A major study has revealed that self-described “night owls” are more prone to developing diabetes than the wider population.
Scientists found that people's “chronotype” – or circadian preference – has a significant impact on their health, with those preferring to stay up late said to be a fifth more likely to develop Type 2 diabetes.
Tianyi Huang, an associate epidemiologist at Brigham and Women’s Hospitals’ Channing Division of Network Medicine in the US, said: “Chronotype, or circadian preference, refers to a person’s preferred timing of sleep and waking and is partly genetically determined so it may be difficult to change.
“People who think they are ‘night owls’ may need to pay more attention to their lifestyle because their evening chronotype may add increased risk for Type 2 diabetes.”
The researchers analysed data from about 64,000 women from the Nurses’ Health Study II – which is among the largest investigations into the risk factors for major chronic diseases in women in the US – collected from 2009 to 2017.
It included self-reported sleeping habits, diet, weight and body mass index (BMI), sleep timing, smoking behaviour, alcohol use, physical activity and family history of diabetes.
The team also examined medical records to see if the women had diabetes.
Of those taking part in the study, 11 per cent reported having a definite evening chronotype and about 35 per cent reported a definite morning chronotype.
The rest were labelled as intermediate, meaning they identified as neither a morning nor an evening person.
After accounting for lifestyle factors, evening chronotype was associated with a 19 per cent increased risk of diabetes, the researchers said.
Among those with the healthiest lifestyles, only 6 per cent had evening chronotypes, compared with 25 per cent of night owls who reported having unhealthy lifestyles.
Evening people were also more likely to drink alcohol in higher quantities, have a low-quality food diet, get fewer hours of sleep per night, currently smoke, and have weight, BMI and physical activity rates in the unhealthy range, the team added.
Dr Sina Kianersi, a postdoctoral research fellow at the Channing Division of Network Medicine, said: “When we controlled for unhealthy lifestyle behaviours, the strong association between chronotype and diabetes risk was reduced but still remained, which means that lifestyle factors explain a notable proportion of this association.”
The association between evening chronotype and diabetes risk was stronger in nurses who worked day shifts as opposed to night shift workers, “suggesting that more personalised work scheduling could be beneficial”, according to the researchers.
Scientists are now planning to investigate the genetic causes of chronotype and its association with heart disease.
“If we are able to determine a causal link between chronotype and diabetes or other diseases, physicians could better tailor prevention strategies for their patients,” Dr Kianersi said.
The findings are published in the journal the Annals of Internal Medicine.
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Pay varies significantly depending on the school, its rating and the curriculum. Here's a rough guide as of January 2021:
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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.
Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.
“Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.
Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.
“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.
Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.
From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.
Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.
BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.
Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.
Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.
“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.
Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.
“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.
“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”
The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”
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Vitamin D: Highly relevant in the UAE due to limited sun exposure; supports bone health, immunity and mood.
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Day 5, Abu Dhabi Test: At a glance
Moment of the day When Dilruwan Perera dismissed Yasir Shah to end Pakistan’s limp resistance, the Sri Lankans charged around the field with the fevered delirium of a side not used to winning. Trouble was, they had not. The delivery was deemed a no ball. Sri Lanka had a nervy wait, but it was merely a stay of execution for the beleaguered hosts.
Stat of the day – 5 Pakistan have lost all 10 wickets on the fifth day of a Test five times since the start of 2016. It is an alarming departure for a side who had apparently erased regular collapses from their resume. “The only thing I can say, it’s not a mitigating excuse at all, but that’s a young batting line up, obviously trying to find their way,” said Mickey Arthur, Pakistan’s coach.
The verdict Test matches in the UAE are known for speeding up on the last two days, but this was extreme. The first two innings of this Test took 11 sessions to complete. The remaining two were done in less than four. The nature of Pakistan’s capitulation at the end showed just how difficult the transition is going to be in the post Misbah-ul-Haq era.