ORIGINAL PAPER
Association between sleep duration and sleep quality, and metabolic syndrome in Taiwanese police officers
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1
Taipei Medical University, Taipei, Taiwan (Department of Family Medicine, Wan Fang Hospital)
2
Taipei Medical University, Taipei, Taiwan (College of Medicine, School of Medicine, Department of Family Medicine)
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Taipei Medical University, Taipei, Taiwan (Department of Occupational Medicine, Wan Fang Hospital)
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Taipei Medical University, Taipei, Taiwan (Graduate Institute of Nursing)
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Taipei Medical University, Taipei, Taiwan (Department of Neurosurgery, Shuang Ho Hospital)
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Taipei Medical University, Taipei, Taiwan (College of Medicine, School of Medicine, Department of Neurosurgery)
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Taipei Medical University, Taipei, Taiwan (Department of Family Medicine, Shuang Ho Hospital)
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Taipei Medical University, Taipei, Taiwan (Health Management Center, Wan Fang Hospital)
Corresponding author
Ying-Chin Lin
Taipei Medical University, Health Management Center, Wan Fang Hospital, No. 111, Sec. 3, Xinglong Rd., 11696, Taipei, Taiwan
Int J Occup Med Environ Health. 2015;28(6):1011-23
Referred to by: Kawada T. Letter to Editor (December 21, 2015). Sleep duration and metabolic syndrome. Int J Occup Med Environ Health. 2016;29(6):877–8,
https://doi.org/10.13075/ijomeh.1896.00873.
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ABSTRACT
Objectives: This study’s objective was to examine association between sleep duration and sleep quality, and metabolic syndrome
(MetS) and its components in Taiwanese male police officers. Material and Methods: Male police officers who underwent
annual health examinations were invited to join the study and eventually a total of 796 subjects was included in it.
The study subjects were divided into 5 groups according to the length (duration) of sleep: < 5, 5–5.9, 6–6.9, 7–7.9 and ≥ 8 h
per day, and the global Pittsburgh Sleep Quality Index was used to categorize their sleep quality as good or poor. To analyze
the association between sleep problems and MetS, adjusted odds ratio and respective 95% confidence intervals (CI) were
computed. Results: The prevalence of MetS in Taiwanese male police officers was 24.5%. Abdominal obesity had the highest
proportion (36.2%) among 5 components of MetS. More than 1/2 of the police officers (52.3%) had poor sleep quality.
Police officers with higher scores of sleep disturbances had a higher prevalence of MetS (p = 0.029) and abdominal obesity
(p = 0.009). After adjusting for age, low-density lipoprotein cholesterol, smoking status, alcohol drinking habit, physical
habitual exercise, snoring and type of shift work, the police officers who slept less than 5 h were 88% more likely to suffer from
abdominal obesity than those who slept 7–7.9 h (95% CI: 1.01–3.5). Sleep quality was not associated with MetS and its components. Conclusions: The police officers who slept less than 5 h were more likely to experience abdominal obesity in Taiwan,
and those with higher scores of sleep disturbances had a higher prevalence of MetS and abdominal obesity. It is recommended
that police officers with short sleep duration or sleep disturbances be screened for MetS and waist circumference in order to
prevent cardiovascular diseases.