中老年人和老年人的睡眠质量/持续时间和多病症之间的双向关联:中国成年人的纵向研究
Xiaoran Wang1, Rui Wang2, Dan Zhang3
1Institute of Hospital Management/Shenzhen International Graduate School, Tsinghua University, Shenzhen, China.
BMC public health
|March 5, 2024
概括
睡眠质量差和睡眠时间短是双向与中国老年人多病症相关的. 解决睡眠问题可能有助于管理这个人群中的多种慢性疾病.
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:
- 多种疾病和睡眠障碍在中年和老年人中普遍存在,影响生活质量和健康.
- 之前的研究重点是睡眠与多病症之间的单向联系.
- 需要对双向关联进行纵向研究.
研究的目的:
- 检查中国老年人睡眠质量/持续时间和多病症之间的双向关系.
- 了解睡眠如何影响多种慢性疾病的发展,反之亦然.
主要方法:
- 利用来自中国健康与退休长度研究 (2015-2018) 45岁以上9823名参与者的数据.
- 多病症定义为≥2种慢性疾病;睡眠质量好/差;睡眠时间短 (<6h),中等 (6-9h) 或长 (>9h).
- 采用多变量逻辑回归模型来分析双向关联,对共变量进行调整.
主要成果:
- 睡眠质量不佳显著增加了多重疾病的未来患病率 (ORs在2-4+疾病中从1.39到2.36不等).
- 多病症与未来睡眠质量差的风险更高有关.
- 短睡眠时间预测了未来的多病性 (OR=1.49),而多病性预测了未来的短睡眠时间 (OR=1.39).
结论:
- 在中国老年人中,睡眠质量/睡眠时间短和多病症之间存在双向关联.
- 临床管理应考虑睡眠障碍与身体多重疾病之间的相互作用.
- 进一步关注睡眠健康对于管理老龄化人口的慢性疾病至关重要.
相关概念视频
01:13Insufficient Sleep and Sleep Deprivation
143
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
143
01:27Insomnia
85
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
85
02:20Correlations
32.8K
Correlation means that there is a relationship between two or more variables (such as ice cream consumption and crime), but this relationship does not necessarily imply cause and effect. When two variables are correlated, it simply means that as one variable changes, so does the other. We can measure correlation by calculating a statistic known as a correlation coefficient. A correlation coefficient is a number from -1 to +1 that indicates the strength and direction of the relationship between...
32.8K
01:19Management of Insomnia
247
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
247
01:11Understanding Sleep
228
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
228