Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis

Objective This study aimed to assess the associations between multidimensional sleep features and type 2 diabetes mellitus (T2DM).Methods We conducted a systematic search across the PubMed, Embase, Web of Science, and Scopus databases for observational studies examining the association between night...

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Main Authors: Hongyi Liu, Hui Zhu, Qinkang Lu, Wen Ye, Tao Huang, Yuqiong Li, Bingqi Li, Yingxin Wu, Penghao Wang, Tao Chen, Jin Xu, Lindan Ji
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Annals of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2024.2447422
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author Hongyi Liu
Hui Zhu
Qinkang Lu
Wen Ye
Tao Huang
Yuqiong Li
Bingqi Li
Yingxin Wu
Penghao Wang
Tao Chen
Jin Xu
Lindan Ji
author_facet Hongyi Liu
Hui Zhu
Qinkang Lu
Wen Ye
Tao Huang
Yuqiong Li
Bingqi Li
Yingxin Wu
Penghao Wang
Tao Chen
Jin Xu
Lindan Ji
author_sort Hongyi Liu
collection DOAJ
description Objective This study aimed to assess the associations between multidimensional sleep features and type 2 diabetes mellitus (T2DM).Methods We conducted a systematic search across the PubMed, Embase, Web of Science, and Scopus databases for observational studies examining the association between nighttime sleep duration, nighttime sleep quality, sleep chronotype, and daytime napping with type 2 diabetes mellitus (T2DM), up to October 1, 2024. If I2 < 50%, a combined analysis was performed based on a fixed-effects model, and vice versa, using a random-effects model.Results Our analysis revealed that a nighttime sleep duration of less than 7 h (odds ratio [OR] = 1.18; 95% CI = 1.13, 1.23) or more than 8 h (OR = 1.13; 95% CI = 1.09, 1.18) significantly increased the risk of T2DM. Additionally, poor sleep quality (OR = 1.50; 95% CI = 1.30, 1.72) and evening chronotype (OR = 1.59; 95% CI = 1.18, 2.13) were associated with a notably greater risk of developing T2DM. Daytime napping lasting more than 30 min augments the risk of T2DM by 7-20%. Interactively, the incidence of T2DM was most significantly elevated among individuals with poor sleep quality and nighttime sleep duration of more than 8 h (OR = 2.15; 95% CI = 1.19, 3.91).Conclusions A U-shaped relationship was observed between sleep duration and type 2 diabetes mellitus (T2DM), with the lowest risk occurring at a sleep duration of 7 to 8 h. Additionally, poor sleep quality, evening chronotypes, and daytime napping exceeding 30 min emerged as potential risk factors for T2DM. These high-risk sleep characteristics interacted with one another, amplifying the overall risk of developing the disease.
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spelling doaj-art-cd8b84e974b74e659f4217906c43ca962025-01-03T07:11:37ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2024.2447422Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysisHongyi Liu0Hui Zhu1Qinkang Lu2Wen Ye3Tao Huang4Yuqiong Li5Bingqi Li6Yingxin Wu7Penghao Wang8Tao Chen9Jin Xu10Lindan Ji11Department of Ophthalmology, The Affiliated People’s Hospital of Ningbo University, Ningbo, ChinaDepartment of Internal Medicine, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaDepartment of Ophthalmology, The Affiliated People’s Hospital of Ningbo University, Ningbo, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaDepartment of Clinical Medicine, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, ChinaDepartment of Ophthalmology, The Affiliated People’s Hospital of Ningbo University, Ningbo, ChinaObjective This study aimed to assess the associations between multidimensional sleep features and type 2 diabetes mellitus (T2DM).Methods We conducted a systematic search across the PubMed, Embase, Web of Science, and Scopus databases for observational studies examining the association between nighttime sleep duration, nighttime sleep quality, sleep chronotype, and daytime napping with type 2 diabetes mellitus (T2DM), up to October 1, 2024. If I2 < 50%, a combined analysis was performed based on a fixed-effects model, and vice versa, using a random-effects model.Results Our analysis revealed that a nighttime sleep duration of less than 7 h (odds ratio [OR] = 1.18; 95% CI = 1.13, 1.23) or more than 8 h (OR = 1.13; 95% CI = 1.09, 1.18) significantly increased the risk of T2DM. Additionally, poor sleep quality (OR = 1.50; 95% CI = 1.30, 1.72) and evening chronotype (OR = 1.59; 95% CI = 1.18, 2.13) were associated with a notably greater risk of developing T2DM. Daytime napping lasting more than 30 min augments the risk of T2DM by 7-20%. Interactively, the incidence of T2DM was most significantly elevated among individuals with poor sleep quality and nighttime sleep duration of more than 8 h (OR = 2.15; 95% CI = 1.19, 3.91).Conclusions A U-shaped relationship was observed between sleep duration and type 2 diabetes mellitus (T2DM), with the lowest risk occurring at a sleep duration of 7 to 8 h. Additionally, poor sleep quality, evening chronotypes, and daytime napping exceeding 30 min emerged as potential risk factors for T2DM. These high-risk sleep characteristics interacted with one another, amplifying the overall risk of developing the disease.https://www.tandfonline.com/doi/10.1080/07853890.2024.2447422Nighttime sleep durationsleep qualitysleep chronotypedaytime nappingtype 2 diabetes mellitus
spellingShingle Hongyi Liu
Hui Zhu
Qinkang Lu
Wen Ye
Tao Huang
Yuqiong Li
Bingqi Li
Yingxin Wu
Penghao Wang
Tao Chen
Jin Xu
Lindan Ji
Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis
Annals of Medicine
Nighttime sleep duration
sleep quality
sleep chronotype
daytime napping
type 2 diabetes mellitus
title Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis
title_full Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis
title_fullStr Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis
title_full_unstemmed Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis
title_short Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis
title_sort sleep features and the risk of type 2 diabetes mellitus a systematic review and meta analysis
topic Nighttime sleep duration
sleep quality
sleep chronotype
daytime napping
type 2 diabetes mellitus
url https://www.tandfonline.com/doi/10.1080/07853890.2024.2447422
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