Abstract

Introduction

The concept of Sleep Health (SH) was developed to provide a multidimensional framework consisting of characteristics of sleep that have been closely associated with physical and mental well-being. Identification of key factors associated with SH can identify targets for intervention for its improvement. This study aimed to identify factors related to SH among middle-aged and older adults.

Methods

A valid Sleep Health Composite Measure was recently developed from the data of the 2014 Core Survey of the Health and Retirement Survey and was used to assess overall SH in middle-aged and older adults. Spearman’s correlations, T-test, and Kruskal-Wallis tests were used to explore the association of SH with age, gender, self-rated health, chronic disease burden, disability, pain, and modifiable lifestyle behaviors (physical activity, smoking, alcohol, sleep medication).

Results

Our sample included 6,095 adults with mean age of 68 years (SD=10.1; range 50-99 years). The majority were female (59.7%) and white (77%). Correlations showed significant moderate associations between SH and self-rated health (r=.404), sleep medications (r=.390), pain (r=-.315). There were significant but small associations between vigorous activity (r=-.193), alcohol (r=.112), currently smoking (r=-.089) and SH. SH was significantly worse among women compared to men (t(6093)=6.996, p<0.001). Furthermore, SH scores were significantly different between middle-aged versus older adults (p<0.001); varying levels of self-rated health (p<0.001), number of chronic diseases (p<0.001), and degree of physical disability (p<0.001).

Conclusion

These findings provide evidence of factors related to SH among middle-aged and older adults, providing targets for intervention to improve health in this population. Age-related differences in relation to SH indicate intervention tailored for middle-aged adults may improve health outcomes as they age. Future studies are warranted to extend these findings using multivariable statistical approaches.

Support

This study was supported by the University at Buffalo Clinical and Translational Science Institute (CTSI) funded by the National Institutes of Health (Lorenz PI).

中文翻译：

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0857中老年人与睡眠健康相关的因素

摘要

介绍

睡眠健康（SH）的概念旨在提供一个多维框架，该框架由与身体和心理健康密切相关的睡眠特征组成。与SH相关的关键因素的识别可以确定其改善的干预目标。这项研究旨在确定中老年人与SH相关的因素。

方法

最近根据2014年健康和退休调查核心调查的数据开发了一种有效的睡眠健康综合量度，并用于评估中老年人的整体SH。Spearman的相关性，T检验和Kruskal-Wallis检验被用于探索SH与年龄，性别，自我评估的健康状况，慢性疾病负担，残疾，疼痛和可改变的生活方式行为（体育活动，吸烟，饮酒，睡眠药物）。

结果

我们的样本包括6095名成年人，平均年龄为68岁（SD = 10.1；范围为50-99岁）。多数是女性（59.7％）和白人（77％）。相关性显示SH与自我评估的健康状况（r = .404），睡眠药物（r = .390），疼痛（r =-。315）之间存在显着的中度关联。剧烈活动（r =-。193），酒精（r = .112），目前吸烟（r =-。089）和SH之间有显着但很小的关联。与男性相比，女性的SH明显更差（t（6093）= 6.996，p <0.001）。此外，中年人与老年人之间的SH评分显着不同（p <0.001）；自我评估的健康水平（p <0.001），慢性病数量（p <0.001）和身体残疾程度（p <0.001）。

结论

这些发现提供了中老年人与SH相关因素的证据，为改善该人群的健康状况提供了干预目标。与SH相关的年龄相关差异表明，针对中年成年人量身定制的干预措施可能会改善他们的健康状况。未来的研究有必要使用多变量统计方法扩展这些发现。

支持

这项研究得到了美国国立卫生研究院（Lorenz PI）资助的布法罗大学临床与转化科学研究所（CTSI）的支持。