The association between alcohol consumption and sleep disorders among older people in the general population
The association between alcohol consumption and sleep disorders among older people in the general population
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DOI：
10.1038/s41598-020-62227-0
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发表时间：
2020-03-24
影响因子：
4.6
通讯作者：
Neligan, Aidan
中科院分区：
文献类型：
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作者：
Britton, Annie;Fat, Linda Ng;Neligan, Aidan
饮酒与睡眠障碍之间的关系是复杂的。酒精依赖与失眠之间的关系可能是双向的。在许多社会中，饮酒在老年人中很常见，失眠的患病率往往随着年龄的增长而增加，因此这一群体值得特别考虑。我们在一项针对老年人的一般人群研究中探索了饮酒（量和危险饮酒）与睡眠时间和失眠之间的横截面和长期（30年）关联（6，117名男性和女性公务员随访30年）。对于男性来说，每周饮酒超过21个单位（约168克）的酒精与不饮酒相比，与每晚醒来几次有关（比值比1.30，置信区间1.02 - 1.66）。在30年的观察中，那些保持大量饮酒的男性，或者那些消费模式不稳定的男性，在醒来疲惫和醒来几次方面的睡眠状况往往更差。持续的男性危险饮酒（通过AUDIT-C量表测量）也与更差的睡眠状况有关。对女性的研究结果则不那么明确。在这个以人口为基础的环境中，饮用大量酒精可能会导致老年人睡眠问题的流行，特别是男性。这个年龄段的人应该被劝阻不要使用酒精作为睡眠辅助。
The relationship between alcohol consumption and sleep disturbance is complex. The association of alcohol dependence with insomnia is likely to be bidirectional in nature. Alcohol use is common among older people in many societies and the prevalence of insomnia tends to increase with age, therefore this group warrants particular consideration. We explored the cross sectional and long term (30 years) associations between alcohol drinking (volume and hazardous drinking) and sleep duration and insomnia in a general population study of older adults (6,117 male and female civil servants followed for 30 years). For men, drinking more than 21 units (approximately 168 grams) of alcohol per week, compared with not drinking, was associated with waking several times a night (odds ratio 1.30, confidence intervals 1.02-1.66). Men who maintained a heavy volume of drinking over the three decades of observation, or who had an unstable consumption pattern, tended to have worse sleep profiles in terms of waking tired and waking several times. Sustained male hazardous drinking (as measured by the AUDIT-C scale) was also associated with worse sleep profiles. Findings for women were not so clear. In this population based setting, drinking high volumes of alcohol may contribute to the prevalence of sleep problems in older age, particularly for men. People in this age group should be discouraged from using alcohol as a sleep aid.