Association between poor sleep quality and locomotive syndrome in middle-aged and older women: A community-based, cross-sectional study
Association between poor sleep quality and locomotive syndrome in middle-aged and older women: A community-based, cross-sectional study
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中老年女性睡眠质量差与运动综合症之间的关联：一项基于社区的横断面研究
DOI：
10.1093/mr/road025
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发表时间：
2023
影响因子：
2.2
通讯作者：
Koyama Teruhide
中科院分区：
文献类型：
--
作者：
Kato Michitaka;Ozaki Etsuko;Omichi Chie;Kurita Yasunari;Nakano Satoko;Takagi Daisuke;Kuriyama Nagato;Koyama Teruhide
睡眠质量差，如夜间唤醒和睡眠效率低下，与虚弱和骨质疏松症有关。在这里，我们评估了睡眠质量差与运动综合征(LS)的关系，LS是一种在社区居住的中老年妇女中常见的运动器官功能障碍。根据站立试验、两步试验和25题老年运动功能量表的结果，将LS分为LS-1、LS-2和LS-3三个阶段(从轻到重)。结果LS组匹兹堡睡眠质量指数评分显著高于非LS组(P<； .001)。经调整潜在混杂因素的多变量Logistic回归分析发现，睡眠质量差是LS的独立因素(优势比1.59[95%可信区间1.30-1.93]，P<； .001)。在绝经后妇女的敏感性分析中也观察到了类似的结果。在所有LS阶段，LS与疼痛所致的睡眠障碍呈逐步相关。结论在社区中老年女性中，睡眠质量差与LS独立相关。随着LS分期的进展，睡眠质量差的女性比例显著增加。
ObjectivePoor sleep quality, such as nocturnal arousal and sleep inefficiency, is associated with frailty and sarcopenia. Herein, we evaluated the relationship between poor sleep quality and locomotive syndrome (LS), a motor organ dysfunction common among community-dwelling middle-aged and older women.MethodsParticipants comprised 2246 Japanese middle-aged and older women. LS was classified into stages LS-1, LS-2, and LS-3 (from least to most severe) according to the results of the stand-up test, two-step test, and 25-question Geriatric Locomotive Function Scale. Sleep quality was assessed using the Pittsburgh Sleep Quality Index.ResultsThe Pittsburgh Sleep Quality Index scores were significantly higher in the LS group than that in the non-LS group (P< .001). Multivariate logistic regression analyses adjusted for potential confounders identified poor sleep quality as an independent factor of LS (odds ratio 1.59 [95% confidence interval 1.30–1.93],P< .001). Similar results were observed in the sensitivity analysis in postmenopausal women. LS and trouble sleeping because of pain showed stepwise association in all LS stages.ConclusionsPoor sleep quality was independently associated with LS among community-dwelling middle-aged and older women. As the stage of LS progressed, the proportion of women with poor sleep quality increased significantly.