Chun Min Young, Cho Bum-Joo, Yoo Sang Ho, Oh Bumjo, Kang Ju-Seop, Yeon Cholog
Department of Global Medical Science, Sungshin Women's University.
Department of Pharmacology & Clinical Pharmacology Lab, College of Medicine, Hanyang University, Seoul.
Medicine (Baltimore). 2018 Dec;97(50):e13656. doi: 10.1097/MD.0000000000013656.
Both extremely long and short sleep durations have been associated with increased risk of numerous health problems. This study examined the association between self-reported sleep duration and reporting of musculoskeletal pain in the adult Korean population.This study included data from 17,108 adults aged ≥50 years, obtained from the Korea National Health and Nutrition Examination Survey 2010-2012 and 2013-2015. Self-reported daily hours slept and the presence of musculoskeletal pain in knee joint, hip joint, or low back were examined. Patients were stratified into 5 groups by their sleep duration: ≤5, 6, 7, 8, or ≥9 h. Multivariate logistic regression analysis was performed, adjusting for covariates including age, sex, marital status, smoking, alcohol use, family income level, education, physical exercise, body mass index (BMI), and stress level.A U-shaped relationship was observed between the length of sleep duration and the presence of musculoskeletal pain. After adjusting for covariates, sleep duration of ≤5 h or ≥9 h was significantly associated with musculoskeletal pain experienced for more than 30 days over a 3-month period. We also found that the presence of multi-site musculoskeletal pain was significantly higher among those who slept for ≤5 h or ≥9 h than in those who slept for 7 h.These findings suggest that either short or long sleep duration is associated with musculoskeletal pain among Korean adults.
睡眠时间过长和过短都与诸多健康问题风险增加有关。本研究调查了韩国成年人群中自我报告的睡眠时间与肌肉骨骼疼痛报告之间的关联。本研究纳入了来自2010 - 2012年和2013 - 2015年韩国国家健康与营养检查调查的17108名年龄≥50岁的成年人的数据。调查了自我报告的每日睡眠时间以及膝关节、髋关节或下背部是否存在肌肉骨骼疼痛。根据睡眠时间将患者分为5组：≤5小时、6小时、7小时、8小时或≥9小时。进行了多因素逻辑回归分析，并对年龄、性别、婚姻状况、吸烟、饮酒、家庭收入水平、教育程度、体育锻炼、体重指数（BMI）和压力水平等协变量进行了调整。观察到睡眠时间长度与肌肉骨骼疼痛的存在之间呈U形关系。在对协变量进行调整后，≤5小时或≥9小时的睡眠时间与3个月内经历超过30天的肌肉骨骼疼痛显著相关。我们还发现，睡眠时间≤5小时或≥9小时的人群中多部位肌肉骨骼疼痛的发生率显著高于睡眠时间为7小时的人群。这些发现表明，睡眠时间过短或过长都与韩国成年人的肌肉骨骼疼痛有关。
