Sleep disturbance in relation to health-related quality of life in adults: the Fels Longitudinal Study.
Sleep disturbance in relation to health-related quality of life in adults: the Fels Longitudinal Study.
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DOI：
10.1007/s12603-009-0110-1
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发表时间：
2009-06
影响因子：
5.8
通讯作者：
Czerwinski, S. A.
中科院分区：
文献类型：
--
作者：
Lee, M.;Choh, A. C.;Demerath, E. W.;Knutson, K. L.;Duren, D. L.;Sherwood, R. J.;Sun, S. S.;Chumlea, W. M. C.;Towne, B.;Siervogel, R. M.;Czerwinski, S. A.
关键词：
睡眠障碍是普通人群普遍存在的问题。失眠的症状会影响各种身体和精神状况。此外，睡眠障碍可能会使生活质量恶化，而不依赖于共同发生的医疗条件。在这项研究中，我们在费尔斯纵向研究中检验了自我报告的睡眠障碍症状与健康相关的生活质量测量之间的关系。横断面研究。本研究共纳入397名40岁及以上的成年人（175名男性和222名女性）。2003年至2006年间收集了三项自我报告的睡眠障碍测量（入睡困难、夜间醒来和维持睡眠以及白天疲劳）。使用医疗结果调查简表(SF)-36评估与健康相关的生活质量措施。在研究访问期间收集了参与者的社会人口状况（婚姻状况、就业状况和教育程度）和目前的医疗状况。报告频繁睡眠障碍的个体在所有SF-36量表上的生活质量都明显较差。在对影响生活质量的重要协变量进行调整的分析中，基于七个SF-36域的失眠症状，优势比（OR）范围为1.71至18.32。与没有睡眠障碍的参与者相比，有严重睡眠障碍的参与者（包括睡眠问题和白天障碍）报告SF-36得分较低的几率通常更高（调整后的or； 5.88 - 17.09）。在中老年人中，睡眠障碍与健康相关的生活质量差有全面和独立的关系。
Sleep disturbances are prevalent problems in the general population. Symptoms of insomnia can impact various physical and mental conditions. Furthermore, sleep disturbances may worsen the quality of life independently of co-occurring medical conditions. In this study, we examined the relationships between self-reported sleep disturbance symptoms and health-related quality of life measures in the Fels Longitudinal Study. Cross-sectional study. A total of 397 adults (175 men and 222 women) aged 40 years and older were included in the present study. Three self-reported sleep disturbance measures (difficulty falling asleep, nocturnal awakenings and maintaining sleep, and daytime tiredness) were collected between 2003 and 2006. Health-related quality of life measures were assessed using the Medical Outcomes Survey Short Form (SF)-36. Socio-demographic status (marital status, employment status, and education) and current medical conditions were collected from participants during study visits. Individuals who reported frequent sleep disturbances showed significantly worse quality of life on all SF-36 subscales examined. The odds ratio (OR) ranged from 1.71 to 18.32 based on symptoms of insomnia across seven SF-36 domains in analyses adjusted for significant covariates influencing quality of life. Participants with severe sleep disturbances (both sleep problems and daytime impairment) showed generally higher odds of reporting poor SF-36 scores (adjusted ORs; 5.88 – 17.09) compared to participants with no problems. Sleep disturbance is comprehensively and independently associated with poor health-related quality of life in middle-aged and older adults.
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