在老年人口中,夜间和白天失眠症状的死亡风险
Amy Harvey1, Hannah Scott2, Yohannes Adama Melaku2,3
1College of Education, Psychology and Social Work, Flinders University, GPO Box 2100, Adelaide, 5001, Australia. amy.harvey@flinders.edu.au.
Scientific reports
|June 13, 2023
概括
白天的失眠症状,而不是夜间的失眠症状,在老年人中显著增加死亡风险. 这一发现表明,针对白天症状的有针对性的干预措施可能会改善这一群体的寿命.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 失眠症状在老年人中很普遍,可能会影响健康结果.
- 以前的研究已经探讨了失眠和死亡率之间的联系,但特定的症状类型需要进一步调查.
研究的目的:
- 检查65岁及以上成年人失眠症状严重程度与全因死亡率之间的关联.
- 为了区分与夜间和白天失眠症状相关的死亡风险.
主要方法:
- 利用了澳大利亚长度老龄化研究中1969年老年人的数据.
- 根据夜间和白天的症状计算了一个失眠症状得分.
- 采用多变量Cox模型来评估死亡风险,平均随访时间为9.2年.
主要成果:
- 失眠症状的严重程度与死亡率的增加有关,特别是在最严重的五分位数中 (调整后的HR 1.26).
- 这种关联主要是由白天症状驱动的 (调整HR 1.66).
- 仅夜间失眠症状本身并没有显著与死亡率增加相关 (调整后HR为0.89).
结论:
- 白天失眠症状是老年人全因死亡率增加的重要预测因素.
- 仅经历夜间失眠症状的个人可能不会面临高死亡风险.
- 研究结果强调了解决白天症状在老年人失眠管理中的重要性,以提高潜在的生存率.
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