Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu Province, China.
Suzhou Vocational Health College, Suzhou, Jiangsu Province, China.
J Clin Sleep Med. 2017 Aug 15;13(8):967-974. doi: 10.5664/jcsm.6696.
To determine the associations of self-reported sleep quality and duration with health-related quality of life (HRQOL) in older Chinese.
We analyzed community-based cross-sectional data of 5,539 individuals aged 60 years and older in the Weitang Geriatric Disease Study. Information of sleep quality and duration were self-reported through participants' responses to predefined questions; HRQOL data were collected by using the European Quality of Life-5 Dimensions (EQ-5D). We estimated the associations of sleep quality and duration with the EQ-5D index and visual analog scale (VAS) scores using linear regression models. The associations between sleep quality and duration and EQ-5D-detected health problems were modeled using logistic regression.
In multiple linear models adjusting sociodemographic factors, health conditions, and lifestyle habits, both EQ-5D index and VAS scores declined with deterioration of sleep quality. The coefficients for poor and intermediate sleep quality were -0.053 (95% confidence interval [CI]:-0.065, -0.042) and -0.022 (95% CI: -0.030, -0.013), respectively, in relation to EQ-5D index score. They were -5.2 (95% CI: -6.7, -2.4) and - 3.8 (95% CI: -4.9, -2.7) in modeling the EQ-5D VAS score. HRQOL declined as sleep duration decreased below 7.01 hours or exceeded 8.01 hours, though most of the associations did not reach statistical significance. In multiple logistic models, poor sleep quality was associated with problems of mobility, pain/discomfort, and anxiety/ depression; short sleep duration was associated with mobility problems.
Poor sleep quality and extreme sleep durations appeared to be negatively associated with HRQOL in older Chinese adults.
在中国老年人中，确定自我报告的睡眠质量和时长与健康相关生活质量（HRQOL）的关联。
我们分析了来自卫塘老年疾病研究的 5539 名 60 岁及以上的社区横断面数据。通过参与者对预设问题的回答，自我报告睡眠质量和时长信息；使用欧洲生活质量-5 维度（EQ-5D）收集 HRQOL 数据。我们使用线性回归模型估计睡眠质量和时长与 EQ-5D 指数和视觉模拟量表（VAS）评分的关联。使用逻辑回归模型，将睡眠质量和时长与 EQ-5D 检测到的健康问题之间的关联建模。
在调整社会人口因素、健康状况和生活方式习惯的多线性模型中，EQ-5D 指数和 VAS 评分随着睡眠质量的恶化而下降。睡眠质量差和中等的系数分别为-0.053（95%置信区间：-0.065，-0.042）和-0.022（95%置信区间：-0.030，-0.013），与 EQ-5D 指数评分相关。它们在 EQ-5D VAS 评分模型中分别为-5.2（95%置信区间：-6.7，-2.4）和-3.8（95%置信区间：-4.9，-2.7）。睡眠时间低于 7.01 小时或超过 8.01 小时，HRQOL 下降，但大多数关联没有达到统计学意义。在多逻辑模型中，睡眠质量差与移动、疼痛/不适和焦虑/抑郁问题有关；睡眠持续时间短与移动问题有关。
在中国老年人中，睡眠质量差和极端睡眠持续时间似乎与 HRQOL 呈负相关。
