Zhang Zeyu, Xiao Xueling, Ma Weixia, Li Junxin
Johns Hopkins University School of Nursing.
Huazhong University of Science and Technology, Tongji Medical College, School of Nursing.
Curr Sleep Med Rep. 2020 Sep;6(3):129-135. doi: 10.1007/s40675-020-00183-x. Epub 2020 Jul 25.
Daytime napping-frequently reported among older populations-has attracted increasing attention in geriatric research due to its association with multiple health conditions. This review aims to integrate the latest knowledge about napping in older adults to provide implications for future research.
The prevalence of napping in older adults ranges from 20% to 60% in different studies, but has been consistently reported to be higher than in other age groups. Age-related changes in circadian rhythm and sleep patterns, cultural beliefs, chronic conditions, medications, and lifestyle changes contribute to the high prevalence of napping in older adults. Daytime napping has been associated with multiple health conditions in older adults. Naps of short duration (e.g., 30 minutes) are reported in adults with better health; naps with longer durations (e.g., >90 minutes) have been linked to adverse cardiovascular and diabetes outcomes, declining cognitive function, and increased mortality. Current evidence in the literature, however, is not enough for us to determine the exact role of napping in the health of older adults.
Longitudinal and interventional studies are needed to investigate the influence of napping and the critical parameters such as duration, timing, and frequency on health in older adults and the underlying mechanisms. A combination of objective and self-reported measurements of napping are recommended instead of self-reported data only.
日间小睡在老年人群中较为常见,由于其与多种健康状况相关,在老年医学研究中受到越来越多的关注。本综述旨在整合有关老年人小睡的最新知识,为未来研究提供启示。
不同研究中老年人小睡的发生率在20%至60%之间,但一直报道高于其他年龄组。昼夜节律和睡眠模式的年龄相关变化、文化信仰、慢性病、药物治疗和生活方式改变导致老年人小睡的高发生率。日间小睡与老年人的多种健康状况相关。健康状况较好的成年人小睡时间较短(如30分钟);较长时间的小睡(如>90分钟)与不良心血管和糖尿病结局、认知功能下降及死亡率增加有关。然而,目前文献中的证据不足以让我们确定小睡在老年人健康中的确切作用。
需要进行纵向和干预性研究,以调查小睡及其持续时间、时间和频率等关键参数对老年人健康的影响及其潜在机制。建议结合客观和自我报告的小睡测量方法,而不是仅依靠自我报告的数据。