A Gender-Specific Association between Self-Reported Snoring and Hemoglobin A1c Levels in a General Population without Type 2 Diabetes Mellitus
Yonsei Medical Journal
;
: 1152-1159, 2017.
Article
in English
| WPRIM
| ID: wpr-15478
ABSTRACT
PURPOSE:
We explored whether a gender difference was evident in terms of the associations of snoring with hemoglobin A1c (HbA1c) and homeostatic model assessment-insulin resistance (HOMA-IR) levels in a healthy population without type 2 diabetes mellitus (DM). MATERIALS ANDMETHODS:
We analyzed 2706 males and 4080 females who participated in the baseline survey of the Namwon Study. In terms of self-reported snoring frequency, participants were classified as non-snorers or occasional (1–3 days/week), frequent (4–6 days/week), or constant (7 days/week) snorers. Participants with DM, defined as a fasting blood glucose level ≥126 mg/dL and/or use of insulin or hypoglycemic medication, were excluded from the analysis.RESULTS:
In females, the fully adjusted mean (95% confidence interval) HbA1c levels in non-snorers and in occasional, frequent, and constant snorers were 5.53% (5.47–5.59%), 5.53% (5.47–5.59%), 5.57% (5.49–5.64%), and 5.57% (5.51–5.64%), respectively, reflecting a dose-response relationship (p trend=0.004). Compared with female non-snorers, the risk of an elevated HbA1c level (top quintile, ≥5.9%) in constant snorers remained significant (odds ratio 1.30, 95% confidence interval 1.02–1.66) after full adjustment. In addition, in females, a significant linear trend in HbA1c level odds ratio by increased snoring frequency was apparent (p trend=0.019 in model 3). In contrast, no significant association between snoring frequency and HbA1c level was identified in males. No significant association between snoring frequency and HOMA-IR was detected in either gender.CONCLUSION:
We discovered a gender-specific association between snoring and HbA1c level in a healthy, community-dwelling population free of DM.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Snoring
/
Blood Glucose
/
Hemoglobin A
/
Insulin Resistance
/
Odds Ratio
/
Surveys and Questionnaires
/
Fasting
/
Diabetes Mellitus, Type 2
/
Insulin
Type of study:
Etiology study
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Yonsei Medical Journal
Year:
2017
Type:
Article
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