TY - JOUR
T1 - The Association between Sleeping Time and Metabolic Syndrome Features, among Older Adults Living in Mediterranean Region
T2 - The MEDIS Study
AU - Georgousopoulou, Ekavi N.
AU - D'Cunha, Nathan M.
AU - Mellor, Duane D.
AU - Tyrovolas, Stefanos
AU - Naumovski, Nenad
AU - Foscolou, Alexandra
AU - Bountziouka, Vassiliki
AU - Gotsis, Efthimios
AU - Metallinos, George
AU - Tyrovola, Dimitra
AU - Piscopo, Suzanne
AU - Valacchi, Giuseppe
AU - Tsakountakis, Nikos
AU - Zeimbekis, Akis
AU - Tur, Josep Antoni
AU - Matalas, Antonia Leda
AU - Polychronopoulos, Evangelos
AU - Lionis, Christos
AU - Sidossis, Labros
AU - Panagiotakos, Demosthenes B.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Background: Metabolic syndrome (MetS) as a combination of features has been known to significantly increase cardiovascular disease risk, while MetS presence is linked to lifestyle parameters, including physical activity and dietary habits; recently, the potential impact of sleeping habits has also become an issue under consideration. The aim of this study was to investigate the role of sleep quantity in several MetS components. Methods: Design: a cross-sectional observational study. Setting: 26 Mediterranean islands (MEDIS) and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2017, 3130 older (aged 65-100 years) Mediterranean residents were voluntarily enrolled. Measurements: dietary habits (including MedDietScore assessment), physical activity status, sociodemographic characteristics, lifestyle parameters (sleeping and smoking habits), and clinical profile aspects, including MetS components [i.e., waist circumference, systolic and diastolic blood pressure, fasting glucose, triglycerides, and low-density lipoprotein (LDL) and high-density lipoprotein cholesterol (HDL-C)], were derived through standard procedures. Results: The number of daily hours of sleep was independently associated with greater waist circumference [b coefficient/hr = 0.91, 95% confidence interval (CI): 0.34-1.49], higher LDL-cholesterol levels (b/hr = 3.84, 95% CI: 0.63-7.05), and lower diastolic blood pressure levels (b/hr = -0.98, 95% CI: -1.57 to -0.39) after adjusting for participants' age, gender, body mass index, daily walking time, level of adherence to Mediterranean diet, and smoking status. No association was revealed between hours of sleep per day and fasting glucose, triglycerides, HDL-C, and systolic blood pressure. Conclusions: Increased hours of sleep is an indicator of metabolic disorders among elderly individuals, and further research is needed to identify the paths through which sleep quantity is linked to MetS features in different age groups.
AB - Background: Metabolic syndrome (MetS) as a combination of features has been known to significantly increase cardiovascular disease risk, while MetS presence is linked to lifestyle parameters, including physical activity and dietary habits; recently, the potential impact of sleeping habits has also become an issue under consideration. The aim of this study was to investigate the role of sleep quantity in several MetS components. Methods: Design: a cross-sectional observational study. Setting: 26 Mediterranean islands (MEDIS) and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2017, 3130 older (aged 65-100 years) Mediterranean residents were voluntarily enrolled. Measurements: dietary habits (including MedDietScore assessment), physical activity status, sociodemographic characteristics, lifestyle parameters (sleeping and smoking habits), and clinical profile aspects, including MetS components [i.e., waist circumference, systolic and diastolic blood pressure, fasting glucose, triglycerides, and low-density lipoprotein (LDL) and high-density lipoprotein cholesterol (HDL-C)], were derived through standard procedures. Results: The number of daily hours of sleep was independently associated with greater waist circumference [b coefficient/hr = 0.91, 95% confidence interval (CI): 0.34-1.49], higher LDL-cholesterol levels (b/hr = 3.84, 95% CI: 0.63-7.05), and lower diastolic blood pressure levels (b/hr = -0.98, 95% CI: -1.57 to -0.39) after adjusting for participants' age, gender, body mass index, daily walking time, level of adherence to Mediterranean diet, and smoking status. No association was revealed between hours of sleep per day and fasting glucose, triglycerides, HDL-C, and systolic blood pressure. Conclusions: Increased hours of sleep is an indicator of metabolic disorders among elderly individuals, and further research is needed to identify the paths through which sleep quantity is linked to MetS features in different age groups.
KW - elderly
KW - lifestyle
KW - MEDIS
KW - Mediterranean-type diet
KW - metabolic syndrome components
KW - sleep
UR - http://www.scopus.com/inward/record.url?scp=85041961219&partnerID=8YFLogxK
U2 - 10.1089/met.2017.0113
DO - 10.1089/met.2017.0113
M3 - Article
AN - SCOPUS:85041961219
SN - 1540-4196
VL - 16
SP - 20
EP - 28
JO - Metabolic Syndrome and Related Disorders
JF - Metabolic Syndrome and Related Disorders
IS - 1
ER -
