中老年人的主观睡眠质量及其与抑郁综合征、慢性病和健康相关身体素质的关联。
Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly.
作者信息
Hsu Min-Fang, Lee Kang-Yun, Lin Tsung-Ching, Liu Wen-Te, Ho Shu-Chuan
机构信息
Department of Nursing, Yuanpei University of Medical Technology, Hsinchu City, Taiwan.
Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
出版信息
BMC Public Health. 2021 Jan 19;21(1):164. doi: 10.1186/s12889-021-10206-z.
BACKGROUND
As a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly.
METHODS
We enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses.
RESULTS
Overall, 27.9% of participants in this study demonstrated bad sleepers (with a PSQI score of > 5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items.
CONCLUSIONS
Our study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.
背景
睡眠质量作为一种复杂现象，难以进行客观定义和测量，且与睡眠质量相关的多种因素，如年龄、生活方式、身体活动和身体素质，在老年人群中表现突出。本研究的目的是使用匹兹堡睡眠质量指数（PSQI）评估主观睡眠质量，并将睡眠质量与中老年人群健康相关的身体素质因素、抑郁症状及慢性病数量相关联。
方法
我们从一家康复诊所或健康检查部门招募了总共283名中老年参与者。使用PSQI评估睡眠质量。健康相关的体能评估包括人体测量和体能参数。用流行病学研究中心抑郁量表（CES-D）简表测量抑郁症状。数据用SPSS 18.0进行分析，并采用描述性统计和逻辑回归分析进行分析。
结果
总体而言，本研究中27.9%的参与者睡眠质量较差（PSQI评分>5），10.2%的研究参与者经常使用助眠药物帮助入睡，6.0%的参与者报告有明显的抑郁症状（CES-D评分≥10）。有两个主要发现：（1）抑郁症状、慢性病数量、自我健康评价和关节炎与睡眠质量差显著相关；（2）2分钟台阶试验与较长的入睡潜伏期相关。这些结果证实，在健康相关的身体素质项目中，2分钟台阶试验与较长的入睡潜伏期相关。
结论
我们的研究发现，抑郁综合征、慢性病数量、自我健康评价差和关节炎是影响主观睡眠质量的主要危险因素。
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