Sleeping Duration, Napping and Snoring in Association with Diabetes Control among Patients with Diabetes in Qatar.
BACKGROUND
Poor glycemic control is associated with chronic life-threatening complications. Several studies have revealed that sleep status is associated with glycemic control.


AIM
to examine the association between sleep duration, quality and glycemic control among adults with diabetes.


METHODS
Data on 2500 participants aged 18-60 years were collected from the Qatar Biobank (QBB). Sleep duration and quality were assessed by a self-completed health and lifestyle questionnaire, and glycemic control was assessed using HbA1c. Logistic regression was used to assess the association between sleep duration, napping, snoring and poor glycemic control.


RESULTS
After adjusting for age and gender, sleep duration was not associated with poor glycemic control. Lack of association persisted after controlling for smoking, physical activity, education, BMI, fruit and vegetable intake, insulin and medication use. However, sleeping for long hours at night (≥8 h) had a trend in increasing the risk of poor glycemic control (OR = 1.28; 95% CI: 0.94-1.74). Napping was positively associated with poor glycemic control. After adjusting for age and gender, patients who reported "sometimes, frequently, or always" napping had more than 30% increased risk of poor control as compared to patients who reported "never/rarely" napping. Snoring was not associated with poor glycemic control among the study sample when adjusted for age and gender (p = 0.61). Other factors were found to be associated with a better glycemic control such as female, high educational and high physical activity level.


CONCLUSIONS
our results suggest that napping may be an independent risk factor for a poor glycemic control in diabetes; further investigations are required.
['Bawadi|Hiba|H|0000-0003-1499-5646', 'Al Sada|Asma|A|', 'Al Mansoori|Noof|N|', 'Al Mannai|Sharifa|S|', 'Hamdan|Aya|A|', 'Shi|Zumin|Z|0000-0002-3099-3299', 'Kerkadi|Abdelhamid|A|']
D000293:Adolescent D000328:Adult D003430:Cross-Sectional Studies D003920:Diabetes Mellitus D005260:Female D006801:Humans D008875:Middle Aged D011780:Qatar D012307:Risk Factors D012890:Sleep D012913:Snoring D055815:Young Adult
sleep diabetes Qatar biobank