Yao Y, Ning C X, Chen X P, Zhu Q, Yang S S, Zeng Q, Zhang F, Luan F X, He Y, Zhao Y L
Institute of Geriatrics, Beijing Key Laboratory of Research on Aging and Related Disease, National Clinical Research Center for Geriatric Diseases, Chinese People's Liberation Army (PLA) General Hospital, Beijing 100853, China.
Central Laboratory, Hainan Branch of PLA General Hospital, Sanya 572000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Apr 10;39(4):460-463. doi: 10.3760/cma.j.issn.0254-6450.2018.04.014.
To investigate the sleep quality and related determinants among centenarians in Hainan. A cross-sectional study of centenarians from 16 cities/counties was carried out in Hainan province between June 2014 and June 2016. Data related to demography, chronic diseases and lifestyles of the centenarians were collected. Pittsburg sleep quality index (PSQI) was used to assess the quality of sleep while multivariable logistic Regression model was used to determine the risk factors on the quality of sleep. Of the 730 centenarians in this study, 225 suffered from sleep disorders (30.8%). The average score of PSQI was (6.44±3.05), with the top three problems related to sleep as sleep inefficiency (48.5%), sleep latency (35.5%), and daytime dysfuntion (20.6%) among the centenarians. Results from the multivariate logistic analysis showed that incontinence, cardiovascular disease and chronic pain were risk factors, while habitual afternoon nap, and regular diet appeared as protective factors (<0.05), related to sleep disorder. Quality of sleep had been a problem to the centenarians in Hainan. Intervention on risk factors of sleep disorder should be helpful on these centenarians.
调查海南百岁老人的睡眠质量及其相关影响因素。2014年6月至2016年6月期间，在海南省对来自16个市/县的百岁老人进行了一项横断面研究。收集了百岁老人的人口统计学、慢性病和生活方式等相关数据。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，同时使用多变量逻辑回归模型确定影响睡眠质量的危险因素。本研究中的730名百岁老人中，225人患有睡眠障碍（30.8%）。PSQI平均得分为（6.44±3.05），百岁老人中与睡眠相关的前三大问题依次为睡眠效率低（48.5%）、入睡潜伏期（35.5%）和日间功能障碍（20.6%）。多变量逻辑分析结果显示，失禁、心血管疾病和慢性疼痛是危险因素，而习惯性午睡和规律饮食是与睡眠障碍相关的保护因素（P<0.05）。睡眠质量一直是海南百岁老人面临的一个问题。对睡眠障碍危险因素进行干预可能有助于这些百岁老人。
