U-shaped association between sleep duration with chronic constipation and diarrhea: A population-based study

Wang, Dongyan; Li, Yan; Shi, Yihai; Hu, Zhengyu

doi:10.1080/07420528.2022.2139713

Cited by 4 publications

(5 citation statements)

References 32 publications

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“…Previous NHANES studies reported a higher prevalence of CD in individuals with diabetes (11.2% vs. 6.0%) ( Sommers et al, 2019 ), depression (15.53% vs. 6.05%) ( Ballou et al, 2019a ), sleeping for <4 h (8.4% vs. 7.6%) ( Wang et al, 2022 ), and obesity (9.8% vs. 4.5%) ( Ballou et al, 2019b ). Given this evidence, it was important to consider the potential impact of single Circs components on CD risk, despite variations in definitions.…”

Section: Discussionmentioning

confidence: 94%

Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Ding,

Duan,

Yang

et al. 2024

Front. Physiol.

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BackgroundCircadian rhythms are reported to influence physiological processes in the gastrointestinal system, but associations between circadian syndrome (Circs) and chronic diarrhea (CD) remain unclear. Here, we explored such relationships to provide new insights into CD management.MethodsWe conducted a cross-sectional retrospective analysis using the National Health and Nutrition Examination Survey (NHANES) data between 2005 and 2010. Univariate and multivariable logistic regression analyses were performed on weighted data to explore associations between Circs and CD.ResultsResults were presented using forest plots, odds ratios (ORs), and 95% confidence intervals (CIs). Data with p-values < 0.05 were considered statistically significant. In total, 5,661 US participants, of which 412 had CD (weighted percentage = 6.20%), were enrolled. In univariate logistic regression analyses, participants with Circs had a significantly higher risk of CD (OR = 1.51, 95% CI: 1.15–1.99). After adjusting for covariates, model 2 (OR = 1.40, 95% CI: 1.03–1.90) and model 3 (OR = 1.42, 95% CI: 1.01–2.00) data were consistent with model 1 data. Additionally, the number of Circs components was positively associated with CD in all three models. Subgroup analyses revealed an association between CD and Circs in participants who had high blood pressure (OR = 2.46, 95% CI: 1.48–4.11, p < 0.001).ConclusionIn this cross-sectional study, we found that Circs is positively associated with the risk of CD in US adults, especially in those with high blood pressure. This association may provide new management strategies for CD.

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Section: Discussionmentioning

confidence: 94%

Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Ding,

Duan,

Yang

et al. 2024

Front. Physiol.

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“…A strength of the current study is that we had a study population with a relatively large number of patients with type 2 diabetes because of the emerging prevalence of diabetes and an elevated risk of sleep and gastrointestinal disorders associated with diabetes. Furthermore, assessment of the defecation frequency allowed us to examine the association of sleep duration with different aspects of constipation, in addition to the stool form or laxative use, which was assessed in a previous study [ 16 ]. Additionally, a comprehensive multivariable adjustment for confounders, such as lifestyle factors of dietary fiber intake, exercise, and smoking, as well as comorbidities including depressive symptoms, was conducted to determine the association between sleep duration and constipation.…”

Section: Discussionmentioning

confidence: 99%

“…Constipation is one of the major gastrointestinal symptoms and has recently attracted attention as a risk factor for CVD [9][10][11]. A cross-sectional analysis from NHANES showed that shorter and longer sleep durations were associated with a higher likelihood of constipation [16], which was defined on the basis of stool form (Bristol Stool Form Scale type) or laxative use. Compared with a sleep duration of 7 hours, a shorter sleep duration was significantly associated with constipation (OR: 1.25 [95% CI 1.03-1.51] for 6 hours, 1.57 [1.25-1.98] for 5 hours, and 1.54 [1.16-2.04] for �4 hours).…”

Section: Plos Onementioning

confidence: 99%

“…In conjunction with constipation-related decrease in quality of life, the importance of prevention and management of constipation has also been widely recognized. With regard to the relationship between constipation and sleep duration, a recent study showed a possible association between shorter and longer sleep durations and constipation [ 16 ]. However, to date, no study has clarified this issue in patients with diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Sleep duration and its association with constipation in patients with diabetes: The fukuoka diabetes registry

Ohkuma,

Iwase,

Kitazono

2024

PLoS ONE

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Aims Shorter and longer sleep durations are associated with adverse health consequences. However, available evidence on the association of sleep duration with constipation is limited, especially in patients with diabetes, who are at a high risk of both conditions. This study aimed to examine the association between sleep duration and constipation in patients with type 2 diabetes. Methods A total of 4,826 patients with type 2 diabetes were classified into six groups according to sleep duration: <4.5, 4.5–5.4, 5.5–6.4, 6.5–7.4, 7.5–8.4, and ≥8.5 hours/day. The odds ratios for the presence of constipation, defined as a defecation frequency <3 times/week and/or laxative use, were calculated using a logistic regression model. Results Shorter and longer sleep durations were associated with a higher likelihood of constipation than an intermediate duration (6.5–7.4 hours/day). This U-shaped association persisted after adjusting for confounding factors, including lifestyle behavior, measures of obesity and glycemic control, and comorbidities. Broadly identical findings were observed when decreased defecation frequency and laxative use were individually assessed. Conclusions This study shows a U-shaped association between sleep duration and constipation in patients with type 2 diabetes, and highlights the importance of assessing sleep duration in daily clinical practice.

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“…People spend about one-third of their time sleeping [9] . The American Academy of Sleep Medicine (AASM) and the Sleep Research Society (SRS) recommend that the optimal sleep time for adults is 7 hours or more per night [10] .…”

Section: Introductionmentioning

confidence: 99%

The relationship of sleep duration with premature menopause in American adults: data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2018

Li,

Zhang,

et al. 2024

Preprint

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Objective The correlation between sleep time and menopausal age is still unclear. This study investigated the causal relationship between sleep duration and premature menopause based on the National Health and Nutrition Survey (NHANES) database. Materials and methods This study included 4055 female participants in the NHANES database from 2005 to 2018, and used a logistic regression model to evaluate the relationship between sleep duration and menopausal age. Draw RCS curve to illustrate the relationship between sleep duration and menopause age. Short term sleep was defined as ≤ 7 hours of sleep per day, normal sleep was defined as 7.0-8.9 hours of sleep, and long-term sleep was defined a ≥ 9 hours of sleep per day. Premature menopause was defined as menopause before the age of 40. Results The average age of 4055 female participants was 62.26 ± 11.42.There was a significant correlation between sleep duration and menopausal age (P < 0.05).The results of the logistic regression model showed that short-term sleep (≤ 7 hours) was associated with premature menopausal age (≤ 40) (OR = 0.80; 95% CI: 0.66–0.98; P = 0.028), and after adjusting for potential confounding factors, short-term sleep (≤ 7 hours) was also associated with premature menopausal age (≤ 40) (OR = 0.82; 95% CI: 0.67–1.99; P = 0.049).The RCS results showed a U-shaped association between sleep time and menopausal age (P < 0.001), with a threshold of 7 hours for sleep time. Whether sleep time increases or decreases, the risk ratio of premature menopause shows an increasing trend. Conclusion Our cross-sectional analysis elucidated the U-shaped relationship between sleep duration and menopausal age among the American age group.

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U-shaped association between sleep duration with chronic constipation and diarrhea: A population-based study

Cited by 4 publications

References 32 publications

Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Sleep duration and its association with constipation in patients with diabetes: The fukuoka diabetes registry

The relationship of sleep duration with premature menopause in American adults: data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2018

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