Does Sleep Duration Differ by Diabetes Status in Middle-aged Adults?
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Purpose: We wanted to assess whether sleep duration differed by diabetes status in middle-aged (40-65) males and females in the general U.S. population because there is currently insufficient research on this relationship. Methods: This cross-sectional analysis used 2016 data from the Behavior Risk Factor Surveillance System (BRFSS) for males and females aged 40-65 years old in Georgia (N=2352), Louisiana (N=2377), New Mexico (N=2832), and Oklahoma (N=2908). We performed multiple logistic regression analysis by state to assess the relationship between diabetes status and sleep duration while controlling for factors related to health, health behaviors, and demographics. Results: Across states, almost one-fourth of participants reported a non-moderate amount of sleep each night (less than 6 or more than 8 hours, 19-24%) and less than one-fifth reported a diagnosis of diabetes (16-18%). Adjusted results indicated that sleep duration was not significantly related to diabetes status across states. However, sleep duration was moderately and inversely related to number of health conditions in all four states, and moderately and positively related to mental health and physical activity in at least three of four states. Conclusion: Diabetes status was not significantly related to sleep duration in middle-aged males and females in the general population. However, up to one-third of middle-aged adults reported two or more health conditions, mental health issues, and physical inactivity, and these were inversely related to moderate sleep duration. Thus, primary care providers should screen for sleep duration, health conditions, mental health, and physical activity in this target population if symptoms of any are present and educate and treat as comorbid conditions.