The association between sleeping time and metabolic syndrome features among older adults living in Mediterranean region. The MEDIS study.

Ekavi Georgousopoulou, Nathan D'Cunha, Duane Mellor, Stefanos Tyrovolas, Nenad Naumovski, Alexandra Foscolou, Vassoliki Bountzioka, Efthimios Gotsis, George Metallinos, Dimitra Tyrovola, Suzanne Piscopo, Giuseppe Valacchi, Nikos Tsakountakis, Akis Zeimbekis, Josep-Antoni Tur, Antonia-Leda Matalas, Evangelos Polychronopoulos, Chritos Lionis, Labros Sidossis, Demosthenes Panagiotakos & 1 others MEDIS Study Group

Research output: Contribution to journalArticle

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Abstract

Background: Metabolic Syndrome (MetS) as a combination of features has been known to significantly increase Cardiovascular Disease (CVD) risk, whilst MetS presence is linked to lifestyle parameters including physical activity and dietary habits; recently, the potential impact of sleeping habits has also become an issue under consideration. The aim of this study was to investigate the role of sleep quantity in several MetS components.
Methods: Design:Cross-sectional observational study. Setting: 26 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2017, 3130 older (aged 65-100 years) Mediterranean residents were voluntarily enrolled. Measurements: Dietary habits (including MedDietScore assessment), physical activity status, socio-demographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects including Metabolic Syndrome (MetS) components (i.e., waist circumference, systolic and diastolic blood pressure, fasting glucose, triglycerides, LDL and HDL-cholesterol) were derived through standard procedures.
Results: The number of daily hours of sleep was independently associated with greater waist circumference (b coefficient per 1 hour=0.91, 95% Confidence Interval (CI); 0.34, 1.49), higher LDL-cholesterol levels (b per 1 hour=3.84, 95%CI; 0.63, 7.05) and lower diastolic blood pressure levels (b per 1 hour=-0.98, 95%CI; - 1.57, -0.39) after adjusting for participants’ age, gender, body mass index, daily walking time, level of adherence to Mediterranean diet and smoking status. No association was revealed between hours of sleep per day and fasting glucose, triglycerides, HDL-cholesterol and systolic blood pressure.
Conclusions: Increased hours of sleep is an indicator of metabolic disorders among elderly inviduals, and further research is needed to identify the paths through which sleep quantity is linked to MetS features in different age-groups.
Original languageEnglish
Pages (from-to)20-28
Number of pages9
JournalMetabolic Syndrome and Related Disorders
Volume16
Issue number1
Early online date22 Jan 2018
DOIs
Publication statusPublished - 1 Feb 2018

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Mediterranean Region
Sleep
Blood Pressure
Waist Circumference
Feeding Behavior
Confidence Intervals
LDL Cholesterol
HDL Cholesterol
Habits
Life Style
Fasting
Mediterranean Islands
Triglycerides
Smoking
Mediterranean Diet
Glucose
Greece
Hypercholesterolemia
Walking
Observational Studies

Bibliographical note

Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

Keywords

  • Metabolic Syndrome components
  • Sleep
  • Elderly
  • Lifestyle
  • MEDIS
  • Mediterranean-type diet

Cite this

The association between sleeping time and metabolic syndrome features among older adults living in Mediterranean region. The MEDIS study. / Georgousopoulou, Ekavi; D'Cunha, Nathan; Mellor, Duane; Tyrovolas, Stefanos; Naumovski, Nenad; Foscolou, Alexandra; Bountzioka, Vassoliki; Gotsis, Efthimios; Metallinos, George; Tyrovola, Dimitra; Piscopo, Suzanne; Valacchi, Giuseppe; Tsakountakis, Nikos; Zeimbekis, Akis; Tur, Josep-Antoni; Matalas, Antonia-Leda; Polychronopoulos, Evangelos; Lionis, Chritos; Sidossis, Labros; Panagiotakos, Demosthenes; MEDIS Study Group.

In: Metabolic Syndrome and Related Disorders, Vol. 16, No. 1, 01.02.2018, p. 20-28.

Research output: Contribution to journalArticle

Georgousopoulou, E, D'Cunha, N, Mellor, D, Tyrovolas, S, Naumovski, N, Foscolou, A, Bountzioka, V, Gotsis, E, Metallinos, G, Tyrovola, D, Piscopo, S, Valacchi, G, Tsakountakis, N, Zeimbekis, A, Tur, J-A, Matalas, A-L, Polychronopoulos, E, Lionis, C, Sidossis, L, Panagiotakos, D & MEDIS Study Group 2018, 'The association between sleeping time and metabolic syndrome features among older adults living in Mediterranean region. The MEDIS study.' Metabolic Syndrome and Related Disorders, vol. 16, no. 1, pp. 20-28. https://doi.org/10.1089/met.2017.0113
Georgousopoulou, Ekavi ; D'Cunha, Nathan ; Mellor, Duane ; Tyrovolas, Stefanos ; Naumovski, Nenad ; Foscolou, Alexandra ; Bountzioka, Vassoliki ; Gotsis, Efthimios ; Metallinos, George ; Tyrovola, Dimitra ; Piscopo, Suzanne ; Valacchi, Giuseppe ; Tsakountakis, Nikos ; Zeimbekis, Akis ; Tur, Josep-Antoni ; Matalas, Antonia-Leda ; Polychronopoulos, Evangelos ; Lionis, Chritos ; Sidossis, Labros ; Panagiotakos, Demosthenes ; MEDIS Study Group. / The association between sleeping time and metabolic syndrome features among older adults living in Mediterranean region. The MEDIS study. In: Metabolic Syndrome and Related Disorders. 2018 ; Vol. 16, No. 1. pp. 20-28.
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T1 - The association between sleeping time and metabolic syndrome features among older adults living in Mediterranean region. The MEDIS study.

AU - Georgousopoulou, Ekavi

AU - D'Cunha, Nathan

AU - Mellor, Duane

AU - Tyrovolas, Stefanos

AU - Naumovski, Nenad

AU - Foscolou, Alexandra

AU - Bountzioka, Vassoliki

AU - Gotsis, Efthimios

AU - Metallinos, George

AU - Tyrovola, Dimitra

AU - Piscopo, Suzanne

AU - Valacchi, Giuseppe

AU - Tsakountakis, Nikos

AU - Zeimbekis, Akis

AU - Tur, Josep-Antoni

AU - Matalas, Antonia-Leda

AU - Polychronopoulos, Evangelos

AU - Lionis, Chritos

AU - Sidossis, Labros

AU - Panagiotakos, Demosthenes

AU - MEDIS Study Group

N1 - Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Background: Metabolic Syndrome (MetS) as a combination of features has been known to significantly increase Cardiovascular Disease (CVD) risk, whilst MetS presence is linked to lifestyle parameters including physical activity and dietary habits; recently, the potential impact of sleeping habits has also become an issue under consideration. The aim of this study was to investigate the role of sleep quantity in several MetS components. Methods: Design:Cross-sectional observational study. Setting: 26 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2017, 3130 older (aged 65-100 years) Mediterranean residents were voluntarily enrolled. Measurements: Dietary habits (including MedDietScore assessment), physical activity status, socio-demographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects including Metabolic Syndrome (MetS) components (i.e., waist circumference, systolic and diastolic blood pressure, fasting glucose, triglycerides, LDL and HDL-cholesterol) were derived through standard procedures. Results: The number of daily hours of sleep was independently associated with greater waist circumference (b coefficient per 1 hour=0.91, 95% Confidence Interval (CI); 0.34, 1.49), higher LDL-cholesterol levels (b per 1 hour=3.84, 95%CI; 0.63, 7.05) and lower diastolic blood pressure levels (b per 1 hour=-0.98, 95%CI; - 1.57, -0.39) after adjusting for participants’ age, gender, body mass index, daily walking time, level of adherence to Mediterranean diet and smoking status. No association was revealed between hours of sleep per day and fasting glucose, triglycerides, HDL-cholesterol and systolic blood pressure. Conclusions: Increased hours of sleep is an indicator of metabolic disorders among elderly inviduals, and further research is needed to identify the paths through which sleep quantity is linked to MetS features in different age-groups.

AB - Background: Metabolic Syndrome (MetS) as a combination of features has been known to significantly increase Cardiovascular Disease (CVD) risk, whilst MetS presence is linked to lifestyle parameters including physical activity and dietary habits; recently, the potential impact of sleeping habits has also become an issue under consideration. The aim of this study was to investigate the role of sleep quantity in several MetS components. Methods: Design:Cross-sectional observational study. Setting: 26 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2017, 3130 older (aged 65-100 years) Mediterranean residents were voluntarily enrolled. Measurements: Dietary habits (including MedDietScore assessment), physical activity status, socio-demographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects including Metabolic Syndrome (MetS) components (i.e., waist circumference, systolic and diastolic blood pressure, fasting glucose, triglycerides, LDL and HDL-cholesterol) were derived through standard procedures. Results: The number of daily hours of sleep was independently associated with greater waist circumference (b coefficient per 1 hour=0.91, 95% Confidence Interval (CI); 0.34, 1.49), higher LDL-cholesterol levels (b per 1 hour=3.84, 95%CI; 0.63, 7.05) and lower diastolic blood pressure levels (b per 1 hour=-0.98, 95%CI; - 1.57, -0.39) after adjusting for participants’ age, gender, body mass index, daily walking time, level of adherence to Mediterranean diet and smoking status. No association was revealed between hours of sleep per day and fasting glucose, triglycerides, HDL-cholesterol and systolic blood pressure. Conclusions: Increased hours of sleep is an indicator of metabolic disorders among elderly inviduals, and further research is needed to identify the paths through which sleep quantity is linked to MetS features in different age-groups.

KW - Metabolic Syndrome components

KW - Sleep

KW - Elderly

KW - Lifestyle

KW - MEDIS

KW - Mediterranean-type diet

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JO - Metabolic Syndrome and Related Disorders

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