Department of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu Province, China.
University of Health and Allied Sciences, PMB 31, Ho-Volta Region, Ghana.
Qual Life Res. 2020 Aug;29(8):2101-2110. doi: 10.1007/s11136-020-02450-4. Epub 2020 Feb 25.
Aging increases the prevalence of health problems that are often chronic, resulting in more sleep problems for people with poor health or chronic conditions. Relatively fewer studies have been conducted on the relationship between sleep duration and chronic conditions in Sub-Saharan Africa compared to Western or Asian populations. This study uses a nationally representative sample of older adults in Ghana to examine the association between sleep duration and chronic conditions.
Data were gathered from the World Health Organization Study on Global AGEing and Adult Health (SAGE) Wave 1 in Ghana (n = 3617). Data on duration of sleep and chronic conditions were derived from self-reported data and validated symptom reporting. Multinomial logistic regression was conducted to examine the association between sleep duration and chronic conditions.
Women had a significantly longer period of sleep than men. Older people (> 60 years) were more likely than people under 60 years old to sleep for longer periods. The prevalence of stroke, depression, and chronic lung disease among long sleepers was high compared with short and medium sleepers. Our study found that respondents with stroke, arthritis, depression, chronic lung disease, asthma, and hypertension were likely to sleep for a long time.
This study showed a significant association between long hours of sleep and chronic conditions. To health professionals, paying particular attention to this association among older adults is medically important.
随着年龄的增长，健康问题的发生率也会增加，而且这些问题往往是慢性的，因此健康状况较差或患有慢性疾病的人会有更多的睡眠问题。与西方或亚洲人群相比，相对较少的研究关注撒哈拉以南非洲地区的睡眠时间与慢性疾病之间的关系。本研究使用加纳全国代表性的老年人群体样本，调查了睡眠时间与慢性疾病之间的关联。
数据来自加纳世界卫生组织全球老龄化和成人健康研究（SAGE）第 1 波（n=3617）。睡眠时间和慢性疾病的数据来自自我报告的数据和经过验证的症状报告。采用多项逻辑回归分析来检验睡眠时间与慢性疾病之间的关联。
女性的睡眠时间明显长于男性。与 60 岁以下的人相比，60 岁以上的老年人更有可能睡更长时间。与中、短睡眠者相比，长时间睡眠者中风、抑郁和慢性肺病的患病率较高。我们的研究发现，中风、关节炎、抑郁、慢性肺病、哮喘和高血压患者更有可能长时间睡眠。
本研究表明，长时间睡眠与慢性疾病之间存在显著关联。对于医疗保健专业人员来说，关注老年人群体中的这种关联具有重要的医学意义。
