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Abstract
Self-reported shorter/longer sleep duration, insomnia, and evening preference are associated with hyperglycaemia in observational analyses, with similar observations in small studies using accelerometer-derived sleep traits. Mendelian randomization (MR) studies support an effect of self-reported insomnia, but not others, on glycated haemoglobin (HbA1c). To explore potential effects, we used MR methods to assess effects of accelerometer-derived sleep traits (duration, mid-point least active 5-h, mid-point most active 10-h, sleep fragmentation, and efficiency) on HbA1c/glucose in European adults from the UK Biobank (UKB) (n = 73,797) and the MAGIC consortium (n = 146,806). Cross-trait linkage disequilibrium score regression was applied to determine genetic correlations across accelerometer-derived, self-reported sleep traits, and HbA1c/glucose. We found no causal effect of any accelerometer-derived sleep trait on HbA1c or glucose. Similar MR results for self-reported sleep traits in the UKB sub-sample with accelerometer-derived measures suggested our results were not explained by selection bias. Phenotypic and genetic correlation analyses suggested complex relationships between self-reported and accelerometer-derived traits indicating that they may reflect different types of exposure. These findings suggested accelerometer-derived sleep traits do not affect HbA1c. Accelerometer-derived measures of sleep duration and quality might not simply be ‘objective’ measures of self-reported sleep duration and insomnia, but rather captured different sleep characteristics.
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1 University of Bristol, MRC Integrative Epidemiology Unit, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University of Bristol, Population Health Sciences, Bristol Medical School, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University of Oxford, Nuffield Department of Population Health, Oxford Population Health, Oxford, UK (GRID:grid.4991.5) (ISNI:0000 0004 1936 8948)
2 University of Bristol, MRC Integrative Epidemiology Unit, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University of Bristol, Population Health Sciences, Bristol Medical School, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603)
3 University of Bristol, MRC Integrative Epidemiology Unit, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University of Bristol, Population Health Sciences, Bristol Medical School, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University College of London, Division of Psychiatry, London, UK (GRID:grid.83440.3b) (ISNI:0000000121901201)
4 University of Bristol, MRC Integrative Epidemiology Unit, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); The University of Exeter, College of Medicine and Health, Exeter, UK (GRID:grid.8391.3) (ISNI:0000 0004 1936 8024)
5 Harvard Medical School, Centre for Genomic Medicine, Massachusetts General Hospital, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X); Broad Institute of MIT and Harvard, Cambridge, USA (GRID:grid.66859.34) (ISNI:0000 0004 0546 1623); Massachusetts General Hospital, Department of Anaesthesia, Critical Care and Pain Medicine, Boston, USA (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
6 University of Oxford, Sir Jules Thorn Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, Oxford, UK (GRID:grid.4991.5) (ISNI:0000 0004 1936 8948)
7 University of Colorado Boulder, Department of Integrative Physiology, Boulder, USA (GRID:grid.266190.a) (ISNI:0000 0000 9621 4564)
8 University of Colorado Boulder, Department of Psychology & Neuroscience and Institute for Behavioral Genetics, Boulder, USA (GRID:grid.266190.a) (ISNI:0000 0000 9621 4564)
9 University of Helsinki, Institute for Molecular Medicine Finland, Uusimaa, Finland (GRID:grid.7737.4) (ISNI:0000 0004 0410 2071)
10 University of Exeter Medical School, Genetics of Complex Traits, Exeter, UK (GRID:grid.8391.3) (ISNI:0000 0004 1936 8024)
11 University of Manchester, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester, UK (GRID:grid.5379.8) (ISNI:0000 0001 2166 2407)
12 University of Manchester, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester, UK (GRID:grid.5379.8) (ISNI:0000 0001 2166 2407); Manchester Academic Health Science Centre, NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK (GRID:grid.462482.e) (ISNI:0000 0004 0417 0074); University of Manchester, National Institute for Health Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, Manchester, UK (GRID:grid.5379.8) (ISNI:0000000121662407)
13 University of the West Indies, George Alleyne Chronic Disease Research Centre, Caribbean Institute of Health Research, Kingston, Jamaica (GRID:grid.12916.3d) (ISNI:0000 0001 2322 4996); University of Manchester, Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, Manchester, UK (GRID:grid.5379.8) (ISNI:0000 0001 2166 2407)
14 King’s College London, Department of Biostatistics and Health Informatics, London, UK (GRID:grid.13097.3c) (ISNI:0000 0001 2322 6764)
15 University of Oxford, Oxford Centre for Diabetes, Endocrinology and Metabolism, and Oxford Kavli Centre for Nanoscience Discovery, Oxford, UK (GRID:grid.4991.5) (ISNI:0000 0004 1936 8948); John Radcliffe Hospital, NIHR Oxford Health Biomedical Research Centre, and NIHR Oxford Biomedical Research Centre, Oxford, UK (GRID:grid.8348.7) (ISNI:0000 0001 2306 7492)
16 Harvard Medical School, Centre for Genomic Medicine, Massachusetts General Hospital, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X); Broad Institute of MIT and Harvard, Cambridge, USA (GRID:grid.66859.34) (ISNI:0000 0004 0546 1623); Massachusetts General Hospital, Department of Anaesthesia, Critical Care and Pain Medicine, Boston, USA (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924); Harvard Medical School, Division of Sleep and Circadian Disorders, Brigham and Women’s Hospital, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X)
17 Manchester Academic Health Science Centre, NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK (GRID:grid.462482.e) (ISNI:0000 0004 0417 0074); NIHR Manchester Biomedical Research Centre, Diabetes, Endocrinology and Metabolism Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK (GRID:grid.454377.6) (ISNI:0000 0004 7784 683X); University of Manchester, Division of Diabetes, Endocrinology and Gastroenterology, School of Medical Sciences, Faculty of Biology, Medicine and Health, Manchester, UK (GRID:grid.5379.8) (ISNI:0000 0001 2166 2407)
18 University of Bristol, MRC Integrative Epidemiology Unit, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University of Bristol, Population Health Sciences, Bristol Medical School, Bristol, UK (GRID:grid.5337.2) (ISNI:0000 0004 1936 7603); University Hospitals Bristol NHS Foundation Trust and The University of Bristol, National Institute for Health Research (NIHR) Bristol Biomedical Research Centre, Bristol, UK (GRID:grid.410421.2) (ISNI:0000 0004 0380 7336)




