{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:16:13Z","timestamp":1791818173633,"version":"4.3.4"},"reference-count":43,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our objective was to investigate the relationships between BMI, sleep quality, and sleep duration trajectories and new\u2010onset diabetes mellitus (NODM) in the elderly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed 2648 diabetes\u2010free participants aged \u226560\u2009years from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2014. Using Cox proportional hazards models, we examined the associations of BMI, self\u2010reported sleep quality, and sleep duration trajectories (categorized as persistent short, persistent normal, persistent long, low\u2010increasing, normal\u2010decreasing, normal\u2010increasing, and long\u2010decreasing) with NODM risk over 4\u2009years. Diabetes diagnosis was self\u2010reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 4\u2009years, 94 participants developed NODM. Obesity was associated with the highest risk (adjusted hazard ratio [HR] 2.247 [CI: 1.212\u20134.168]). Compared with individuals with good sleep quality, those with poor sleep quality showed an increased risk of NODM, but this association was not statistically significant (HR 1.570 [0.903\u20132.731]). Additionally, persistent short, normal\u2010decreasing, and long\u2010decreasing sleep trajectories were associated with elevated NODM risk (adjusted HR values 11.662 [CI: 1.565\u201386.896], 8.403 [CI: 1.023\u201369.010], and 9.474 [CI: 1.269\u201370.700]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BMI, sleep quality, and sleep duration trajectories are associated with NODM risk. Individuals with higher BMI values, poor sleep quality, or persistent short or decreasing sleep duration may be at higher risk for NODM, warranting further attention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.24338","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T05:58:49Z","timestamp":1752731929000},"page":"1595-1605","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Associations of <scp>BMI<\/scp>, sleep quality, and sleep duration trajectories with new\u2010onset diabetes mellitus in the elderly"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4887-5020","authenticated-orcid":false,"given":"Shanshan","family":"Li","sequence":"first","affiliation":[{"name":"Medical College Jiangsu Medical College  Yancheng People's Republic of 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