The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis

PurposeSleep duration is thought to play a key role in the development of metabolic syndrome. However, the results have been inconsistent.MethodsWe conducted a systematic review and meta-analysis of cohort studies and searched publications in PubMed, Embase, Cochrane Central Register of Controlled T...

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Autores principales: Tingting Che, Cheng Yan, Dingyuan Tian, Xin Zhang, Xuejun Liu, Zhongming Wu
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:a82e38eda71d4d12baaf8897951f1f492021-11-19T07:30:19ZThe Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis1664-239210.3389/fendo.2021.773646https://doaj.org/article/a82e38eda71d4d12baaf8897951f1f492021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.773646/fullhttps://doaj.org/toc/1664-2392PurposeSleep duration is thought to play a key role in the development of metabolic syndrome. However, the results have been inconsistent.MethodsWe conducted a systematic review and meta-analysis of cohort studies and searched publications in PubMed, Embase, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov. The summary relative risks (RRs) were estimated using a random model. The sensitivity analysis was performed by sequentially excluding each study to test the robustness of the pooled estimates.FindingWe included 13 studies involving 300,202 patients in which short sleep and long sleep significantly increased the risk of metabolic syndrome 15% (RR = 1.15, 95%CI = 1.09-1.22, p < 0.001) and 19% (RR = 1.19, 95%CI = 1.05-1.35, p < 0.001). Moreover, the relationship between sleep duration and metabolic syndrome risk presented a U-shaped curve. Short and long sleep increased the risk of obesity by 14% (RR = 1.14, 95%CI = 1.07-1.22, p<0.001) and 15% (RR = 1.15, 95%CI = 1.00-1.30, p = 0.04), and high blood pressure 16% (RR = 1.16, 95%CI = 1.02-1.31, p = 0.03) and 13% (RR = 1.13, 95%CI = 1.04-1.24, p = 0.01), respectively. Short sleep can potentially increase the risk of high blood sugar by 12% (RR = 1.12, 95%CI = 1.00-1.15, P = 0.05).ImplicationsBased on our findings, sleep is a behavior that can be changed and is economical. Clinically doctors and health professionals should be encouraged to increase their efforts to promote healthy sleep for all people.Tingting CheCheng YanDingyuan TianXin ZhangXuejun LiuZhongming WuFrontiers Media S.A.articlesleep durationmetabolic syndromemeta-analysisobesitydiabetesDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic sleep duration
metabolic syndrome
meta-analysis
obesity
diabetes
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle sleep duration
metabolic syndrome
meta-analysis
obesity
diabetes
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Tingting Che
Cheng Yan
Dingyuan Tian
Xin Zhang
Xuejun Liu
Zhongming Wu
The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis
description PurposeSleep duration is thought to play a key role in the development of metabolic syndrome. However, the results have been inconsistent.MethodsWe conducted a systematic review and meta-analysis of cohort studies and searched publications in PubMed, Embase, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov. The summary relative risks (RRs) were estimated using a random model. The sensitivity analysis was performed by sequentially excluding each study to test the robustness of the pooled estimates.FindingWe included 13 studies involving 300,202 patients in which short sleep and long sleep significantly increased the risk of metabolic syndrome 15% (RR = 1.15, 95%CI = 1.09-1.22, p < 0.001) and 19% (RR = 1.19, 95%CI = 1.05-1.35, p < 0.001). Moreover, the relationship between sleep duration and metabolic syndrome risk presented a U-shaped curve. Short and long sleep increased the risk of obesity by 14% (RR = 1.14, 95%CI = 1.07-1.22, p<0.001) and 15% (RR = 1.15, 95%CI = 1.00-1.30, p = 0.04), and high blood pressure 16% (RR = 1.16, 95%CI = 1.02-1.31, p = 0.03) and 13% (RR = 1.13, 95%CI = 1.04-1.24, p = 0.01), respectively. Short sleep can potentially increase the risk of high blood sugar by 12% (RR = 1.12, 95%CI = 1.00-1.15, P = 0.05).ImplicationsBased on our findings, sleep is a behavior that can be changed and is economical. Clinically doctors and health professionals should be encouraged to increase their efforts to promote healthy sleep for all people.
format article
author Tingting Che
Cheng Yan
Dingyuan Tian
Xin Zhang
Xuejun Liu
Zhongming Wu
author_facet Tingting Che
Cheng Yan
Dingyuan Tian
Xin Zhang
Xuejun Liu
Zhongming Wu
author_sort Tingting Che
title The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis
title_short The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis
title_full The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis
title_fullStr The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis
title_full_unstemmed The Association Between Sleep and Metabolic Syndrome: A Systematic Review and Meta-Analysis
title_sort association between sleep and metabolic syndrome: a systematic review and meta-analysis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/a82e38eda71d4d12baaf8897951f1f49
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