【摘要】 目的 探讨成年人群中睡眠状态与体重类型（BMI）对空腹血糖和糖尿病风险的影响及交互作用。方法利用2023年北京市昌平区成人慢性病监测数据，采用分层随机抽样，纳入18～79岁常住居民4 190人，收集睡眠、体重等信息并测量空腹血糖，采用多因素回归模型分析睡眠时长与BMI对空腹血糖和糖尿病患病风险的影响及交互作用。结果 睡眠时长越长，空腹血糖越低。与睡眠时长的Q1组相比，Q2组、Q3组和Q4组的血糖水平分别降低了0.47mmol/L、0.31mmol/L和0.33mmol/L。与体重正常的人群相比，超重和肥胖者的血糖分别升高了0.21 mmol/L和0.35 mmol/L。短时睡眠者患糖尿病的风险显著高于正常睡眠者（OR=1.89）。睡眠与BMI存在交互作用，短时睡眠且超重或肥胖者的糖尿病患病风险显著升高。结论 短时睡眠与超重/肥胖均是糖尿病和血糖升高的独立危险因素，且二者具有协同作用，应加强综合干预。更多还原

【Abstract】 Objective To explore the effects and interaction of sleep status and body weight(BMI) on fasting blood glucose and diabetes risk among adults in Changping District Beijing.Methods Data were fromthe 2023 chronic disease surveillance of 4,190residents aged 18 79.Sleep,BMI,and fasting glucose were assessed.Multivariable regression was used to analyze associations and interact ons.Results Longer sleep duration was associated with lower fasting blood glucose Compared with the Q1 group in terms of sleep duration,the blocd gluccose levels in the Q2 group,Q3 group,and Q4 group decreased by 0.47mmol/L,0.31 mmol/L,and 0.33mmol/L respectively.Compared with people with normal weight,the blood glucose levels of overweight and obese individuals increased by 0.21mmol/L and 0.35mmol/L,respectively.Short sleepers had a significantly higher risk of developing diabetes than normal sleepers(OR=1.89).There was an interaction between sleep and BMI;short sleepers who are overweight or obese had a significantly increased risk of diabetes(with ORs of 2.87 and 3.23, respectively).Conclusion Short sleep and overweight/obesity are independent risk factors for elevated fasting blood glucose and diabetes,and they have a synergistic effect.Integrated interventions targeting both sleep and weight management are warranted.更多还原