title: Sleep disorders and the development of insulin resistance and obesity.
abstract: Normal sleep is characterized both by reduced glucose turnover by the brain and other metabolically active tissues, and by changes in glucose tolerance. Sleep duration has decreased over the last several decades; data suggest a link between short sleep duration and type 2 diabetes. Obstructive sleep apnea (OSA) results in intermittent hypoxia and sleep fragmentation, and also is associated with impaired glucose tolerance. Obesity is a major risk factor for OSA, but whether OSA leads to obesity is unclear. The quality and quantity of sleep may profoundly affect obesity and glucose tolerance, and should be routinely assessed by clinicians.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA.
authors.forename: Omar
authors.initials: O
authors.lastname: Mesarwi
authors.forename: Jan
authors.initials: J
authors.lastname: Polak
authors.forename: Jonathan
authors.initials: J
authors.lastname: Jun
authors.forename: Vsevolod Y
authors.initials: VY
authors.lastname: Polotsky
mesh_terms: D002940:Circadian Rhythm / Q000502:physiology; D018149:Glucose Intolerance / Q000378:metabolism; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology*; D009765:Obesity / Q000378:metabolism / Q000503:physiopathology*; D012893:Sleep Wake Disorders / Q000378:metabolism / Q000503:physiopathology*
keywords: Diabetes; Glucose homeostasis; Metabolism; Obstructive sleep apnea; Sleep duration