睡眠质量差是日本社区老年人便秘的危险因素
Hiroaki Nakagawa1,2, Taro Takeshima3,2, Akihiro Ozaka4,2
1Department of General Internal Medicine, Fukushima Medical University, Fukushima, JPN.
Cureus
|October 31, 2023
概括
睡眠质量差是老年人便秘的重要危险因素. 这项研究发现,75岁及以上的睡眠质量较差的人,根据匹兹堡睡眠质量指数 (PSQI) 测量,便秘的发生率更高.
科学领域:
- 老年学是指老年学的学科.
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
背景情况:
- 老年人经常经历睡眠障碍和便秘.
- 理论上存在病理生理联系,例如影响结肠机动性的交感过度激活.
- 在这个人口群体中,睡眠质量和便秘发病率之间的关系需要进一步研究.
研究的目的:
- 评估睡眠质量与便秘发生率之间的时间关联.
- 确定睡眠质量不佳是社区居住的老年人便秘的潜在风险因素.
主要方法:
- 一项前性队列研究,涉及75岁以上的独立社区成年人 (苏卡川研究).
- 便秘发作是通过2019年和2020年的问卷确定 (对便秘的认识或药的使用).
- 2019年,使用日本版的匹兹堡睡眠质量指数 (PSQI) 来衡量睡眠质量,全球分数分为四分之一.
主要成果:
- 在一年内分析了1696名没有基线便秘的参与者.
- 191名参与者 (11.3%) 患有便秘.
- 后勤回归显示出一个显著的趋势 (p=0.003),其中更高的PSQI得分 (睡眠质量较差) 与患上便秘的几率增加相关 (ORs 1.57-2.02与最佳睡眠四分位数相比).
结论:
- 睡眠质量不佳被认为是导致便秘的新风险因素.
- 这一发现对于75岁以上的独立社区老年人来说具有意义.
- 针对睡眠质量的干预措施可能有助于减轻这种人群中便秘的风险.
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