首页|中老年入睡眠时长与日常生活活动能力受限的相关性

中老年入睡眠时长与日常生活活动能力受限的相关性

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目的 探讨中老年人睡眠时长与日常生活活动能力(ADL)受限的相关性,并从性别和年龄维度分析其差异性,帮助中老年人明确最佳睡眠时长,养成良好的睡眠习惯,并为其制定改善ADL的策略提供依据或参考。方法 选取CHARLS数据库中2015年1月至12月相关数据,将45岁及以上的7 702名受试者纳入研究。通过问卷了解受试者的睡眠时长,判断其是否存在ADL受限。采用多因素logistic回归模型探讨睡眠时长与ADL受限的相关性,并从性别和年龄维度分析其存在的差异性。结果 所有受试者中,基础性日常生活活动能力(BADL)受限者和工具性日常生活活动能力(IADL)受限者分别为2 236人(29。05%)和2 939人(38。2%)。调整所有协变量后,睡眠时长过短者(<6h)的BADL受限或IADL受限(除老年女性外)风险均高于对照组(7~<8 h),差异有统计学意义(P<0。05),而睡眠时长为6~<7 h的老年女性的BADL受限风险(OR=1。51,95%CI:1。02~2。24)高于对照组(7~<8h),差异有统计学意义(P<0。05)。睡眠时长过长者(≥9h)中,只有老年男性的IADL受限风险(OR=1。72,95%CI:1。11~2。67)高于对照组(7~<8h),差异有统计学意义(P<0。05)。结论 中老年人的睡眠时长与ADL受限之间存在相关性,并存在性别和年龄差异。此外,睡眠时长过短或过长会增加部分人群ADL受限的风险。
Correlation between sleep duration and limited ability of activities of daily living in middle-aged and elderly people
Objective To explore the correlation between sleep duration and activities of daily living(ADL)limitation in middle-aged and elderly people,and analyzed the differences from gender and age dimensions,so as to help middle-aged and elderly people identify the optimal sleep duration,develop good sleep habits,and provide evidence or reference for de-veloping strategies to improve ADL.Methods A total of 7 702 subjects aged 45 years and above were included in the study using data from CHARLS database in 2015.The sleep duration of the subjects was assessed by questionnaires to determine whether there was ADL restriction.Multivariate logistic regression model was used to explore the correlation between sleep duration and ADL restriction,and the differences were analyzed from gender and age dimensions.Results Among all sub-jects,2 236(29.05%)and 2 939(38.2%)patients with limited basic activities of daily living(BADL)and instrumental activ-ities of daily living(IADL)were limited,respectively.After adjusting for all covariates,the risk of BADL restriction OR I-ADL restriction(except for elderly women)in those with short sleep duration(<6 h)were higher than those in the control group(7~<8 h),the difference were statistically significant(P<0.05),while the risk of BADL restriction in elderly women with 6~<7 h sleep duration(OR=1.51,95%CI:1.02-2.24)was higher than that of control group(7~<8 h),and the differ-ence was statistically significant(P<0.05).The IADL restriction risk(OR=1.72,95%CI:1.11-2.67)was higher in elderly men than in control group(7-<8 h),and the difference was statistically significant(P<0.05).Conclusion There is a corre-lation between sleep duration and ADL restriction in middle-aged and elderly people,and there are gender and age differ-ences.In addition,sleep duration that is too short or too long increases the risk of ADL limitation in some people.

Middle-aged and elderly peopleActivites of daily livingSleep durationAssociation

李文硕、乔叶、刘一臻、刘春霞、吴璟雯

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菏泽医学专科学校护理系,山东菏泽 274000

菏泽医学专科学校基础医学部,山东菏泽 274000

菏泽医学专科学校科研处,山东菏泽 274000

中老年人 日常生活活动能力 睡眠时长 相关性

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(27)
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