Sleep quality in middle-aged and elderly Chinese: distribution, associated factors and associations with cardio-metabolic risk factors.
Sleep quality in middle-aged and elderly Chinese: distribution, associated factors and associations with cardio-metabolic risk factors.
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中国中老年人睡眠质量：分布、相关因素及其与心脏代谢危险因素的关联。
DOI：
10.1186/1471-2458-9-130
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发表时间：
2009-05-09
影响因子：
4.5
通讯作者：
Franco OH
中科院分区：
文献类型：
--
作者：
Haseli-Mashhadi N;Dadd T;Pan A;Yu Z;Lin X;Franco OH
睡眠质量差与心脏病、糖尿病和死亡率的风险增加有关。然而，关于中国人群睡眠质量的分布和决定因素及其与心血管代谢危险因素的关系的信息有限。我们的目的是在目前的研究中评估这一点。2005年对北京和上海城乡50-70岁的1,458名男性和1,831名女性进行了横断面调查。通过问卷调查，睡眠质量被分为良好、一般和差三个等级。记录了社会人口统计学和健康因素以及心脏代谢疾病生物标志物的综合测量。使用逻辑回归模型评估这些与睡眠质量的相关性。一半的人报告睡眠质量良好。在调整了潜在的混杂因素后，女性和北京居民报告良好睡眠质量的概率几乎只有一半。良好的身体和心理健康（良好的自评健康水平（OR 2.48; 95%CI 2.08至2.96）和无抑郁症（OR 4.05; 95%CI 3.12至5.26））与报告良好睡眠质量的机会增加有关，而睡眠时间短（<7小时OR 0.10; 95%CI 0.07至0.14））则大大降低了睡眠质量。睡眠质量水平与血浆胰岛素、总胆固醇和低密度脂蛋白胆固醇浓度以及胰岛素抵抗指数之间存在显著相关性。中老年人的睡眠质量较低。性别、地理位置、自测健康、抑郁和睡眠量是影响睡眠质量的主要因素。需要进行前瞻性研究来确定决定睡眠质量的因素以及睡眠模式对心脏代谢健康的影响。
Poor sleep quality has been associated with increased risk of heart disease, diabetes and mortality. However, limited information exists on the distribution and determinants of sleep quality and its associations with cardio-metabolic risk factors in Chinese populations. We aimed to evaluate this in the current study. A cross-sectional survey conducted in 2005 of 1,458 men and 1,831 women aged 50–70 years from urban and rural areas of Beijing and Shanghai. Using a questionnaire, sleep quality was measured in levels of well, common and poor. Comprehensive measures of socio-demographical and health factors and biomarkers of cardio-metabolic disease were recorded. These were evaluated in association with sleep quality using logistic regression models. Half of the population reported good sleep quality. After adjusting for potential confounders, women and Beijing residents had almost half the probability to report good sleep quality. Good physical and mental health (good levels of self-rated health (OR 2.48; 95%CI 2.08 to 2.96) and no depression (OR 4.05; 95%CI 3.12 to 5.26)) related to an increased chance of reporting good sleep quality, whereas short sleep duration (<7 hrs OR 0.10; 95%CI 0.07 to 0.14)) decreased it substantially. There were significant associations between levels of sleep quality and concentrations of plasma insulin, total and LDL cholesterol, and index of insulin resistance. Levels of good sleep quality in middle-age and elderly Chinese were low. Gender, geographical location, self-rated health, depression and sleep quantity were major factors associated with sleep quality. Prospective studies are required to distil the factors that determine sleep quality and the effects that sleep patterns exert on cardio-metabolic health.
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通讯作者：
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