The relationship between sugar-sweetened beverages, sleep disorders, and diabesity
BackgroundDiabetes and obesity in adults are global issues. Obesity and type 2 diabetes mellitus (T2DM) are increasingly categorized under the umbrella term “diabesity.” Health risk factors (HRFs), which include altering sleep habits and reducing sugar-sweetened beverages (SSBs) consumption, have em...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Endocrinology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.1041977/full |
| _version_ | 1797956802819653632 |
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| author | Yi Zhang Yi Zhang Chao Liu Yijing Xu Yanlei Wang Yulin Zhang Tian Jiang Qiu Zhang the China National Diabetic Chronic Complications Study Group |
| author_facet | Yi Zhang Yi Zhang Chao Liu Yijing Xu Yanlei Wang Yulin Zhang Tian Jiang Qiu Zhang the China National Diabetic Chronic Complications Study Group |
| author_sort | Yi Zhang |
| collection | DOAJ |
| description | BackgroundDiabetes and obesity in adults are global issues. Obesity and type 2 diabetes mellitus (T2DM) are increasingly categorized under the umbrella term “diabesity.” Health risk factors (HRFs), which include altering sleep habits and reducing sugar-sweetened beverages (SSBs) consumption, have emerged as relatively novel and crucial strategies for preventing and treating diabetes.ObjectiveWe aimed to explore: 1) whether SSBs could affect diabesity in China’s community; 2) whether HRFs could moderate this relationship; and 3) whether a three-way interaction exists between HRFs, SSBs, and diabesity.MethodsOn December 10, 2018, we investigated diabetes complications in four cities in Anhui Province and obtained basic and lifestyle information using a detailed questionnaire. The primary exposure was SSBs and outcomes were body mass index (BMI) and waist circumference (WC), while glycated hemoglobin (HbA1c) and sleep patterns (including duration and disorders) were considered moderators.ResultsOverall, 1920 participants were enrolled, and those who did not complete the questionnaire were excluded. Finally, this study included 1765 participants, with a response rate of 92.0%. The mean age was (57.10 ± 10.0) years. Patients with lower educational levels were more likely to have a lower prevalence of WC (χ2 = 2.73) and BMI (χ2 = 3.47), and some HRFs were positively correlated with WC and BMI. Additionally, SSBs were significantly associated with BMI (β = 1.29) and WC (β = 2.97), and there was also differences based on sex, some HRFs, such as HbA1c, FBG and TG, showed higher levels in male participants, whereas TC level was higher in female participants. In the moderation analysis, sleep patterns were also associated with total cholesterol, triglyceride, and BMI. Furthermore, there were three-way interaction effects among HbA1c, sleep patterns, and SSBs on total cholesterol, triglyceride, BMI, and WC. Moreover, sensitivity analysis demonstrated that our results were robust.ConclusionSSBs positively correlated with patterns dose-dependently. Moreover, SSBs could also be associated with sleep patterns, and blood glucose levels were correlated with diabesity. A three-way interaction effect was discovered between SSBs, sleep patterns, blood glucose levels, and patterns. Therefore, understanding the diabesity caused by SSBs and other HRFs can help prevent its occurrence. |
| first_indexed | 2024-04-10T23:54:27Z |
| format | Article |
| id | doaj.art-5e1ca4dc645c4562b4af988d7e59a0c0 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-10T23:54:27Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-5e1ca4dc645c4562b4af988d7e59a0c02023-01-10T14:42:57ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011310.3389/fendo.2022.10419771041977The relationship between sugar-sweetened beverages, sleep disorders, and diabesityYi Zhang0Yi Zhang1Chao Liu2Yijing Xu3Yanlei Wang4Yulin Zhang5Tian Jiang6Qiu Zhang7the China National Diabetic Chronic Complications Study GroupDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaThe Second Clinical Medical College, Anhui Medical University, Hefei, Anhui, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaBackgroundDiabetes and obesity in adults are global issues. Obesity and type 2 diabetes mellitus (T2DM) are increasingly categorized under the umbrella term “diabesity.” Health risk factors (HRFs), which include altering sleep habits and reducing sugar-sweetened beverages (SSBs) consumption, have emerged as relatively novel and crucial strategies for preventing and treating diabetes.ObjectiveWe aimed to explore: 1) whether SSBs could affect diabesity in China’s community; 2) whether HRFs could moderate this relationship; and 3) whether a three-way interaction exists between HRFs, SSBs, and diabesity.MethodsOn December 10, 2018, we investigated diabetes complications in four cities in Anhui Province and obtained basic and lifestyle information using a detailed questionnaire. The primary exposure was SSBs and outcomes were body mass index (BMI) and waist circumference (WC), while glycated hemoglobin (HbA1c) and sleep patterns (including duration and disorders) were considered moderators.ResultsOverall, 1920 participants were enrolled, and those who did not complete the questionnaire were excluded. Finally, this study included 1765 participants, with a response rate of 92.0%. The mean age was (57.10 ± 10.0) years. Patients with lower educational levels were more likely to have a lower prevalence of WC (χ2 = 2.73) and BMI (χ2 = 3.47), and some HRFs were positively correlated with WC and BMI. Additionally, SSBs were significantly associated with BMI (β = 1.29) and WC (β = 2.97), and there was also differences based on sex, some HRFs, such as HbA1c, FBG and TG, showed higher levels in male participants, whereas TC level was higher in female participants. In the moderation analysis, sleep patterns were also associated with total cholesterol, triglyceride, and BMI. Furthermore, there were three-way interaction effects among HbA1c, sleep patterns, and SSBs on total cholesterol, triglyceride, BMI, and WC. Moreover, sensitivity analysis demonstrated that our results were robust.ConclusionSSBs positively correlated with patterns dose-dependently. Moreover, SSBs could also be associated with sleep patterns, and blood glucose levels were correlated with diabesity. A three-way interaction effect was discovered between SSBs, sleep patterns, blood glucose levels, and patterns. Therefore, understanding the diabesity caused by SSBs and other HRFs can help prevent its occurrence.https://www.frontiersin.org/articles/10.3389/fendo.2022.1041977/fulldiabesityBMIwaist circumferencesugar-sweetened beveragediabetes |
| spellingShingle | Yi Zhang Yi Zhang Chao Liu Yijing Xu Yanlei Wang Yulin Zhang Tian Jiang Qiu Zhang the China National Diabetic Chronic Complications Study Group The relationship between sugar-sweetened beverages, sleep disorders, and diabesity Frontiers in Endocrinology diabesity BMI waist circumference sugar-sweetened beverage diabetes |
| title | The relationship between sugar-sweetened beverages, sleep disorders, and diabesity |
| title_full | The relationship between sugar-sweetened beverages, sleep disorders, and diabesity |
| title_fullStr | The relationship between sugar-sweetened beverages, sleep disorders, and diabesity |
| title_full_unstemmed | The relationship between sugar-sweetened beverages, sleep disorders, and diabesity |
| title_short | The relationship between sugar-sweetened beverages, sleep disorders, and diabesity |
| title_sort | relationship between sugar sweetened beverages sleep disorders and diabesity |
| topic | diabesity BMI waist circumference sugar-sweetened beverage diabetes |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.1041977/full |
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