Self-reported napping and duration and quality of sleep in the lifestyle interventions and independence for elders pilot study.

Self-reported napping and duration and quality of sleep in the lifestyle interventions and independence for elders pilot study.
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DOI:
10.1111/j.1532-5415.2008.01838.x
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发表时间:
2008-09
影响因子:
6.3
通讯作者:
Newman AB
Newman AB
中科院分区:
医学1区
文献类型:
--
作者:
Picarsic JL;Glynn NW;Taylor CA;Katula JA;Goldman SE;Studenski SA;Newman AB

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通过测量睡眠潜伏期和睡眠效率,确定自我报告午睡的流行程度及其与主观夜间睡眠持续时间和质量的关系。横断面研究。老年人生活方式干预与独立性的初步研究。社区居住的老年人(N=414),年龄在70至89岁之间。关于午睡和睡眠的自我报告问卷,来源于匹兹堡睡眠质量指数(PSQI)量表。总共54%的参与者报告午睡的平均时间为55分钟(标准差为41.2分钟)。与不午睡者相比,午睡者多为男性(37.3%对23.8%,P = 0.003)、非裔美国人(20.4%对14.4%,P = 0.06)或糖尿病患者(28%对14.3%,P = 0.003)。午睡者和不午睡者的夜间睡眠时间和质量相似,但午睡者在24小时睡眠中大约有10%的时间用于午睡。在一个多变量模型中,糖尿病患者(OR: 1.9; 95% CI: 1.2-3.0)和男性(OR: 1.9; 95% CI: 1.2-3.0)午睡的几率更高。在午睡者中,糖尿病(β = 12.3分钟,P = 0.005)、男性(β = 9.0分钟,P = 0.04)、较高BMI (β = 0.8分钟,P = 0.02)和较低MMSE (β = 2.2, P = 0.03)与较长的午睡时间独立相关。在社区居住的老年人中,午睡是一种常见的做法,并不影响夜间睡眠的持续时间或质量。鉴于其高患病率和与糖尿病的关联,在未来的研究和临床实践中,午睡行为应该作为睡眠行为的一部分进行评估。
To determine the prevalence of self-reported napping and its association with subjective nighttime sleep duration and quality, as measured by sleep-onset latency and sleep efficiency. Cross-sectional study. Lifestyle Interventions and Independence for Elder’s Pilot Study. Community-dwelling older adults (N=414), aged 70 to 89 years. Self-report questionnaire on napping and sleep, derived from the Pittsburgh Sleep Quality Index (PSQI) scale. A total of 54 percent of participants reported napping with mean nap duration of 55 minutes, (SD 41.2 minutes). Compared to non-nappers, nappers were more often men (37.3% vs. 23.8%, P = .003), African American (20.4% vs.14.4%, P = .06), or diabetic (28% vs. 14.3%, P = .007). Nappers and non-nappers had similar nighttime sleep duration and quality, but nappers spent about 10 percent of their 24-hour sleep occupied in napping. In a multivariate model, the odds of napping were higher for diabetics (OR: 1.9; 95% CI: 1.2–3.0) and men (OR: 1.9; 95% CI: 1.2–3.0)). In nappers, diabetes mellitus (β = 12.3 minutes, P =.005), male gender (β = 9.0 minutes, P = .04), higher BMI (β = 0.8 minutes, P = .02), and lower MMSE (β = 2.2, P = .03) were independently associated with longer nap duration. Napping was a common practice in community-dwelling older adults and did not detract from nighttime sleep duration or quality. Given its high prevalence and association with diabetes, napping behavior should be assessed as part of sleep behavior, both in future research and in clinical practice.
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