十分な睡眠は若年者の血糖安定化に関連することを確認(Researchers to Teens: Get to Bed – It’s Good for Your Blood Sugar)

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2026-07-01 コペンハーゲン大学(UCPH)

コペンハーゲン大学の研究チームは、思春期の睡眠習慣と血糖代謝との関係を調査し、十分な睡眠と早い就寝が血糖値の調節に重要であることを明らかにした。研究では、健康な10代の若者を対象に睡眠時間や就寝時刻と血糖値・インスリン代謝を評価した結果、就寝が遅い、あるいは睡眠時間が短い若者ほど血糖コントロールが悪化し、インスリン感受性の低下がみられる傾向が確認された。これらの変化は、将来的な2型糖尿病や代謝疾患のリスク増加につながる可能性がある。研究チームは、思春期は生体リズムの変化により夜型化しやすい一方で、学校生活との両立により睡眠不足に陥りやすいと指摘している。そのため、睡眠時間の確保だけでなく、できるだけ早い時間に就寝する生活習慣が、代謝機能の維持や健康増進に有効であると結論付けた。本研究は、若年期からの睡眠改善が生活習慣病予防に重要であることを示す知見となっている。

<関連情報>

夜間の睡眠時間と覚醒時血糖値:自由生活を送る青年における持続血糖モニタリングとの関連性 Night-to-Night Sleep Duration and Wake-Anchored Glycaemia: Associations with Continuous Glucose Monitoring in Free-Living Adolescents

David Horner,Kristen Evensen,Zhi Ye,Marie Jahn,Kaare Tranæs,Jonathan Thorsen,Thomas Ragnar Wood,Kristi Storoschuk,Nanette Mol Debes,Jannet Svensson,…
Sleep  Published:18 June 2026
DOI:https://doi.org/10.1093/sleep/zsag158

十分な睡眠は若年者の血糖安定化に関連することを確認(Researchers to Teens: Get to Bed – It’s Good for Your Blood Sugar)
Graphical Abstract

Abstract

Study Objectives

Sleep duration influences metabolic health, but the impact of daily sleep variation on next-day glycaemia in healthy individuals under real-world conditions is poorly understood.

Materials and methods

We studied 206 adolescents (18 years) from the Copenhagen Prospective Studies on Asthma in Childhood 2000 (COPSAC2000) cohort with 2245 person-days of overlapping accelerometer-derived sleep and continuous glucose monitoring (CGM) recordings (median 13 days, IQR 9-13). Sleep duration was assessed using wrist-worn accelerometry, and glycaemic concentration, variability, and risk indices were derived from CGM during the accelerometer-defined waking period. Associations were examined using linear mixed-effects models adjusted for sociodemographic, behavioural, circadian, and cardiometabolic factors, with random effects of individuals across repeated days.

Results

Each additional hour of sleep was associated with higher next-day glycaemic concentration (median β 0.39 mg/dL [0.15, 0.63], p = .002), lower variability (standard deviation (SD) mg/dL β -0.12 [-0.23, -0.01], p = .036), and reduced deviation risk (Average Daily Risk Range (ADRR), indicating lower risk of extreme glucose excursions; β -0.27 [-0.43, -0.10], p = .002). Within-person deviations in sleep predicted next-day glycaemic concentration and deviation risk, whereas habitual between-person differences were more strongly associated with variability. Higher daytime glycaemic variability predicted shorter subsequent sleep (β -0.11 h [-0.18, -0.05], p < 0.001). The early-morning pre-wake glucose rise partly mediated the link between longer sleep and higher next-day median glucose (indirect effect 5.0%, p = 0.036).

Conclusions

These findings indicate dynamic, bidirectional coupling between sleep and glucose regulation in free-living adolescents, with longer sleep associated with lower next-day glycaemic variability and reduced risk of extreme glucose excursions.

医療・健康
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