Sleep duration is associated with vitamin D deficiency in older women living in Macao, China: A pilot cross-sectional study
Chinese women are known to have both a high prevalence of metabolic syndrome (MetS) and vitamin D deficiency (serum 25-hydroxyvitamin D (25OHD) <50 nmol/l). Associations between sleep duration and circulating 25OHD have recently been reported but, to our knowledge, these associations have not bee...
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Published in | PloS one Vol. 15; no. 3; p. e0229642 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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04.03.2020
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Abstract | Chinese women are known to have both a high prevalence of metabolic syndrome (MetS) and vitamin D deficiency (serum 25-hydroxyvitamin D (25OHD) <50 nmol/l). Associations between sleep duration and circulating 25OHD have recently been reported but, to our knowledge, these associations have not been studied in older Chinese populations. We thus investigated whether sleep duration was associated with vitamin D status in a population from Macao, China, and whether sleep duration modified the association between MetS and vitamin D deficiency. In 207 older (>55 years) Macanese, anthropometry, blood samples and validated questionnaires, including sleep duration and cardiovascular risk factors, were simultaneously collected. On multivariable categorical analyses, those women, not men, who had short sleep duration (≤6 hours (h)) were at a 2-fold risk for vitamin D deficiency (both <50 nmol/L and <37 nmol/L; OR = 1.94, 95%CI 1.29-2.92; OR = 2.05, 95%CI 1.06-3.98, respectively) and those who had longer sleep duration (>8 h) were 3-fold more likely to have vitamin D deficiency (OR = 3.07, 95%CI 1.47-6.39; OR = 2.75, 95%CI 1.08-7.00, respectively) compared to those with normal sleep duration (6-8 h). Both women and men with MetS were 2-fold more likely to have vitamin D deficiency (women: OR = 2.04, 95%CI 1.31-3.17; OR = 2.15, 95%CI 1.11-4.17, respectively; men: OR = 2.01, 95%CI 1.23-3.28; OR = 2.04, 95%CI 1.00-4.29, respectively). Moreover, women with both short sleep duration and MetS had an increased risk of vitamin D deficiency (OR = 3.26, 95%CI 1.10-9.64). These associations were not found in those with longer sleep. Men with longer sleep and MetS had a 5-fold risk of vitamin D deficiency (OR = 5.22; 95%CI 2.70-10.12). This association was non-significant for men with shorter sleep. We conclude that both short and long sleep duration were associated with vitamin D deficiency in older Chinese women. Further research is needed in larger cohorts or with intervention studies to further examine the associations between reduced sleep, metabolic syndrome and vitamin D deficiency. |
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AbstractList | Chinese women are known to have both a high prevalence of metabolic syndrome (MetS) and vitamin D deficiency (serum 25-hydroxyvitamin D (25OHD) <50 nmol/l). Associations between sleep duration and circulating 25OHD have recently been reported but, to our knowledge, these associations have not been studied in older Chinese populations. We thus investigated whether sleep duration was associated with vitamin D status in a population from Macao, China, and whether sleep duration modified the association between MetS and vitamin D deficiency. In 207 older (>55 years) Macanese, anthropometry, blood samples and validated questionnaires, including sleep duration and cardiovascular risk factors, were simultaneously collected. On multivariable categorical analyses, those women, not men, who had short sleep duration (≤6 hours (h)) were at a 2-fold risk for vitamin D deficiency (both <50 nmol/L and <37 nmol/L; OR = 1.94, 95%CI 1.29–2.92; OR = 2.05, 95%CI 1.06–3.98, respectively) and those who had longer sleep duration (>8 h) were 3-fold more likely to have vitamin D deficiency (OR = 3.07, 95%CI 1.47–6.39; OR = 2.75, 95%CI 1.08–7.00, respectively) compared to those with normal sleep duration (6–8 h). Both women and men with MetS were 2-fold more likely to have vitamin D deficiency (women: OR = 2.04, 95%CI 1.31–3.17; OR = 2.15, 95%CI 1.11–4.17, respectively; men: OR = 2.01, 95%CI 1.23–3.28; OR = 2.04, 95%CI 1.00–4.29, respectively). Moreover, women with both short sleep duration and MetS had an increased risk of vitamin D deficiency (OR = 3.26, 95%CI 1.10–9.64). These associations were not found in those with longer sleep. Men with longer sleep and MetS had a 5-fold risk of vitamin D deficiency (OR = 5.22; 95%CI 2.70–10.12). This association was non-significant for men with shorter sleep. We conclude that both short and long sleep duration were associated with vitamin D deficiency in older Chinese women. Further research is needed in larger cohorts or with intervention studies to further examine the associations between reduced sleep, metabolic syndrome and vitamin D deficiency. Chinese women are known to have both a high prevalence of metabolic syndrome (MetS) and vitamin D deficiency (serum 25-hydroxyvitamin D (25OHD) 55 years) Macanese, anthropometry, blood samples and validated questionnaires, including sleep duration and cardiovascular risk factors, were simultaneously collected. On multivariable categorical analyses, those women, not men, who had short sleep duration ([less than or equal to]6 hours (h)) were at a 2-fold risk for vitamin D deficiency (both <50 nmol/L and 8 h) were 3-fold more likely to have vitamin D deficiency (OR = 3.07, 95%CI 1.47-6.39; OR = 2.75, 95%CI 1.08-7.00, respectively) compared to those with normal sleep duration (6-8 h). Both women and men with MetS were 2-fold more likely to have vitamin D deficiency (women: OR = 2.04, 95%CI 1.31-3.17; OR = 2.15, 95%CI 1.11-4.17, respectively; men: OR = 2.01, 95%CI 1.23-3.28; OR = 2.04, 95%CI 1.00-4.29, respectively). Moreover, women with both short sleep duration and MetS had an increased risk of vitamin D deficiency (OR = 3.26, 95%CI 1.10-9.64). These associations were not found in those with longer sleep. Men with longer sleep and MetS had a 5-fold risk of vitamin D deficiency (OR = 5.22; 95%CI 2.70-10.12). This association was non-significant for men with shorter sleep. We conclude that both short and long sleep duration were associated with vitamin D deficiency in older Chinese women. Further research is needed in larger cohorts or with intervention studies to further examine the associations between reduced sleep, metabolic syndrome and vitamin D deficiency. |
Audience | Academic |
Author | Ho, Jacky Brock, Kaye E Liu, Xiaoying Mpofu, Elias Mason, Rebecca S Brennan-Speranza, Tara C Abboud, Myriam Ke, Liang |
AuthorAffiliation | 4 Zayed University, Dubai, UAE 5 Clinical and Rehabilitation Sciences Research Group, Faculty of Health Science, The University of Sydney, Sydney, Australia 6 Rehabilitation and Health Services, University of North Texas, Denton, TX, United States of America 3 City University of Macao, Macao SAR, China 8 School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia 7 Educational Psychology, University of Johannesburg, Johannesburg, South Africa 2 Macao Hypertension League, Macao, China 1 Department of Physiology, School of Medical Sciences, Bosch Institute, The University of Sydney, Sydney, Australia Arizona State University, UNITED STATES |
AuthorAffiliation_xml | – name: 1 Department of Physiology, School of Medical Sciences, Bosch Institute, The University of Sydney, Sydney, Australia – name: 5 Clinical and Rehabilitation Sciences Research Group, Faculty of Health Science, The University of Sydney, Sydney, Australia – name: 6 Rehabilitation and Health Services, University of North Texas, Denton, TX, United States of America – name: 4 Zayed University, Dubai, UAE – name: Arizona State University, UNITED STATES – name: 8 School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia – name: 3 City University of Macao, Macao SAR, China – name: 2 Macao Hypertension League, Macao, China – name: 7 Educational Psychology, University of Johannesburg, Johannesburg, South Africa |
Author_xml | – sequence: 1 givenname: Xiaoying surname: Liu fullname: Liu, Xiaoying organization: Department of Physiology, School of Medical Sciences, Bosch Institute, The University of Sydney, Sydney, Australia – sequence: 2 givenname: Liang surname: Ke fullname: Ke, Liang organization: Macao Hypertension League, Macao, China – sequence: 3 givenname: Jacky surname: Ho fullname: Ho, Jacky organization: City University of Macao, Macao SAR, China – sequence: 4 givenname: Myriam surname: Abboud fullname: Abboud, Myriam organization: Zayed University, Dubai, UAE – sequence: 5 givenname: Elias surname: Mpofu fullname: Mpofu, Elias organization: Educational Psychology, University of Johannesburg, Johannesburg, South Africa – sequence: 6 givenname: Tara C surname: Brennan-Speranza fullname: Brennan-Speranza, Tara C organization: School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia – sequence: 7 givenname: Rebecca S surname: Mason fullname: Mason, Rebecca S organization: Department of Physiology, School of Medical Sciences, Bosch Institute, The University of Sydney, Sydney, Australia – sequence: 8 givenname: Kaye E orcidid: 0000-0003-0523-4722 surname: Brock fullname: Brock, Kaye E organization: Department of Physiology, School of Medical Sciences, Bosch Institute, The University of Sydney, Sydney, Australia |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32130235$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_3390_nu15194192 crossref_primary_10_1016_j_sleepx_2021_100040 crossref_primary_10_1016_j_gerinurse_2023_07_008 crossref_primary_10_1515_hmbci_2020_0025 crossref_primary_10_1016_j_sleepx_2022_100056 |
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Snippet | Chinese women are known to have both a high prevalence of metabolic syndrome (MetS) and vitamin D deficiency (serum 25-hydroxyvitamin D (25OHD) <50 nmol/l).... Chinese women are known to have both a high prevalence of metabolic syndrome (MetS) and vitamin D deficiency (serum 25-hydroxyvitamin D (25OHD) 55 years)... |
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SubjectTerms | 25-Hydroxyvitamin D Anthropometry Biology and Life Sciences Blood pressure Calciferol Cardiovascular diseases Comparative analysis Cross-sectional studies Data collection Health risks Hypertension Medicine and Health Sciences Metabolic disorders Metabolic syndrome Middle aged women Mortality Older people Physical sciences Physiology Population Questionnaires Research and Analysis Methods Response rates Risk analysis Risk factors Sleep Sleep deprivation Socioeconomic factors Studies Triglycerides Vitamin D Vitamin D deficiency Vitamin deficiency Vitamins Women |
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Title | Sleep duration is associated with vitamin D deficiency in older women living in Macao, China: A pilot cross-sectional study |
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