Effect of self-reported quality of sleep on mobility in older adults
Effect of self-reported quality of sleep on mobility in older adults
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DOI：
10.1111/ggi.12468
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发表时间：
2016-02-01
影响因子：
3.3
通讯作者：
Arai, Hidenori
中科院分区：
文献类型：
--
作者：
Malinowska, Katarzyna B.;Okura, Mika;Arai, Hidenori
目的睡眠质量(QOS)已被证明对身心健康和生活质量有影响。然而，很少有研究调查睡眠如何影响老年人的行动能力。本研究旨在探讨社区老年人生活质量与行动障碍(MD)的关系。方法对4564名日本老年人进行自填式问卷调查。睡眠结果包括两个自我报告的关于QOS的问题。对睡眠与MD的关系进行Logistic回归分析，将睡眠质量分为睡眠质量好、睡眠质量好(GG)、睡眠质量差(BB)、睡眠质量差(GB/BG)三组。结果调整了年龄、性别和抑郁的因素后，睡眠质量差的患者和睡眠质量差的患者发生MD的概率分别为1.45(OR 1.45，95%CI 1.29~1.75)、(OR 1.77，95%CI 1.50~2.08)。当按两个问题分组时，BB组的预后最差，发生MD的优势比(OR 1.95，95%CI 1.61~2.37)高于GB组(OR 1.40，95%CI 1.18~1.67)。结论睡眠质量好和早晨好都与MD有关，提示自述QOS与MD有关。需要进一步的研究来调查改善睡眠质量是否可能是预防和逆转老年人MD的一种可能的方法。Geriatr Gerontol Int 2016；16：266-271。
AimQuality of sleep (QOS) has been shown to have an affect on mental and physical well-being, and quality of life. However, few studies have investigated how sleep affects mobility in older adults. The aim of the present study was to examine the relationship between QOS and mobility disorder (MD) in community-dwelling older adults.MethodsData collected through self-administered questionnaires was analyzed for 4564 Japanese older adults. Sleep outcomes included two self-reported questions regarding QOS. Logistic regression analysis was used to analyze the association between sleep and MD both by the QOS questions independently and grouped together by the two QOS questions into three groups: often sleeps well and good awakening (GG), does not often sleep well and bad awakening (BB) and a group with one of each (GB/BG).ResultsAfter adjustment for age, sex and depression, both those who did not often sleep well and those with poor awakening were more likely to show MD (OR 1.45, 95% CI 1.29-1.75), (OR 1.77, 95% CI 1.50-2.08), respectively. When grouped by both questions, those in the BB group had the least favorable outcome with increased odds ratio for possessing a MD (OR 1.95, 95% CI 1.61-2.37), compared with GB group (OR 1.40, 95% CI 1.18-1.67).ConclusionsOften sleeping well and good morning awakening were both associated with MD, suggesting that self reported QOS is associated with MD. Further research is required to investigate whether improving sleep quality could be a possible means of preventing and reversing MD in older adults. Geriatr Gerontol Int 2016; 16: 266-271.