Self-Reported Sleep Problems Prospectively Increase Risk of Disability: Findings from the Survey of Midlife Development in the United States.
Self-Reported Sleep Problems Prospectively Increase Risk of Disability: Findings from the Survey of Midlife Development in the United States.
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自我报告的睡眠问题可能会增加残疾风险：美国中年发展调查的结果。
DOI：
10.1111/jgs.14347
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发表时间：
2016-11
影响因子：
6.3
通讯作者：
Friedman EM
中科院分区：
文献类型：
--
作者：
Friedman EM
确定主观睡眠不良是否会增加美国成年人的功能限制和意外残疾。美国中年发展前瞻性队列纵向调查（MIDUS）：1995-1996年（MIDUS 1）调查的年轻、中年和老年男性和女性（年龄24-75岁），2004-2006年（MIDUS 2）随访。有3，620名受访者提供了完整的数据。数据来自电话访谈和自填问卷。参与者在前一个月内报告慢性睡眠问题;使用功能状态问卷评估功能限制。评估人口统计学（年龄、性别、种族）、社会经济学（教育程度）、健康（慢性病、抑郁症）和健康行为（肥胖、吸烟）协变量，以减少潜在的混杂因素。大约11%的样本在两个MIDUS波中都报告了慢性睡眠问题。基本和中等ADL限制的平均数量在MIDUS 1（基本：0.06;中等：0.95）和MIDUS 2（基本：0.15;中等：1.6; P<0.001）之间显著增加。估计ADL评分变化的校正回归模型显示，MIDUS 1时的慢性睡眠问题预测基础（发病率比（IRR）= 1.55，P<0.001）和中等（IRR = 1.28，P<0.001）ADL限制的显著增加。在基线时无功能限制的患者中，Logistic回归模型显示慢性睡眠问题显著增加了基础（OR = 2.33，CI：1.68，3.24，P<0.001）和中等（OR = 1.70，CI：1.21，2.42，P<0.01）ADL残疾的发生率。慢性睡眠问题的报告预测，9-10年后，功能限制的发病和增加的风险更大。睡眠不足可能是所有年龄段成年人残疾的一个强大而独立的风险因素。
To determine whether subjective poor sleep prospectively increases functional limitations and incident disability in a national sample of adults living in the United States. Prospective cohort Longitudinal Survey of Midlife Development in the United States (MIDUS) Young, middle aged, and older men and women (age 24–75) surveyed in 1995–1996 (MIDUS 1) and followed up in 2004–2006 (MIDUS 2). Complete data were available for 3,620 respondents. Data were from telephone interviews and self-administered questionnaires. Participant reported chronic sleep problems within the prior month; functional limitations were assessed using the Functional Status Questionnaire. Demographic (age, sex, race), socioeconomic (educational attainment), health (chronic conditions, depression), and health behavior (obesity, smoking) covariates were assessed to reduce potential confounding. Approximately 11% of the sample reported chronic sleep problems at both MIDUS waves. Average numbers of basic and intermediate ADL limitations increased significantly between MIDUS 1 (basic: .06; intermediate: .95) and MIDUS 2 (basic: .15; intermediate: 1.6; P<.001). Adjusted regression models estimating change in ADL scores showed that chronic sleep problems at MIDUS 1 predicted significantly greater increases in both basic (incident rate ratio (IRR) = 1.55, P<.001) and intermediate (IRR = 1.28, P<.001) ADL limitations. In those with no functional limitations at baseline, logistic regression models showed that chronic sleep problems significantly increased the odds of incident basic (OR = 2.33, CI:1.68,3.24, P<.001) and intermediate (OR = 1.70, CI: 1.21,2.42, P<.01) ADL disability. Reports of chronic sleep problems predicted greater risk of both onset of and increases in functional limitations 9–10 years later. Poor sleep may be a robust and independent risk factor for disability in adults of all ages.
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