Type 2 & other diabetes

Associations of BMI, sleep quality, and sleep duration trajectories with new‐onset diabetes mellitus in the elderly

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

BMI, sleep quality, and sleep duration trajectories are associated with NODM risk. Individuals with higher BMI values, poor sleep quality, or persistent short or decreasing sleep duration may be at higher risk for NODM, warranting further attention.

Study context

Population
Diabetes-free adults aged ≥60 years, Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2014
Participants
2,648 adults
Exposure
BMI categories, sleep quality and sleep duration trajectories
Outcome
New-onset DM (NODM), self-reported
Follow-up
4 years
Methodological detailsCox proportional hazards models, self-reported diabetes diagnosis
  • Cox proportional hazards models
  • Self-reported diabetes diagnosis

Main finding

As reported in the abstract

NODM
Each group vs good sleep qualityEstimate (CI)
Obesityhighest risk
aHR 2.247(1.212–4.168)
Poor sleep quality
HR 1.570(0.903–2.731)
Persistent short
aHR 11.662(1.565–86.896)
Normal-decreasing
aHR 8.403(1.023–69.010)
Long-decreasing
aHR 9.474(1.269–70.700)
Participants developing new-onset diabetes mellitus (NODM)
94

Observational data: associations, not effects.

Original publication

Associations of BMI, sleep quality, and sleep duration trajectories with new‐onset diabetes mellitus in the elderly. Obesity (Silver Spring). Published 16 July 2025. doi:10.1002/oby.24338

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