Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study.
Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study.
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在九个国家 /地区的50岁或超过50岁的成年人中的慢性病和睡眠问题：一项多国研究。
DOI：
10.1371/journal.pone.0114742
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Haro JM
中科院分区：
文献类型：
--
作者：
Koyanagi A;Garin N;Olaya B;Ayuso-Mateos JL;Chatterji S;Leonardi M;Koskinen S;Tobiasz-Adamczyk B;Haro JM
在低收入或中等收入国家，关于慢性病或慢性病数量与睡眠问题之间的关联的数据很少，也没有将这些关联与高收入国家进行全球比较。分析了2011 - 2012年和2007 - 2010年期间分别进行的欧洲老龄化合作研究（芬兰，波兰，西班牙）和世界卫生组织全球老龄化和成人健康研究（中国，加纳，印度，墨西哥，俄罗斯，南非）的42116名50岁及以上的国家代表性样本的数据。通过多变量logistic回归评估了过去30天内9种慢性疾病（心绞痛、关节炎、哮喘、慢性肺病、抑郁症、糖尿病、高血压、肥胖和中风）与自我报告的严重/极端睡眠问题之间的关联。睡眠问题的年龄校正患病率范围为2.8%（中国）至17.0%（波兰）。调整混杂因素后，在大多数或所有国家，心绞痛（OR 1.75 - 2.78）、关节炎（OR 1.39 - 2.46）和抑郁症（OR 1.75 - 5.12）与睡眠问题显著相关。睡眠问题也与以下疾病有显著相关：芬兰、西班牙和印度的哮喘;波兰、西班牙、加纳和南非的慢性肺病;印度的糖尿病;中国、加纳和印度的中风。在所有国家都观察到慢性病数量与睡眠问题之间存在剂量依赖的线性关系。与无慢性疾病相比，总体样本中1、2、3和≥ 4种慢性疾病的OR（95%CI）分别为1.41（1.09 - 1.82）、2.55（1.99 - 3.27）、3.22（2.52 - 4.11）和7.62（5.88 - 9.87）。识别慢性病患者中共存的睡眠问题并同时治疗可能会导致更好的治疗结果。临床医生应该意识到多发性硬化症患者睡眠问题的高风险。未来的研究需要阐明共病睡眠问题的最佳治疗方案，特别是在发展中国家的设置。
Data on the association between chronic conditions or the number of chronic conditions and sleep problems in low- or middle-income countries is scarce, and global comparisons of these associations with high-income countries have not been conducted. Data on 42116 individuals 50 years and older from nationally-representative samples of the Collaborative Research on Ageing in Europe (Finland, Poland, Spain) and the World Health Organization's Study on Global Ageing and Adult Health (China, Ghana, India, Mexico, Russia, South Africa) conducted between 2011–2012 and 2007–2010 respectively were analyzed. The association between nine chronic conditions (angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, obesity, and stroke) and self-reported severe/extreme sleep problems in the past 30 days was estimated by logistic regression with multiple variables. The age-adjusted prevalence of sleep problems ranged from 2.8% (China) to 17.0% (Poland). After adjustment for confounders, angina (OR 1.75–2.78), arthritis (OR 1.39–2.46), and depression (OR 1.75–5.12) were significantly associated with sleep problems in the majority or all of the countries. Sleep problems were also significantly associated with: asthma in Finland, Spain, and India; chronic lung disease in Poland, Spain, Ghana, and South Africa; diabetes in India; and stroke in China, Ghana, and India. A linear dose-dependent relationship between the number of chronic conditions and sleep problems was observed in all countries. Compared to no chronic conditions, the OR (95%CI) for 1,2,3, and≥4 chronic conditions was 1.41 (1.09–1.82), 2.55 (1.99–3.27), 3.22 (2.52–4.11), and 7.62 (5.88–9.87) respectively in the overall sample. Identifying co-existing sleep problems among patients with chronic conditions and treating them simultaneously may lead to better treatment outcome. Clinicians should be aware of the high risk for sleep problems among patients with multimorbidity. Future studies are needed to elucidate the best treatment options for comorbid sleep problems especially in developing country settings.
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影响因子：
5.6
作者：
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通讯作者：
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影响因子：
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通讯作者：
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