, Volume 66, Issue 2, pp 240–248 | Cite as

Associations of sleep durations and sleep-related parameters with metabolic syndrome among older Chinese adults

  • Yu-Xi Qian
  • Jing-Hong Liu
  • Qing-Hua Ma
  • Hong-Peng Sun
  • Yong Xu
  • Chen-Wei PanEmail author
Original Article



There is a lack of data on the role of sleep in the development of metabolic syndrome (MetS) in older adults. We aimed to examine the associations of sleep durations at night and other sleep-related parameters with the presence of MetS in older Chinese adults.


Data of 4579 individuals aged 60 years or older from the Weitang Geriatric Disease Study were analyzed. MetS was diagnosed based on the Adult Treatment Panel III (ATP III) criteria. Information regarding sleep durations and other sleep-related parameters was collected by questionnaires.


Compared with those with daytime napping, individuals without daytime napping were at an increased risk of MetS (odds ratio [OR] = 1.23; 95% confidence interval [CI] = 1.03–1.47). Each hour increase in daytime napping increased the risk of MetS by 33% (OR = 1.33; 95% CI = 1.15–1.52). After adjusting for the effect of age and gender, a J-shaped association between sleep durations at night and the presence of MetS was observed. The risk of MetS was lowest among those who slept 7–8 h at night. Gender-stratified analysis indicated that the J-shaped relationship between sleep durations at night and MetS remained significant in men but not in women.


In older Chinese adults, sleep durations at night might have a dual effect on the risk of MetS and this effect was particularly pronounced in men. The results indicated that circadian rhythm might play an important role in the development of MetS in older populations.


Metabolic syndrome Sleep duration Older adults Epidemiology 



This study was supported by the Science and Technology Bureau of Xiangcheng District in Suzhou, China under grant no. XJ201706 and the Health Commission of Suzhou under grant no. GSWS2019090.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was conducted abide by the tenets of the Helsinki Declaration, and with the approval of the Institutional Review Board of Soochow University.


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Authors and Affiliations

  1. 1.School of Public HealthMedical College of Soochow UniversitySuzhouChina
  2. 2.The 3rd People’s Hospital of Xiangcheng DistrictSuzhouChina

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