Age and gender differences in linkages of sleep with subsequent mortality and health among very old Chinese.
Age and gender differences in linkages of sleep with subsequent mortality and health among very old Chinese.
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DOI：
10.1016/j.sleep.2011.04.014
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发表时间：
2011-12
期刊：
影响因子：
4.8
通讯作者：
Gu, Danan
中科院分区：
文献类型：
--
作者：
Qiu, Li;Sautter, Jessica;Liu, Yuzhi;Gu, Danan
关键词：
研究表明，睡眠质量和持续时间与死亡风险和健康状况显着相关，但此类研究很少在老年人中进行。本研究的目的是调查中国老年人自我报告的睡眠质量/持续时间与随后的死亡率/健康状况之间的关系。第二个目标确定这些关联是否因年龄和性别而异。本研究使用了2005年和2008年的大规模代表性调查数据，调查对象为中国大陆22个省份的12,671人，其中3158名受访者年龄在90-99岁之间，2293名是百岁老人。研究人员检查了两个关于睡眠质量和持续时间的自我报告问题，同时调整了许多社会人口统计、家庭/社会支持、健康实践和基线健康因素。风险回归显示，在控制人口因素的情况下，与睡眠质量良好的中国老年人相比，睡眠质量较差和一般的中国老年人未来三年的死亡风险分别高出 26% 和 10%；与每天睡眠 8 小时的人相比，每天睡眠 6 小时或更少或 10 小时或更多的人的死亡风险高出 18-22%。睡眠质量差和睡眠时间过短或过长导致的死亡风险在男性中比在女性中更大，在老年人中比在年轻老年人中更严重。 Logistic 回归显示，睡眠不佳以及每日睡眠时间不超过 5 小时或 10 小时或以上也与三年后健康状况恶化有关。中国老年人的睡眠质量较差、睡眠时间过短或过长与较高的死亡风险和较低的健康几率相关。
Studies suggest that sleep quality and duration are significantly associated with mortality risk and health conditions, yet such studies are seldom conducted among very old adults. The objective of this study was to examine associations between self-reported sleep quality/duration and subsequent mortality/health among very old adults in China. A second objective determines whether these associations vary by age and gender. This study used data of the 2005 and 2008 waves from a large, representative survey with a total of 12,671 individuals in 22 provinces in mainland China, in which 3158 respondents were aged 90–99 and 2293 were centenarians. Two self-reported questions about sleep quality and duration were examined while adjusting for numerous socio-demographic, family/social support, health practices, and baseline health factors. Hazard regressions showed that, when demographic factors are controlled for, Chinese elders who report poor and fair quality of sleep have 26% and 10% higher risk of death over the next three years compared to those with good sleep quality; those who sleep either 6 h or less or 10 h or more per day have an 18–22% higher mortality risk as compared to those who sleep 8 h per day. The increased mortality risks of poorer sleep and too short or too long sleep duration are larger in men than in women and more robust in the oldest-old than in young elders. Logistic regressions show that poor sleep and daily sleep durations of 5 h or less or 10 h or more are also associated with worse health three years later. Poorer sleep quality and too short or too long sleep duration are associated with higher subsequent mortality risk and lower odds of being in a healthy state among very old Chinese.
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DOI：
10.2190/gm89-nrty-derq-lc7d
发表时间：
1996-01-01
影响因子：
2
作者：
Bazargan, M
通讯作者：
Bazargan, M
影响因子：
2.1
作者：
Hoffmann, R
通讯作者：
Hoffmann, R
DOI：
10.1093/gerona/60.8.1046
发表时间：
2005-08-01
影响因子：
5.1
作者：
Goggins, WB;Woo, J;Ho, SC
通讯作者：
Ho, SC
影响因子：
8.3
作者：
Cappuccio, Francesco P.;Stranges, Saverio;Marmot, Michael G.
通讯作者：
Marmot, Michael G.
影响因子：
5.6
作者：
Ikehara, Satoyo;Iso, Hiroyasu;Temakoshi, Akiko
通讯作者：
Temakoshi, Akiko