Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No.123, Huifu Xi Road, Guangzhou City, 510000, Guangdong Province, China.
Medical College of Shantou University, No.22, Jinling Road, Shantou City, 515041, Guangdong Province, China.
BMC Psychiatry. 2020 Sep 16;20(1):455. doi: 10.1186/s12888-020-02866-9.
Sleep is vital for maintaining individual's physical and mental health. Prior studies have reported close relationships between sleep duration and chronic diseases. However, in China, the prevalence of aberrant sleep duration and the associations between sleep duration and chronic conditions still merit studying in Guangdong province. This study aimed at examining the relationship between sleep duration and multiple dimensions of sociodemographic characteristics, mental health and chronic diseases in Guangdong province in China, with a large population-based data of individuals aged from 18 to 85 years old.
This study aimed at analyzing the sociodemographic and clinical characteristics of the population in Guangdong province. Multistage stratified cluster sampling was applied for this study. 13,768 participants from Guangdong province were interviewed with standardized assessment tools, including Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder (GAD-7). Basic socio-demographic information, mental health and chronic diseases information were collected. Self-reported sleep duration was classified as three types: short (< 7 h), normative (7-9 h) and long (≥9 h).
The mean sleep duration was 6.75 ± 1.11 h. Short sleepers had a higher prevalence of chronic diseases, including anemia (6.2%, p = 0.024), gout (2.8%, p = 0.010), hyperlipidemia (3.9%, p = 0.003) and low back pain (5.6%, p = 0.020) than other types of sleeper. Multinomial logistic regression analysis revealed that short sleepers were more likely to have low income level, have depressive symptoms, be ex- or current drinkers and be overweight. Anemia, hyperlipidemia and low back pain were all risk factors for short sleep, while malignant tumor was risky for long sleep.
Low income level, drinking status, being overweight, and chronic conditions may be associated with aberrant sleep duration in Guangdong province general population. Short sleepers have a higher risk of suffering from anemia, hyperlipidemia, and low back pain, while long sleepers are more likely to have malignant tumor. Health professionals should value the sleep patterns in general health care and attach importance to conduct further epidemiologic surveys to explore the relationship between sleep duration and health.
睡眠对于维持个体的身心健康至关重要。先前的研究报告称，睡眠持续时间与慢性疾病之间存在密切关系。然而，在中国广东省，异常睡眠持续时间的流行情况以及睡眠持续时间与慢性疾病之间的关联仍值得研究。本研究旨在探讨广东省不同年龄人群的睡眠持续时间与社会人口统计学特征、心理健康和慢性疾病之间的关系，该研究基于一个大型的、基于人群的 18-85 岁个体数据。
本研究旨在分析广东省人群的社会人口统计学和临床特征。采用多阶段分层聚类抽样方法对广东省的 13768 名参与者进行了访谈，采用标准化评估工具，包括患者健康问卷-9（PHQ-9）和广泛性焦虑障碍（GAD-7）。收集了基本的社会人口统计学信息、心理健康和慢性疾病信息。自我报告的睡眠持续时间分为三种类型：短（<7 小时）、正常（7-9 小时）和长（≥9 小时）。
平均睡眠持续时间为 6.75±1.11 小时。与其他睡眠类型的人相比，短睡眠者患慢性疾病的比例更高，包括贫血（6.2%，p=0.024）、痛风（2.8%，p=0.010）、高脂血症（3.9%，p=0.003）和腰痛（5.6%，p=0.020）。多项逻辑回归分析显示，短睡眠者更有可能收入水平较低、有抑郁症状、曾饮酒或正在饮酒以及超重。贫血、高脂血症和腰痛都是短睡眠的危险因素，而恶性肿瘤则是长睡眠的危险因素。
在广东省一般人群中，低收入水平、饮酒状况、超重和慢性疾病可能与异常睡眠持续时间有关。短睡眠者患贫血、高脂血症和腰痛的风险较高，而长睡眠者患恶性肿瘤的风险较高。健康专业人员应在一般健康护理中重视睡眠模式，并重视进一步开展流行病学调查，以探讨睡眠持续时间与健康之间的关系。
