Skip to main content

Advertisement

Log in

Epidemiological study of the associations between sleep complaints and metabolic syndrome in Japan

  • Original Article
  • Published:
Sleep and Biological Rhythms Aims and scope Submit manuscript

Abstract

The purpose of this study was to examine the associations of sleep complaints, such as insomnia and snoring, with metabolic syndrome. Data from a national study conducted on residents from randomly selected districts in Japan in 2007 were used. The survey included: (i) information on physical status, (ii) dietary intake, and (iii) a questionnaire on lifestyle characteristics. Data on physical status and lifestyle characteristics available for 3936 adults (1592 men and 2344 women) were analyzed. Multiple logistic regression analysis yielded statistically significant associations. Adjusted odds ratios calculated with reference to metabolic syndrome were 1.23 (95% CI: 1.03–1.48, P = 0.02) for insomnia and 1.89 (95% CI: 1.56–2.30, P < 0.01) for snoring. For insomnia, the adjusted odds ratio in relation to hypertension was 1.28 (95% CI: 1.08–1.52, P < 0.01), and for snoring, the adjusted odds ratios in relation to abdominal obesity and dyslipidemia were 1.90 (95% CI: 1.6–2.26, P < 0.01) and 1.50 (95% CI: 1.27–1.77, P < 0.01), respectively. Metabolic syndrome was found to be closely associated with insomnia and snoring. Such associations should be taken into consideration when developing measures against metabolic syndrome and sleep problems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bin YS, Marshall NS, Glozier N. Secular trends in adult sleep duration: a systematic review. Sleep Med. Rev. 2012; 16: 223–230.

    Article  PubMed  Google Scholar 

  2. The Ministry of Internal Affairs and Communications. Survey on Time Use and Leisure Activities. 2011. [Cited 28 May 2014.] Available from URL: http://www.stat.go.jp/ english/data/shakai/index.htm

    Google Scholar 

  3. Kim K, Uchiyama M, Okawa M, Liu X, Ogihara R. An epidemiological study of insomnia among the Japanese general population. Sleep 2000; 23: 41–47.

    CAS  PubMed  Google Scholar 

  4. Liu X, Uchiyama M, Kim K et al. Sleep loss and daytime sleepiness in the general adult population of Japan. Psychiatry Res. 2000; 93: 1–11.

    Article  CAS  PubMed  Google Scholar 

  5. Ohida T, Kamal AM, Uchiyama M et al. The influence of lifestyle and health status factors on sleep loss among the Japanese general population. Sleep 2001; 24: 333–338.

    CAS  PubMed  Google Scholar 

  6. Kaneita Y, Ohida T, Uchiyama M et al. Excessive daytime sleepiness among the Japanese general population. J. Epidemiol. 2005; 15: 1–8.

    Article  PubMed  Google Scholar 

  7. Ohayon MM, Roth T. What are the contributing factors for insomnia in the general population? J. Psychosom. Res. 2001; 51: 745–755.

    Article  CAS  PubMed  Google Scholar 

  8. Hasler G, Buysse DJ, Klaghofer R et al. The association between short sleep duration and obesity in young adults: a 13-year prospective study. Sleep 2004; 27: 661–666.

    PubMed  Google Scholar 

  9. Gangwisch JE, Malaspina D, Boden-Albala B, Heymsfield SB. Inadequate sleep as a risk factor for obesity: analyses of the NHANES I. Sleep 2005; 10: 1289–1296.

    Google Scholar 

  10. Patel SR, Malhotra A, White DP, Gottlieb DJ, Hu FB. Association between reduced sleep and weight gain in women. Am. J. Epidemiol. 2006; 164: 947–954.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Chaput JP, Després JP, Bouchard C, Tremblay A. The association between sleep duration and weight gain in adults: a 6-year prospective study from the Quebec Family Study. Sleep 2008; 31: 517–523.

    PubMed  PubMed Central  Google Scholar 

  12. Itani O, Kaneita Y, Murata A, Yokoyama E, Ohida T. Association of onset of obesity with sleep duration and shift work among Japanese adults. Sleep Med. 2011; 12: 341–345.

    Article  PubMed  Google Scholar 

  13. Ayas NT, White DP, Al-Delaimy WK et al. A prospective study of self-reported sleep duration and incident diabetes in women. Diabetes Care 2003; 26: 380–384.

    Article  PubMed  Google Scholar 

  14. Mallon L, Broman JE, Hetta J. High incidence of diabetes in men with sleep complaints or short sleep duration: a 12-year follow-up study of a middle-aged population. Diabetes Care 2005; 28: 2762–2767.

    Article  PubMed  Google Scholar 

  15. Gangwisch JE, Heymsfield SB, Boden-Albala B et al. Sleep duration as a risk factor for diabetes incidence in a large U.S. sample. Sleep 2007; 30: 1667–1673.

    PubMed  PubMed Central  Google Scholar 

  16. Nakajima H, Kaneita Y, Yokoyama E et al. Insomnia symptoms associated with hyperglycemia. Sleep Biol. Rhythms 2010; 8: 203–211.

    Article  Google Scholar 

  17. Gangwisch JE, Heymsfield SB, Boden-Albala B et al. Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension 2006; 47: 833–839.

    Article  CAS  PubMed  Google Scholar 

  18. Cappuccio FP, Stranges S, Kandala NB et al. Gender-specific associations of short sleep duration with prevalent and incident hypertension: the Whitehall II Study. Hypertension 2007; 50: 693–700.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  20. Choi KM, Lee JS, Park HS, Baik SH, Choi DS, Kim SM. Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001. Int. J. Obes. (Lond.) 2008; 32: 1091–1097.

    Article  CAS  Google Scholar 

  21. Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T. Relation between metabolic syndrome and sleep duration in Japan: a large scale cross-sectional study. Intern. Med. 2011; 50: 103–107.

    Article  PubMed  Google Scholar 

  22. Parish JM, Adam T, Facchiano L. Relationship of metabolic syndrome and obstructive sleep apnea. J. Clin. Sleep Med. 2007; 3: 467–472.

    PubMed  PubMed Central  Google Scholar 

  23. Coughlin SR, Mawdsley L, Mugarza JA, Calverley PM, Wilding JP. Obstructive sleep apnoea is independently associated with an increased prevalence of metabolic syndrome. Eur. Heart J. 2004; 25: 735–741.

    Article  PubMed  Google Scholar 

  24. Troxel WM, Buysse DJ, Matthews KA et al. Sleep symptoms predict the development of the metabolic syndrome. Sleep 2010; 33: 1633–1640.

    PubMed  PubMed Central  Google Scholar 

  25. Ministry of Health, Labour and Welfare. Report of National Health and Nutrition Survey. 2007 (in Japanese). [Cited 28 May 2014.] Available from URL: http://www.mhlw.go.jp/houdou/2008/12/h1225–5.ht

  26. Metabolic syndrome-definition and diagnostic criteria in Japan (in Japanese). J. Jpn. Soc. Intern. Med. 2005; 94: 188–203.

  27. Vgontzas AN, Liao D, Bixler EO, Chrousos GP, Vela-Bueno A. Insomnia with objective short sleep duration is associated with a high risk for hypertension. Sleep 2009; 32: 491–497.

    PubMed  PubMed Central  Google Scholar 

  28. Gangwisch JE, Malaspina D, Posner K et al. Insomnia and sleep duration as mediators of the relationship between depression and hypertension incidence. Am. J. Hypertens. 2010; 23: 62–69.

    Article  PubMed  Google Scholar 

  29. Suka M, Yoshida K, Sugimori H. Persistent insomnia is a predictor of hypertension in Japanese male workers. J. Occup. Health 2003; 45: 344–350.

    Article  PubMed  Google Scholar 

  30. Prejbisz A, Kabat M, Januszewicz A et al. Characterization of insomnia in patients with essential hypertension. Blood Press. 2006; 15: 213–219.

    Article  PubMed  Google Scholar 

  31. Vgontzas AN, Bixler EO, Lin HM et al. Chronic insomnia is associated with nyctohemeral activation of the hypothalamic-pituitary-adrenal axis: clinical implications. J. Clin. Endocrinol. Metab. 2001; 86: 3787–3794.

    Article  CAS  PubMed  Google Scholar 

  32. Leineweber C, Kecklund G, Akerstedt T, Janszky I, Orth-Gomér K. Snoring and the metabolic syndrome in women. Sleep Med. 2003; 4: 531–536.

    Article  PubMed  Google Scholar 

  33. Thomas GN, Jiang CQ, Lao XQ et al. Snoring and vascular risk factors and disease in a low-risk Chinese population: the Guangzhou Biobank Cohort Study. Sleep 2006; 29: 896–900.

    PubMed  Google Scholar 

  34. Partinen M, Hublin C. Epidemiology of sleep disorders. In: Kryger MH, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine, 5th edn. W.B. Saunders Company: Philadelphia, 2011; 694–715.

    Chapter  Google Scholar 

  35. Sun L, Pan A, Yu Z et al. Snoring, inflammatory markers, adipokines and metabolic syndrome in apparently healthy Chinese. PLoS ONE 2011; 6: e275–315.

    Article  Google Scholar 

  36. Nishimura R, Nakagami T, Tominaga M, Yoshiike N, Tajima N. Prevalence of metabolic syndrome and optimal waist circumference cut-off values in Japan. Diabetes Res. Clin. Pract. 2007; 78: 77–84.

    Article  PubMed  Google Scholar 

  37. Lauderdale DS, Knutson KL, Yan LL et al. Objectively measured sleep characteristics among early-middle-aged adults: the CARDIA study. Am. J. Epidemiol. 2006; 164: 5–16.

    Article  PubMed  Google Scholar 

  38. Frankel BL, Coursey RD, Buchbinder R, Snyder F. Rec-orded and reported sleep in chronic primary insomnia. Arch. Gen. Psychiatry 1976; 33: 615–623.

    Article  CAS  PubMed  Google Scholar 

  39. Hoch CC, Reynolds CF, Kupfer DJ, Berman SR, Houck PR, Stack JA. Empirical note: self-report versus recorded sleep in healthy seniors. Psychophysiology 1987; 24: 293–299.

    Article  CAS  PubMed  Google Scholar 

  40. International Classification of Sleep Disorders. American Academy of Sleep Medicine. 2001. [Cited 28 May 2014.] Available from URL: http://www.esst.org/adds/ICSD.pdf

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yoshitaka Kaneita.

Additional information

Disclosure statement: This was not an industry supported study. The authors have indicated no financial conflicts of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ikeda, M., Kaneita, Y., Uchiyama, M. et al. Epidemiological study of the associations between sleep complaints and metabolic syndrome in Japan. Sleep Biol. Rhythms 12, 269–278 (2014). https://doi.org/10.1111/sbr.12071

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1111/sbr.12071

Key words

Navigation