Department of Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.
National Center for Geriatrics and Gerontology, Aichi, Japan.
Geriatr Gerontol Int. 2017 Nov;17(11):1808-1813. doi: 10.1111/ggi.12965. Epub 2017 Jan 6.
The present study examined the association between self-reported quality of sleep (QOS) and physical function in community-dwelling young-old adults.
This cross-sectional study included 737 community-dwelling older adults aged 60 years and older (498 women, 239 men); age 68.3 ± 5.2 years (range 60-79 years). Participants completed a self-administered questionnaire, which included the Pittsburgh Sleep Quality Index, as well as information regarding sociodemographic characteristics, physical activity, smoking and alcohol consumption. The χ -test was used to compare categorical variables stratified by QOS, and the unpaired t-test was used for continuous variables for men and women separately. Furthermore, logistic regression analyses were carried out to verify the association between QOS and physical function measures.
The unpaired t-test showed a significant difference ((P < 0.05) in the Timed Up and Go test and physical strength outcomes, which included: handgrip, quadriceps setting, knee extension and hip flexion strength between the good QOS and poor QOS groups among the men. However, the t-test results for physical function outcomes did not show a significant difference among the women. In the logistic regression model, after adjusting for age, sex and potential confounding factors, handgrip strength remained significantly associated with QOS (OR 0.96, 95% CI 0.92-1.00).
QOS was associated with physical function in young-old adults; those with good QOS were especially more likely to possess stronger grip strengths; however, further research is required to identify the temporal relationship. Geriatr Gerontol Int 2017; 17: 1808-1813.
本研究旨在探讨社区居住的年轻老年人中自我报告的睡眠质量(QOS)与身体功能之间的关系。
这项横断面研究包括 737 名社区居住的 60 岁及以上老年人(498 名女性,239 名男性;年龄 68.3±5.2 岁,范围 60-79 岁)。参与者完成了一份自我管理的问卷,其中包括匹兹堡睡眠质量指数,以及社会人口统计学特征、身体活动、吸烟和饮酒信息。采用 χ ²检验比较按 QOS 分层的分类变量,采用独立样本 t 检验比较男性和女性的连续变量。此外,还进行了逻辑回归分析,以验证 QOS 与身体功能测量之间的关联。
独立样本 t 检验显示,男性在计时起立行走测试和身体力量结果(包括握力、股四头肌设置、膝关节伸展和髋关节屈曲力量)方面存在显著差异(P<0.05),良好 QOS 和较差 QOS 组之间。然而,女性在身体功能结果的 t 检验中没有显示出显著差异。在逻辑回归模型中,调整年龄、性别和潜在混杂因素后,握力与 QOS 仍然显著相关(OR 0.96,95%CI 0.92-1.00)。
QOS 与年轻老年人的身体功能有关;那些 QOS 良好的人尤其可能具有更强的握力;然而,需要进一步研究以确定时间关系。老年医学与老年病学国际 2017;17:1808-1813。