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Associations of sleep quality and sleep duration with frailty and pre-frailty in an elderly population Rugao longevity and ageing study.
BMC Geriatrics ( IF 3.4 ) Pub Date : 2020-01-06 , DOI: 10.1186/s12877-019-1407-5
Xue-Hui Sun 1, 2 , Teng Ma 3 , Shun Yao 1 , Ze-Kun Chen 4 , Wen-Dong Xu 3 , Xiao-Yan Jiang 4 , Xiao-Feng Wang 1, 2, 3, 5, 6
Affiliation  

BACKGROUND Previous studies suggest that poor sleep quality or abnormal sleep duration may be associated with frailty. Here we test the associations of sleep disturbances with both frailty and pre-frailty in an elderly population. METHODS Participants included 1726 community-dwelling elders aged 70-87 years. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep disturbances. Frailty was defined using phenotype criteria. Logistic regression models were used to estimate odds ratio of the associations. RESULTS The average PSQI score was 5.4 (SD, 3.1). Overall 43.6% of the participants had poor sleep quality (PSQI> 5), 8.2% had night sleep time ≤ 5 h, and 27.8% had night sleep time ≥ 9 h. The prevalence of frailty and pre-frailty was 9.2 and 52.8%, respectively. The proportions of PSQI> 5 increased with the severity of frailty status (robust: pre-frail: frail, 34.5%: 48%: 56.1%, P < 0.001). After adjustment for multiple potential confounders, poor sleep quality (PSQI> 5) was associated with higher odds of frailty (OR = 1.78, 95% CI 1.19-2.66) and pre-frailty (OR = 1.51, 95% CI 1.20-1.90). Sleep latency, sleep disturbance, and daytime dysfunction components of PSQI measurements were also associated with frailty and pre-frailty. In addition, sleep time 9 h/night was associated with higher odds of frailty and pre-frailty. CONCLUSIONS We provided preliminary evidences that poor sleep quality and prolonged sleep duration were associated with being frailty and pre-frailty in an elderly population aged 70-87 years. The associations need to be validated in other elderly populations.

中文翻译:

老年人如uga长寿和衰老研究中睡眠质量和睡眠时间与虚弱和虚弱的关系。

背景技术以前的研究表明,不良的睡眠质量或异常的睡眠时间可能与身体虚弱有关。在这里,我们测试了老年人口睡眠障碍与体弱和体弱前的关系。方法参与者包括1726名年龄在70-87岁之间的社区居民。匹兹堡睡眠质量指数(PSQI)用于评估睡眠障碍。脆弱是使用表型标准定义的。使用逻辑回归模型来估计关联的优势比。结果平均PSQI得分为5.4(标准差,3.1)。总体有43.6%的参与者睡眠质量较差(PSQI> 5),有8.2%的夜间睡眠时间≤5 h,有27.8%的夜间睡眠时间≥9 h。脆弱和脆弱前的患病率分别为9.2和52.8%。PSQI的比例> 5随体弱状态的严重性增加(稳健:体弱前:体弱,34.5%:48%:56.1%,P <0.001)。在对多个潜在的混杂因素进行调整后,睡眠质量差(PSQI> 5)与虚弱(OR = 1.78,95%CI 1.19-2.66)和虚弱前(OR = 1.51,95%CI 1.20-1.90)的可能性较高相关。 。PSQI测量的睡眠潜伏期,睡眠障碍和白天功能障碍也与虚弱和虚弱前期有关。此外,9小时/晚的睡眠时间与身体虚弱和虚弱的可能性更高。结论我们提供了初步的证据表明,在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与体弱和虚弱有关。该关联需要在其他老年人口中得到验证。P <0.001)。在对多个潜在的混杂因素进行调整后,睡眠质量差(PSQI> 5)与虚弱(OR = 1.78,95%CI 1.19-2.66)和虚弱前(OR = 1.51,95%CI 1.20-1.90)的可能性较高相关。 。PSQI测量的睡眠潜伏期,睡眠障碍和白天功能障碍也与虚弱和虚弱前期有关。此外,9小时/晚的睡眠时间与身体虚弱和虚弱的可能性更高。结论我们提供了初步的证据表明,在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与体弱和虚弱有关。该关联需要在其他老年人口中得到验证。P <0.001)。在对多个潜在的混杂因素进行调整后,睡眠质量差(PSQI> 5)与虚弱(OR = 1.78,95%CI 1.19-2.66)和虚弱前(OR = 1.51,95%CI 1.20-1.90)的可能性较高相关。 。PSQI测量的睡眠潜伏期,睡眠障碍和白天功能障碍也与虚弱和虚弱前期有关。此外,9小时/晚的睡眠时间与身体虚弱和虚弱的可能性更高。结论我们提供了初步的证据表明,在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与体弱和虚弱有关。该关联需要在其他老年人口中得到验证。5)与脆弱性(OR = 1.78,95%CI 1.19-2.66)和脆弱性发生前(OR = 1.51,95%CI 1.20-1.90)的可能性更高。PSQI测量的睡眠潜伏期,睡眠障碍和白天功能障碍也与虚弱和虚弱前期有关。此外,9小时/晚的睡眠时间与身体虚弱和虚弱的可能性更高。结论我们提供了初步证据,表明在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与虚弱和虚弱相关。该关联需要在其他老年人口中得到验证。5)与脆弱性(OR = 1.78,95%CI 1.19-2.66)和脆弱性发生前(OR = 1.51,95%CI 1.20-1.90)的可能性更高。PSQI测量的睡眠潜伏期,睡眠障碍和白天功能障碍也与虚弱和虚弱前期有关。此外,9小时/晚的睡眠时间与身体虚弱和虚弱的可能性更高。结论我们提供了初步的证据表明,在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与体弱和虚弱有关。该关联需要在其他老年人口中得到验证。9小时/晚的睡眠时间与体弱多病和体弱多病的机率较高相关。结论我们提供了初步的证据表明,在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与体弱和虚弱有关。该关联需要在其他老年人口中得到验证。9小时/晚的睡眠时间与体弱多病和体弱多病的机率较高相关。结论我们提供了初步的证据表明,在70-87岁的老年人口中,睡眠质量差和睡眠时间延长与体弱和虚弱有关。该关联需要在其他老年人口中得到验证。
更新日期:2020-01-07
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