全因死亡率与睡眠质量和持续时间和认知功能轨迹之间的关联:基于基于组的多变量轨迹建模
Jianlin Lin1,2,3,4, Jian Xiao5, Qiao Li6
1International School of Public Health and One Health, Hainan Medical University, No. 3 Xueyuan Road, Longhua District, Haikou, Hainan, 571199, China.
BMC geriatrics
|August 30, 2023
概括
这项研究在中国老年人中确定了四种睡眠和认知轨迹. 某些轨迹,如"减少"和"过度睡眠和认知障碍",显著增加全因死亡风险.
科学领域:
- 老年学是一门学科.
- 睡眠科学 睡眠科学
- 认知健康 认知健康
背景情况:
- 睡眠时间和质量与认知有关,但它们对死亡率的综合影响尚未得到充分理解.
- 研究睡眠,认知和死亡的相互作用对于理解衰老过程至关重要.
研究的目的:
- 确定中国老年人睡眠时间,睡眠质量和认知功能的明显潜伏轨迹.
- 检查这些确定的轨迹与全因死亡率之间的关联.
主要方法:
- 利用了中国长度健康长寿调查 (2005-2018) 的数据.
- 根据睡眠和认知模式对小组参与者采用潜伏轨迹分析.
- 应用多项物流和考克斯回归模型来识别预测因素和评估死亡风险.
主要成果:
- 确定了四个不同的组:"表现良好"",表现下降"",睡眠过度和认知障碍"和"睡眠不足".
- "降低"组显示死亡风险增加了51% (HR=1.51),而"过度睡眠和认知障碍"显示风险增加了170% (HR=2.7).
- 妇女和来自城市和农村地区的参与者在各种轨迹上表现出增加的全因死亡风险.
结论:
- 在中国老年人中,睡眠和认知的潜伏轨迹与各种原因死亡的不同风险有关.
- 调查结果表明,针对旨在降低老龄人口死亡率的干预措施的潜在目标.
- 了解这些轨迹可以为健康衰老的公共卫生策略提供信息.
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