Colten HR, Altevogt BM, Institute of Medicine Committee on Sleep Medicine and Research (2006) Sleep disorders and sleep deprivation: an unmet public health problem. Institute of Medicine. National Academies Press, Washington

    Google Scholar 

  • Copinschi G (2005) Metabolic and endocrine effects of sleep deprivation. Essent Psychopharmacol 6(6):341–347

    PubMed  Google Scholar 

  • Di Milia L, Mummery K (2009) The association between job related factors, short sleep and obesity. Ind Health 47(4):363–368

    Article  PubMed  Google Scholar 

  • Eastwood PR, Malhotra A, Palmer LJ, Kezirian EJ, Horner RL, Ip MS, Thurnheer R, Antic NA, Hillman DR (2010) Obstructive sleep apnoea: from pathogenesis to treatment: current controversies and future directions. Respirology 15:587–595

    Google Scholar 

  • Fairley TL, Hawk H, Pierre S (2010) Health behaviors and quality of life of cancer survivors in Massachusetts, 2006: data use for comprehensive cancer control. Prev Chronic Dis 7(1):A09

    PubMed  Google Scholar 

  • Gallicchio L, Kalesan B (2009) Sleep duration and mortality: a systematic review and meta-analysis. J Sleep Res 18(2):148–158

    Article  PubMed  Google Scholar 

  • Gangwisch JE (2009) Epidemiological evidence for the links between sleep, circadian rhythms and metabolism. Obes Rev 10(Suppl 2):37–45

    Article  PubMed  Google Scholar 

  • Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK, Malaspina D (2007) Sleep duration as a risk factor for diabetes incidence in a large U.S. sample. Sleep 30(12):1667–1673

    PubMed  Google Scholar 

  • Gangwisch JE, Malaspina D, Babiss LA, Opler MG, Posner K, Shen S, Turner JB, Zammit GK, Ginsberg HN (2010) Short sleep duration as a risk factor for hypercholesterolemia: analyses of the National Longitudinal Study of Adolescent Health. Sleep 33(7):956–961

    PubMed  Google Scholar 

  • Gerber M, Brand S, Holsboer-Trachsler E, Pühse U (2010) Fitness and exercise as correlates of sleep complaints: is it all in our minds? Med Sci Sports Exerc 42:893–901

    Google Scholar 

  • Gimble JM, Bray MS, Young A (2009) Circadian biology and sleep: missing links in obesity and metabolism? Obes Rev 10(Suppl 2):1–5

    Article  PubMed  Google Scholar 

  • Grandner MA, Patel NP (2009) From sleep duration to mortality: implications of meta-analysis and future directions. J Sleep Res 18(2):145–147

    Article  PubMed  Google Scholar 

  • Grandner MA, Kripke DF, Yoon IY, Youngstedt SD (2006) Criterion validity of the Pittsburgh Sleep Quality Index: investigation in a non-clinical sample. Sleep Biol Rhythms 4:129–136

    Article  Google Scholar 

  • Grandner MA, Patel NP, Gehrman PR, Xie D, Sha D, Weaver T, Gooneratne N (2009) Who sleeps better? Socioeconomic differences in reports of sleep disturbance. Sleep 32 (Abstract Supplement):A422–A423

    Google Scholar 

  • Grandner MA, Kripke DF, Naidoo N, Langer RD (2010a) Relationships among dietary nutrients and subjective sleep, objective sleep, and napping in women. Sleep Med 11(2):180–184

    Article  PubMed  Google Scholar 

  • Grandner MA, Patel NP, Gehrman PR, Perlis ML, Pack AI (2010b) Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep Med Rev 14:239–247

    Article  Google Scholar 

  • Grandner MA, Patel NP, Gehrman PR, Xie D, Sha D, Weaver T, Gooneratne N (2010c) Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med 11:470–479

    Article  PubMed  Google Scholar 

  • Grandner MA, Patel NP, Hale L, Moore M (2010d) Mortality associated with sleep duration: the evidence, the possible mechanisms, and the future. Sleep Med Rev 14:191–203

    Article  PubMed  Google Scholar 

  • Hall MH, Muldoon MF, Jennings JR, Buysse DJ, Flory JD, Manuck SB (2008) Self-reported sleep duration is associated with the metabolic syndrome in midlife adults. Sleep 31(5):635–643

    PubMed  Google Scholar 

  • Heo M, Pietrobelli A, Wang D, Heymsfield SB, Faith MS (2010) Obesity and functional impairment: influence of comorbidity, joint pain, and mental health. Obesity (Silver Spring) 18:2030–2038

  • Hubácek JA (2009) Eat less and exercise more—is it really enough to knock down the obesity pandemia? Physiol Res 58(Suppl 1):S1–S6

    PubMed  Google Scholar 

  • Idris I, Hall AP, O’Reilly J, Barnett A, Allen M, Andrews R, Grunstein P, Lewis K, Goenka N, Wilding JP (2009) Obstructive sleep apnoea in patients with type 2 diabetes: aetiology and implications for clinical care. Diabetes Obes Metab 11:733–741

    Google Scholar 

  • Irwin M (2002) Effects of sleep and sleep loss on immunity and cytokines. Brain Behav Immun 16(5):503–512

    Article  PubMed  CAS  Google Scholar 

  • Jain S, Mills PJ (2007) Cytokines, chronic stress, and fatigue. In: Fink G (ed) Encyclopedia of stress, vol 1, 2nd edn. Academic, Oxford, pp 698–704

    Chapter  Google Scholar 

  • Jia H, Lubetkin EI (2010) Trends in quality-adjusted life-years lost contributed by smoking and obesity. Am J Prev Med 38(2):138–144

    Article  PubMed  Google Scholar 

  • Kaneita Y, Uchiyama M, Yoshiike N, Ohida T (2008) Associations of usual sleep duration with serum lipid and lipoprotein levels. Sleep 31(5):645–652

    PubMed  Google Scholar 

  • Knutson KL, Van Cauter E (2008) Associations between sleep loss and increased risk of obesity and diabetes. Ann N Y Acad Sci 1129:287–304

    Article  PubMed  Google Scholar 

  • Knutson KL, Ryden AM, Mander BA, Van Cauter E (2006) Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Arch Intern Med 166(16):1768–1774

    Article  PubMed  Google Scholar 

  • Knutson KL, Spiegel K, Penev P, Van Cauter E (2007) The metabolic consequences of sleep deprivation. Sleep Med Rev 11(3):163–178

    Article  PubMed  Google Scholar 

  • Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR (2002) Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry 59(2):131–136

    Article  PubMed  Google Scholar 

  • Lam KB, Jiang CQ, Thomas GN, Arora T, Zhang WS, Taheri S, Adab P, Lam TH, Cheng KK (2010) Napping is associated with increased risk of type 2 diabetes: the Guangzhou Biobank Cohort Study. Sleep 33(3):402–407

    PubMed  Google Scholar 

  • Lauderdale DS, Knutson KL, Yan LL, Liu K, Rathouz PJ (2008) Self-reported and measured sleep duration: how similar are they? Epidemiology 19(6):838–845

    Article  PubMed  Google Scholar 

  • Lauderdale DS, Knutson KL, Rathouz PJ, Yan LL, Hulley SB, Liu K (2009) Cross-sectional and longitudinal associations between objectively measured sleep duration and body mass index: the CARDIA Sleep Study. Am J Epidemiol 170:805–813

    Google Scholar 

  • Leow MK (2010) Obstructive sleep apnoea and the orexigenic pathway in type 2 diabetes. Diabetologia 53(8):1807–1808

    Article  PubMed  CAS  Google Scholar 

  • Lévy P, Bonsignore MR, Eckel J (2009) Sleep, sleep-disordered breathing and metabolic consequences. Eur Respir J 34(1):243–260

    Article  PubMed  Google Scholar 

  • Lindström J, Neumann A, Sheppard KE, Gilis-Januszewska A, Greaves CJ, Handke U, Pajunen P, Puhl S, Pölönen A, Rissanen A, Roden M, Stemper T, Telle-Hjellset V, Tuomilehto J, Velickiene D, Schwarz PE, Acosta T, Adler M, AlKerwi A, Barengo N, Barengo R, Boavida JM, Charlesworth K, Christov V, Claussen B, Cos X, Cosson E, Deceukelier S, Dimitrijevic-Sreckovic V, Djordjevic P, Evans P, Felton AM, Fischer M, Gabriel-Sanchez R, Goldfracht M, Gomez JL, Hall M, Hauner H, Herbst J, Hermanns N, Herrebrugh L, Huber C, Hühmer U, Huttunen J, Jotic A, Kamenov Z, Karadeniz S, Katsilambros N, Khalangot M, Kissimova-Skarbek K, Köhler D, Kopp V, Kronsbein P, Kulzer B, Kyne-Grzebalski D, Lalic K, Lalic N, Landgraf R, Lee-Barkey YH, Liatis S, Makrilakis K, McIntosh C, McKee M, Mesquita AC, Misina D, Muylle F, Paiva AC, Paulweber B, Peltonen M, Perrenoud L, Pfeiffer A, Raposo F, Reinehr T, Robinson C, Rothe U, Saaristo T, Scholl J, Spiers S, Stratmann B, Szendroedi J, Szybinski Z, Tankova T, Terry G, Tolks D, Toti F, Undeutsch A, Valadas C, Valensi P, Vermunt P, Weiss R, Wens J, Yilmaz T (2010) Take action to prevent diabetes–the IMAGE toolkit for the prevention of type 2 diabetes in Europe. Horm Metab Res 42(Suppl 1):S37–S55

    Article  PubMed  Google Scholar 

  • Littman AJ, Vitiello MV, Foster-Schubert K, Ulrich CM, Tworoger SS, Potter JD, Weigle DS, McTiernan A (2007) Sleep, ghrelin, leptin and changes in body weight during a 1-year moderate-intensity physical activity intervention. Int J Obes (Lond) 31(3):466–475

    Article  CAS  Google Scholar 

  • Lui MM, Ip MS (2010) Disorders of glucose metabolism in sleep-disordered breathing. Clin Chest Med 31(2):271–285

    Article  PubMed  Google Scholar 

  • Macfarlane DJ, Thomas N (2010) Exercise and diet in weight management: updating what works. Br J Sports Med 44:1197–1201

    Google Scholar 

  • Mackiewicz M, Shockley KR, Romer MA, Galante RJ, Zimmerman JE, Naidoo N, Baldwin DA, Jensen ST, Churchill GA, Pack AI (2007) Macromolecule biosynthesis: a key function of sleep. Physiol Genomics 31(3):441–457

    Article  PubMed  CAS  Google Scholar 

  • Mackiewicz M, Naidoo N, Zimmerman JE, Pack AI (2008) Molecular mechanisms of sleep and wakefulness. Ann N Y Acad Sci 1129:335–349

    Article  PubMed  Google Scholar 

  • Meier-Ewert HK, Ridker PM, Rifai N, Regan MM, Price NJ, Dinges DF, Mullington JM (2004) Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. J Am Coll Cardiol 43(4):678–683

    Article  PubMed  CAS  Google Scholar 

  • Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK (2009) Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Prog Cardiovasc Dis 51(4):294–302

    Article  PubMed  CAS  Google Scholar 

  • Must A, Parisi SM (2009) Sedentary behavior and sleep: paradoxical effects in association with childhood obesity. Int J Obes (Lond) 33(Suppl 1):S82–S86

    Article  Google Scholar 

  • Nedeltcheva AV, Kilkus JM, Imperial J, Kasza K, Schoeller DA, Penev PD (2009) Sleep curtailment is accompanied by increased intake of calories from snacks. Am J Clin Nutr 89(1):126–133

    Article  PubMed  CAS  Google Scholar 

  • Okun ML, Coussons-Read M, Hall M (2009) Disturbed sleep is associated with increased C-reactive protein in young women. Brain Behav Immun 23(3):351–354

    Article  PubMed  CAS  Google Scholar 

  • Oliver SJ, Costa RJ, Laing SJ, Bilzon JL, Walsh NP (2009) One night of sleep deprivation decreases treadmill endurance performance. Eur J Appl Physiol 107:155–161

    Google Scholar 

  • Opp MR, Born J, Irwin MR (2007) Sleep and the immune system. In: Ader R (ed) Psychoneuroimmunology, 4th edn. Elsevier, Burlington, pp 579–618

    Chapter  Google Scholar 

  • Patel SR, Blackwell T, Redline S, Ancoli-Israel S, Cauley JA, Hillier TA, Lewis CE, Orwoll ES, Stefanick ML, Taylor BC, Yaffe K, Stone KL (2008) The association between sleep duration and obesity in older adults. Int J Obes (Lond) 32:1825–1834

    Google Scholar 

  • Perlis ML, Swinkels CM, Gehrman PR, Pigeon WR, Matteson-Rusby SE, Jungquist CR (2010) The incidence and temporal patterning of insomnia: a pilot study. J Sleep Res 19:31–35

    Google Scholar 

  • Punjabi NM (2009) Do sleep disorders and associated treatments impact glucose metabolism? Drugs 69(Suppl 2):13–27

    Article  PubMed  CAS  Google Scholar 

  • Reynolds CF 3rd, Serody L, Okun ML, Hall M, Houck PR, Patrick S, Maurer J, Bensasi S, Mazumdar S, Bell B, Nebes RD, Miller MD, Dew MA, Nofzinger EA (2010) Protecting sleep, promoting health in later life: a randomized clinical trial. Psychosom Med 72(2):178–186

    Article  PubMed  CAS  Google Scholar 

  • Richardson LC, Wingo PA, Zack MM, Zahran HS, King JB (2008) Health-related quality of life in cancer survivors between ages 20 and 64 years: population-based estimates from the Behavioral Risk Factor Surveillance System. Cancer 112(6):1380–1389

    Article  PubMed  Google Scholar 

  • Salihu HM, Bonnema SM, Alio AP (2009) Obesity: what is an elderly population growing into? Maturitas 63:7–12

    Google Scholar 

  • SAS Institute (2008) Base SAS 9.2 procedures guide: statistical procedures. SAS Institute, Cary

    Google Scholar 

  • Schultes B, Schmid S, Peters A, Born J, Fehm HL (2005) Sleep loss and the development of diabetes: a review of current evidence. Exp Clin Endocrinol Diabetes 113(10):563–567

    Article  PubMed  CAS  Google Scholar 

  • Schuster DP (2009) Changes in physiology with increasing fat mass. Semin Pediatr Surg 18(3):126–135

    Article  PubMed  Google Scholar 

  • Spiegel K, Leproult R, Van Cauter E (1999) Impact of sleep debt on metabolic and endocrine function. Lancet 354(9188):1435–1439

    Article  PubMed  CAS  Google Scholar 

  • Spiegel K, Leproult R, L’Hermite-Balériaux M, Copinschi G, Penev PD, Van Cauter E (2004a) Leptin levels are dependent on sleep duration: relationships with sympathovagal balance, carbohydrate regulation, cortisol, and thyrotropin. J Clin Endocrinol Metab 89(11):5762–5771

    Article  PubMed  CAS  Google Scholar 

  • Spiegel K, Tasali E, Penev P, Van Cauter E (2004b) Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med 141(11):846–850

    PubMed  Google Scholar 

  • Spiegel K, Knutson K, Leproult R, Tasali E, Van Cauter E (2005) Sleep loss: a novel risk factor for insulin resistance and type 2 diabetes. J Appl Physiol 99(5):2008–2019

    Article  PubMed  CAS  Google Scholar 

  • Strine TW, Okoro CA, Chapman DP, Balluz LS, Ford ES, Ajani UA, Mokdad AH (2005) Health-related quality of life and health risk behaviors among smokers. Am J Prev Med 28(2):182–187

    Article  PubMed  Google Scholar 

  • Tasali E, Leproult R, Spiegel K (2009) Reduced sleep duration or quality: relationships with insulin resistance and type 2 diabetes. Prog Cardiovasc Dis 51(5):381–391

    Article  PubMed  CAS  Google Scholar 

  • Thomas A, Schüssler MN, Fischer JE, Terris DD (2009) Employees’ sleep duration and body mass index: potential confounders. Prev Med 48:467–470

    Google Scholar 

  • Ronksley PE, Hemmelgarn B, Heitman SJ, Hanly PJ, Faris PD, Quan H, Tsai WH (2009) Obstructive sleep apnea is associated with diabetes in sleepy subjects. Thorax 64:834–839

    Google Scholar 

  • Tuomilehto H, Peltonen M, Partinen M, Lavigne G, Eriksson JG, Herder C, Aunola S, Keinänen-Kiukaanniemi S, Ilanne-Parikka P, Uusitupa M, Tuomilehto J, Lindström J (2009) Sleep Duration, Lifestyle Intervention and Incidence of Type 2 Diabetes in Impaired Glucose Tolerance. The Finnish Diabetes Prevention Study. Diabetes Care 32:1965–1971

    Google Scholar 

  • Ueno LM, Drager LF, Rodrigues AC, Rondon MU, Braga AM, Mathias W Jr, Krieger EM, Barretto AC, Middlekauff HR, Lorenzi-Filho G, Negrão CE (2009) Effects of exercise training in patients with chronic heart failure and sleep apnea. Sleep 32(5):637–647

    PubMed  Google Scholar 

  • Van Cauter E, Holmback U, Knutson K, Leproult R, Miller A, Nedeltcheva A, Pannain S, Penev P, Tasali E, Spiegel K (2007) Impact of sleep and sleep loss on neuroendocrine and metabolic function. Horm Res 67(Suppl 1):2–9

    Article  PubMed  Google Scholar 

  • Van Cauter E, Spiegel K, Tasali E, Leproult R (2008) Metabolic consequences of sleep and sleep loss. Sleep Med 9(Suppl 1):S23–S28

    Article  PubMed  Google Scholar 

  • Watanabe M, Kikuchi H, Tanaka K, Takahashi M (2010) Association of short sleep duration with weight gain and obesity at 1-year follow-up: a large-scale prospective study. Sleep 33(2):161–167

    PubMed  Google Scholar 

  • Williams CJ, Hu FB, Patel SR, Mantzoros CS (2007) Sleep duration and snoring in relation to biomarkers of cardiovascular disease risk among women with type 2 diabetes. Diabetes Care 30(5):1233–1240

    Article  PubMed  Google Scholar 

  • Youngstedt SD, Kline CE (2006) Epidemiology of exercise and sleep. Sleep Biol Rhythms 4:215–221

    Article  Google Scholar 

  • Yue HJ, Bardwell W, Ancoli-Israel S, Loredo JS, Dimsdale JE (2009) Arousal frequency is associated with increased fatigue in obstructive sleep apnea. Sleep Breath 13:331–339

    Google Scholar 

  • Zizi F, Jean-Louis G, Brown CD, Ogedegbe G, Boutin-Foster C, McFarlane SI (2010) Sleep duration and the risk of diabetes mellitus: epidemiologic evidence and pathophysiologic insights. Curr Diab Rep 10(1):43–47

    Article  PubMed  Google Scholar 

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Acknowledgements

This work was supported by T32HL007713, as well as funding for Biostatistical Support from the University of Pennsylvania Center for Sleep and Respiratory Neurobiology. We wish to thank Dr. Allan Pack MB ChB PhD for guidance and other support. Also, we wish to thank the Centers for Disease Control and Prevention for collecting these data and making it available and the BRFSS participants for providing data.

Conflicts of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Center for Sleep and Respiratory Neurobiology, Department of Medicine, Division of Sleep Medicine, University of Pennsylvania, 3624 Market Street, Suite 205, Philadelphia, PA, 19104, USA

    Michael A. Grandner, Michael L. Perlis, Philip R. Gehrman, Terri Weaver & Nalaka S. Gooneratne

  2. Division of Sleep Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Michael A. Grandner

  3. Respiratory Specialists and Reading Hospital and Medical Center, Reading, PA, USA

    Nirav P. Patel

  4. Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA

    Michael L. Perlis & Philip R. Gehrman

  5. Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA

    Dawei Xie & Daohang Sha

  6. Department of Psychiatry, University of Rochester, Rochester, NY, USA

    Wilfred R. Pigeon

  7. Institute for Diabetes, Obesity and Metabolism, University of Pennsylvania, Philadelphia, PA, USA

    Karen Teff

  8. Monell Chemical Senses Center, Philadelphia, PA, USA

    Karen Teff

  9. Biobehavioral and Health Sciences Division, University of Pennsylvania School of Nursing, Philadelphia, PA, USA

    Terri Weaver

  10. Division of Geriatric Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Nalaka S. Gooneratne

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  1. Michael A. Grandner
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Correspondence to Michael A. Grandner.

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Grandner, M.A., Patel, N.P., Perlis, M.L. et al. Obesity, diabetes, and exercise associated with sleep-related complaints in the American population. J Public Health 19, 463–474 (2011). https://doi.org/10.1007/s10389-011-0398-2

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Keywords

  • Sleep
  • Sleep disturbance
  • Obesity
  • Diabetes
  • Exercise