DOI QR코드

DOI QR Code

Effects of Sleep Duration and Quality on Prevalence of Metabolic Syndrome and Metabolic Syndrome Components in Korean Blue-collar Workers

생산직 근로자의 수면시간과 수면의 질이 대사증후군 및 대사증후군 구성요소 유병률에 미치는 영향

  • Park, Yunhee (Department of Nursing, College of Medicine, Wonkwang University)
  • Received : 2019.11.19
  • Accepted : 2020.02.05
  • Published : 2020.02.28

Abstract

Purpose: The prevalence of metabolic syndrome (MetS), a cluster of metabolic abnormalities has rapidly increased in Korea. Sleep may play a role in determining its prevalence. However, the relationships between MetS and the duration and quality of sleep are not yet clear. This study aimed to examine the associations between the duration and quality of sleep and the prevalence of MetS. Methods: Study participants included 348 Korean blue-collar workers employed by six small-sized companies in Korea. The data were collected using an interviewer-administered questionnaire, and logistic regression analysis was conducted to estimate the effects of the factors related to MetS. Results: The multiple logistic regression analysis revealed that the independent factors that contributed to the prevalence of MetS were being male (adjusted odds ratio [aOR]=4.87, 95% confidence interval [CI]=1.58~15.0) and lower sleep quality (aOR=5.12, 95% CI=1.90~14.30). Sleep duration was related to the prevalence of some MetS components, but it was not associated with MetS prevalence. Conclusion: Sleep quality was negatively associated with MetS prevalence when covariates, such as sleep duration, were controlled. When developing a MetS risk-reduction program, focus should be given to sleep quality as well as sleep duration in an intervention for Korean blue-collar workers.

Keywords

References

  1. Choi, K. M., Lee, J. S., Park, H. S., Baik, S. H., Choi, D. S., & Kim, S. M. (2008). Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001. International Journal of Obesity, 32(7), 1091-1097. https://doi.org/10.1038/ijo.2008.62
  2. Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B., Buijs, R. M., Kreier, F., Pickering, T. G., et al. (2006). Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension, 47(5), 833-839. https://doi.org/10.1161/01.HYP.0000217362.34748.e0
  3. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation, 112(17), 2735-2752. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  4. Hall, M. H., Muldoon, M. F., Jennings, J. R., Buysse, D. J., Flory, J. D., & Manuck, S. B. (2008). Self-reported sleep duration is associated with the metabolic syndrome in midlife adults. Sleep, 31(5), 635-643. https://doi.org/10.1093/sleep/31.5.635
  5. Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., et al. (2015). National sleep foundation's updated sleep duration recommendations. Sleep Health, 1(4), 233-243. https://doi.org/10.1016/j.sleh.2015.10.004
  6. Hoevenaar-Blom, M. P., Spijkerman, A. M., Kromhout, D., van den Berg, J. F., & Verschuren, W. M. (2011). Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study. Sleep, 34(11), 1487-1492. https://doi.org/10.1016/j.sleh.2015.10.004
  7. Hwang, I. C., Kim, K. K., Choi, C. H., Lee, K. S., & Suh, H. S. (2010). Relationship between sleep duration, sleep satisfaction and metabolic syndrome. Korean Journal of Health Promotion, 10(2), 71-77.
  8. Iftikhar, I. H., Donley, M. A., Mindel, J., Pleister, A., Soriano, S., & Magalang, U. J. (2015). Sleep duration and metabolic syndrome. An updated dose-risk meta-analysis. Annals of the American Thoracic Society, 12(9), 1364-1372. https://doi.org/10.1513/AnnalsATS.201504-190OC
  9. Katano, S., Nakamura, Y., Nakamura, A., Murakami, Y., Tanaka, T., Takebayashi, T., et al. (2011). Relationship between sleep duration and clustering of metabolic syndrome diagnostic components. Diabetes, Metabolic syndrome and Obesity: Targets and Therapy, 4, 119-125. https://doi.org/10.2147/DMSO.S16147
  10. Lakka, H. M., Laaksonen, D. E., Lakka, T. A., Niskanen, L. K., Kumpusalo, E., Tuomilehto, J., et al. (2002). The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA, 288(21), 2709-2716. https://doi.org/10.1001/jama.288.21.2709
  11. Lee, B. G., Lee, J. Y., Kim, S. A., Son, D. M., & Ham, O. K. (2015). Factors associated with self-rated health in metabolic syndrome and relationship between sleep duration and metabolic syndrome risk factors. Journal of Korean Academy of Nursing, 45(3), 420-428. https://doi.org/10.4040/jkan.2015.45.3.420
  12. Lee, E. J., Kang, S. G., Shin, J. H., Hwang, Y. N., Ryu, K. S., & Song, S. W. (2009). Relationship between sleep quality and metabolic syndrome and Infl ammatory Markers in Middle-aged Men in Korea. Korean Journal of Family Medicine, 30(5), 344-351. https://doi.org/10.4082/kjfm.2009.30.5.344
  13. Lee, S. J., & Kim, J. (2015). Inflammation and insufficient or disordered sleep. Korean Journal of Clinical Laboratory Science, 47(3), 97-104. https://doi.org/10.15324/kjcls.2015.47.3.97
  14. Li, X., Lin, L., Lv, L., Pang, X., Du, S., Zhang, W., et al. (2015). U-shaped relationships between sleep duration and metabolic syndrome and metabolic syndrome components in males: A prospective cohort study. Sleep Medicine, 16(8), 949-954. https://doi.org/10.1016/j.sleep.2015.03.024
  15. Lian, Y., Yuan, Q., Wang, G., & Tang, F. (2019). Association between sleep quality and metabolic syndrome: A systematic review and meta-analysis. Psychiatry Research, 274, 66-74. https://doi.org/10.1016/j.psychres.2019.01.096
  16. Metlaine, A., Leger, D., & Choudat, D. (2005). Socioeconomic impact of insomnia in working populations. Industrial Health, 43(1), 11-19. https://doi.org/10.2486/indhealth.43.11
  17. Ministry of Health and Wallfare. (2019). Prevalence of metabolic syndrome in adults over 30 years is 28.8%. Press release. Retrieved October 22 from https://www.mohw.go.kr/react/al/sal0301ls.jsp
  18. Okubo, N., Matsuzaka, M., Takahashi, I., Sawada, K., Sato, S., Akimoto, N., et al. (2014). Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health, 14, 562. https://doi.org/10.1186/1471-2458-14-562
  19. Park, H. (2016). The effects of shift work and hours of sleep on metabolic syndrome in Korean workers. The Korean Journal of Occupational Health Nursing, 25(2), 96-107. https://doi.org/10.5807/kjohn.2016.25.2.96
  20. Park, H. S., Oh, S. W., Cho, S. I., Choi, W. H., & Kim, Y. S. (2004). The metabolic syndrome and associated lifestyle factors among South Korean adults. International Journal of Epidemiology, 33(2), 328-336. https://doi.org/10.1093/ije/dyh032
  21. Phillips, B., & Mannino, D. (2005). Correlates of sleep complaints in adults: The ARIC study. Journal of Clinical Sleep Medicine, 1(3), 277-283. https://doi.org/10.5664/jcsm.26344
  22. Santos, A. C., Ebrahim, S., & Barros, H. (2007). Alcohol intake, smoking, sleeping hours, physical activity and the metabolic syndrome. Preventive Medicine, 44(4), 328-334. https://doi.org/10.1016/j.ypmed.2006.11.016
  23. Spiegel, K., Tasali, E., Penev, P., & Van Cauter, E. (2004). Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Annals of Internal Medicine, 141(11), 846-850. https://doi.org/10.7326/0003-4819-141-11-200412070-00008
  24. Stranges, S., Cappuccio, F. P., Kandala, N. B., Miller, M. A., Taggart, F. M., Kumari, M., et al. (2007). Cross-sectional versus prospective associations of sleep duration with changes in relative weight and body fat distribution: The Whitehall II Study. American Journal of Epidemiology, 167(3), 321-329. https://doi.org/10.1093/aje/kwm302
  25. Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Medicine, 1(3), e62. https://doi.org/10.1371/journal.pmed.0010062
  26. Wang, Q., Xi, B., Liu, M., Zhang, Y., & Fu, M. (2012). Short sleep duration is associated with hypertension risk among adults: A systematic review and meta-analysis. Hypertension Research, 35(10), 1012-1018. https://doi.org/10.1038/hr.2012.91
  27. Wolk, R., & Somers, V. K. (2007). Sleep and the metabolic syndrome. Experimental Physiology, 92(1), 67-78. https://doi.org/10.1113/expphysiol.2006.033787
  28. Xi, B., He, D., Zhang, M., Xue, J., & Zhou, D. (2014). Short sleep duration predicts risk of metabolic syndrome: A systematic review and meta-analysis. Sleep Medicine Reviews, 18(4), 293-297. https://doi.org/10.1016/j.smrv.2013.06.001
  29. Yaggi, H. K., Araujo, A. B., & McKinlay, J. B. (2006). Sleep duration as a risk factor for the development of type 2 diabetes. Diabetes Care, 29(3), 657-661. https://doi.org/10.2337/diacare.29.03.06.dc05-0879
  30. Yang, Y. M., Shin, B. C., Son, C., & Ha, I. H. (2019). An analysis of the associations between gender and metabolic syndrome components in Korean adults: a national cross-sectional study. BMC Endocrine Disorders, 19(1), 67. https://doi.org/10.1186/s12902-019-0393-0