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中国社区居住老年人的睡眠时间与身体机能之间的关联。

The association between sleep duration and physical performance in Chinese community-dwelling elderly.

作者信息

Fu Liyuan, Jia Liye, Zhang Wen, Han Peipei, Kang Li, Ma Yixuan, Yu Hairui, Zhai Tianqi, Chen Xiaoyu, Guo Qi

机构信息

Department of Rehabilitation Medicine, Cardiovascular Clinical College of Tianjin Medical University, TEDA International Cardiovascular Hospital, Tianjin, China.

Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.

出版信息

PLoS One. 2017 Mar 30;12(3):e0174832. doi: 10.1371/journal.pone.0174832. eCollection 2017.

Abstract

BACKGROUND

Physical performance is an important healthy factor in elder people. Good living habits, which include sleep, can maintain physical strength and physical performance. The aim of the present study was to conduct a cross-sectional study to determine the association between total sleep duration and physical performance.

METHODS

Our study population comprised residents of the township central hospital in the suburban of Tianjin, China. We measured muscle strength, walk speed and balance function by grip, 4-m walk test and timed up and go test (TUGT). We divided sleep duration into four groups <7h, 7-8h, >8-9h, >9h.

RESULTS

A total 898 participants had completed data (392 men and 506 women, mean age 67.71 years). In man, adjusted sleep duration was associated with lower grip in > 9 h group, the mean value (95% CI) was 0.429 (0.409, 0.448), and longer TUGT time was also associated with long sleep duration, 10.46s (9.97 s, 10.95 s). In women, adjusted slower 4-m walk speed present an inverse U-shaped relation with sleep duration, by 0.93 m/s (0.86 m/s, 0.98 m/s), 0.97 m/s (0.96 m/s, 1.00 m/s), 0.97 m/s (0.95 m/s, 0.99 m/s) and 0.92 m/s (0.89 m/s, 0.96 m/s); longer TUGT time were associated with long sleep duration (> 9 h), by 11.23 s (10.70 s, 11.77 s).

CONCLUSION

In Chinese community-dwelling elderly, lower muscle strength and lower balance function were associated with long sleep duration in men. Slower walk speed and lower balance function were associated with long sleep duration in women.

摘要

背景

身体机能是老年人健康的重要因素。良好的生活习惯,包括睡眠,可维持体力和身体机能。本研究的目的是进行一项横断面研究,以确定总睡眠时间与身体机能之间的关联。

方法

我们的研究对象包括中国天津市郊区乡镇中心医院的居民。我们通过握力测试、4米步行测试和计时起立行走测试(TUGT)来测量肌肉力量、步行速度和平衡功能。我们将睡眠时间分为四组:<7小时、7-8小时、>8-9小时、>9小时。

结果

共有898名参与者完成了数据收集(392名男性和506名女性,平均年龄67.71岁)。在男性中,调整后的睡眠时间与>9小时组的较低握力相关,平均值(95%CI)为0.429(0.409,0.448),较长的TUGT时间也与较长睡眠时间相关,为10.46秒(9.97秒,10.95秒)。在女性中,调整后的较慢4米步行速度与睡眠时间呈倒U形关系,分别为0.93米/秒(0.86米/秒,0.98米/秒)、0.97米/秒(0.96米/秒,1.00米/秒)、0.97米/秒(0.95米/秒,0.99米/秒)和0.92米/秒(0.89米/秒,0.96米/秒);较长的TUGT时间与较长睡眠时间(>9小时)相关,为11.23秒(10.70秒,11.77秒)。

结论

在中国社区居住的老年人中,男性较低的肌肉力量和较低的平衡功能与较长睡眠时间相关。女性较慢的步行速度和较低的平衡功能与较长睡眠时间相关。

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