摘要
目的 分析65岁以上老年人健康及睡眠状况,探讨规律锻炼与睡眠状况的关系.方法 采用便利抽样方法,于2022年1-8月收集蚌埠市590例65岁以上老年人的基本信息、患病情况、握力、肺活量、坐位体前屈、30 s坐起站立、2.44 m转角走、2 min原地踏步及睡眠状况测试结果,使用SPSS 26.0统计学软件进行组间分析,并采用二元logistic回归分析探究规律运动与睡眠状况的关系.结果 590例老年人中共有176名男性和215名女性参加规律锻炼.与规律锻炼组相比,男性无规律锻炼组肌肉力量、平衡能力及心肺功能较差(P＜0.05);女性无规律锻炼组肌肉力量、平衡能力及心肺功能较差(P＜0.05).无规律锻炼组睡眠状况"较差"者均较规律锻炼组多(P男性=0.005、P女性=0.009).未调整的logistic回归模型显示,男性和女性无规律锻炼组睡眠状况与规律锻炼组相比差异有统计学意义(P＜0.05).进一步调整年龄、体重后,结果表明规律运动是影响睡眠状况的重要因素(P＜0.001).结论 无规律锻炼老年人的肌肉力量、平衡能力、心肺功能及睡眠状况更倾向于"较差",有规律的锻炼是预防疾病、支持治疗以及提高耐力训练最经济的方式之一,需要家庭、学校、机构、媒体的共同参与,更重要的是发挥初级保健工作者以及所有卫生工作者的关键作用,促进老年人规律锻炼习惯的养成.
Abstract
Objective To analyze the health and sleep status of elderly people over 65 years old and explore the relation-ship between regular exercise and sleep status.Methods A convenient sampling method was adopted to collect the basic information,disease status,grip strength,vital capacity,sitting forward bending,sitting up and standing for 30 s,2.44 m comer walking,2 min standing in place,and sleep test results from 590 elderly individuals aged 65 and above in Beng-bu city from January to August 2022.Intergroup analysis was conducted using SPSS 26.0 statistical software.Binary lo-gistic regression analysis was employed to investigate the relationship between regular exercise and sleep status.Results A total of 176 males and 215 females participated in regular exercise in 590 elderly cases.Compared with the regular exercise group,muscle strength,balance and cardiorespiratory fitness were worse in the male irregular exercise group(P＜O.05);and muscle strength,balance and cardiorespiratory fitness were worse in the female irregular exercise group(P＜0.05).More people had"worse"sleep in the irregular exercise group than in the regular exercise group(P=0.005 for men and P=0.009 for women).Unadjusted logistic regression models showed statistically significant differ-ences in sleep status in the irregular exercise group compared to the regular exercise group for both males and females(P＜0.05).After further adjustment for age and weight,the results showed that regular exercise was a significant factor in sleep status(P＜0.001).Conclusion Irregular exercise in the elderly is associated with decreased muscle strength,balance ability,cardiopulmonary function,and a higher likelihood of experiencing"poor"sleep.On the other hand,reg-ular exercise is an effective means of preventing disease,supporting treatment,and improving endurance training.It is also a cost-effective approach.To promote regular exercise among the elderly,active involvement from family,schools,institutions,and the media is crucial.Equally important is the role of primary care workers and all health professionals in encouraging and fostering regular excise habits among the elderly.
基金项目
安徽省人文社会科学重大研究项目(SK20220ZD3)
蚌埠医科大学重大科技项目孵育项目(2020byfy203sk)
安徽省高等学校哲学社会科学重点项目(2023AH051899)
维普
万方数据