Korean Journal of Family Medicine (가정의학회지)

The Korean Academy of Family Medicine (대한가정의학회)
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Associations between Metabolic Syndrome and Inadequate Sleep Duration and Skipping Breakfast

  • Kim, Nak-Hyun (Department of Family Medicine, Health Promotion Center, Seoul National University Hospital) ;
  • Shin, Dong Heon (Department of Family Medicine, Health Promotion Center, Seoul National University Hospital) ;
  • Kim, Hee-Tae (Department of Family Medicine, Health Promotion Center, Seoul National University Hospital) ;
  • Jeong, Su Min (Department of Family Medicine, Health Promotion Center, Seoul National University Hospital) ;
  • Kim, Su-Yeon (Department of Family Medicine, Health Promotion Center, Seoul National University Hospital) ;
  • Son, Ki Young (Department of Family Medicine, Health Promotion Center, Seoul National University Hospital)
  • Received : 2015.02.28
  • Accepted : 2015.10.27
  • Published : 2015.11.30
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Abstract

Background: The prevalence of metabolic syndrome is increasing worldwide, and previous studies have shown that inadequate sleep duration and skipping breakfast may be related to metabolic syndrome. Therefore, we investigated the effects of inadequate sleep and skipping breakfast on metabolic syndrome using data from the Korea National Health and Nutrition Examination Survey (KNHANES) IV & V reports (2007-2009 and 2010-2012, respectively). Methods: The sample included 12,999 subjects who participated in the KNHANES IV & V. Sleep duration and breakfast eating were self-reported, and metabolic syndrome was defined according to the modified National Cholesterol Education Program Adult Treatment Panel III guidelines. Subjects were divided into 12 groups according to breakfast eating and sleep duration patterns, and multiple logistic regression analyses adjusted for age, sex, household income, education level, smoking status, alcohol drinking, physical activity, and total daily energy intake were conducted. Results: In subjects under 50 years of age, sleeping less than 6 hours was significantly associated with increased metabolic syndrome except among those who ate breakfast on only 1 of the past 2 days. In subjects over 50 years of age, sleeping less than 6 hours was significantly associated with a decreased risk of metabolic syndrome among those who ate breakfast on both days. Conclusion: In conclusion, significant associations between metabolic syndrome and sleep duration were identified, and these associations differed according to age group.

Keywords

References

  1. Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J, et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA 2002;288:2709-16. https://doi.org/10.1001/jama.288.21.2709
  2. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 2002;287:356-9. https://doi.org/10.1001/jama.287.3.356
  3. Park HS, Oh SW, Cho SI, Choi WH, Kim YS. The metabolic syndrome and associated lifestyle factors among South Korean adults. Int J Epidemiol 2004;33:328-36. https://doi.org/10.1093/ije/dyh032
  4. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won Yoon J, et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011;34:1323-8. https://doi.org/10.2337/dc10-2109
  5. 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;32:1091-7. https://doi.org/10.1038/ijo.2008.62
  6. Basner M, Fomberstein KM, Razavi FM, Banks S, William JH, Rosa RR, et al. American time use survey: sleep time and its relationship to waking activities. Sleep 2007;30:1085-95. https://doi.org/10.1093/sleep/30.9.1085
  7. Min C, Noh H, Kang YS, Sim HJ, Baik HW, Song WO, et al. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutr Res Pract 2011;5:455-63. https://doi.org/10.4162/nrp.2011.5.5.455
  8. Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ. Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health Study. Am J Clin Nutr 2010;92:1316-25. https://doi.org/10.3945/ajcn.2010.30101
  9. Li Y, Nemoto T, Tobimatsu S, Saito M, Ebata M, Munakata H, et al. Relationship between skipping breakfast and impaired fasting glucose along with cardiovascular and pre-diabetes condition risk factors in apparently healthy subjects. Endocrinol Stud 2011;1:76-80.
  10. Sajjad A, Anwer Mo, Anwer S, Zaidi SA, Hasan A. Missing breakfast, sleep and exercise: are you skipping out years of life. J Nutr Health Sci 2014;1:1-7.
  11. Keski-Rahkonen A, Kaprio J, Rissanen A, Virkkunen M, Rose RJ. Breakfast skipping and health-compromising behaviors in adolescents and adults. Eur J Clin Nutr 2003;57:842-53. https://doi.org/10.1038/sj.ejcn.1601618
  12. Lee BK, Kim Y, Kim YI. Association of serum ferritin with metabolic syndrome and diabetes mellitus in the South Korean general population according to the Korean National Health and Nutrition Examination Survey 2008. Metabolism 2011;60:1416-24. https://doi.org/10.1016/j.metabol.2011.02.008
  13. Kim S, DeRoo LA, Sandler DP. Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutr 2011;14:889-95. https://doi.org/10.1017/S136898001000296X
  14. Youngstedt SD, Kripke DF. Long sleep and mortality: rationale for sleep restriction. Sleep Med Rev 2004;8:159-74. https://doi.org/10.1016/j.smrv.2003.10.002
  15. Cohen-Mansfield J, Perach R. Sleep duration, nap habits, and mortality in older persons. Sleep 2012;35:1003-9.
  16. Villareal DT, Miller BV 3rd, Banks M, Fontana L, Sinacore DR, Klein S. Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults. Am J Clin Nutr 2006;84:1317-23. https://doi.org/10.1093/ajcn/84.6.1317
  17. Alexander CM, Landsman PB, Teutsch SM, Haffner SM; Third National Health and Nutrition Examination Survey (NHANES III); National Cholesterol Education Program (NCEP). NCEP-defined metabolic syndrome, diabetes, and prevalence of coronary heart disease among NHANES III participants age 50 years and older. Diabetes 2003;52:1210-4. https://doi.org/10.2337/diabetes.52.5.1210
  18. Knutson KL, Ryden AM, Mander BA, Van Cauter E. Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Arch Intern Med 2006;166:1768-74. https://doi.org/10.1001/archinte.166.16.1768

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