Study objectives
This study aims to explore the association between osteoporosis and nightly sleep duration among adult outpatients.
Design
This is a large-scale, retrospective cross-sectional study.
Setting
The setting was in a preventive medicine health center at a general community hospital in Tokyo, Japan.
Participants
There were 19,321 healthy individuals (≥50 years old) who underwent annual general health checkup between January and December
2008.
Measurements
The participants were divided into four groups according to their self-reported average nightly sleep duration (<6, 6–6.9,
7–7.9, and >8 h). Radial bone mineral density was measured using dual-energy X-ray absorptiometry, and T-score was compared
to young adult mean to diagnose osteoporosis. Multivariate logistic regression was used to explore the association between
sleep duration and osteoporosis.
Results
The mean age of the participants was 60.9 years (standard deviation [SD], 7.9) and 48.0% were female. The prevalence of osteoporosis
was 8.0% (95% confidence interval [CI] = 7.6–8.4%). Those with sleep duration of >8 h were more likely to have osteoporosis
(odds ratio [OR] = 1.35; 95% CI = 1.06–1.73) than those with short sleep duration (<6 h).
Conclusion
Those individuals with self-reported sleep duration of more than 8 h (long sleepers) appear to have higher odds of osteoporosis
compared to the progressively shorter sleepers.
Keywords Sleep duration – Osteoporosis – Japan – Preventive medicine