COVID-19 大流行期间老年人的睡眠质量和生活质量：一项横断面研究。

Sleep Quality and Quality of Life Among Older Adults During COVID-19 Pandemic: A Cross-Sectional Study.

机构信息

Research Center in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto (FADEUP), Portugal Laboratory for Integrative and Translational Research in Population Health (ITR), Rua Dr. Plácido Costa, Porto, Portugal.

School of Nursing of Ribeirão Preto, University of São Paulo, Avenida dos Bandeirantes, Ribeirão Preto-SP, Brazil.

出版信息

Curr Aging Sci. 2022;15(2):186-196. doi: 10.2174/1874609815666220304195647.

DOI:10.2174/1874609815666220304195647

PMID:35249520

Abstract

BACKGROUND

Although home confinement reduces the number of SARS-CoV-2 infections, it may negatively impact the psychological and physical health of older adults.

OBJECTIVE

The present study attempted to describe the quality of life (QoL) of older adults before and during the COVID-19 outbreak, focusing on evaluating QoL, physical activity, sitting time, and sleep quality during home confinement.

METHODS

The present study was conducted in 1,063 older adults (91 % females) enrolled in a Brazilian social program. They were interviewed for QoL (EQ-5D), physical activity (international physical activity questionnaire-short), and sleep quality [Pittsburgh sleep quality index (PSQI)] after 11.6 ± 2.4 weeks of confinement. Logistic regression confirmed changes in QoL.

RESULTS

The QoL (86.5 ± 14.7) decreased significantly during confinement (66.0 ± 21.0; P < 0.001), whereas the PSQI global score was 6.8 ± 3.9 points. Older adults spent 18.7 ± 29.8 min/day in moderate to vigorous physical activity, whereas they spent 325.5 ± 144.4 min/day sitting. The PSQI global score [odds ratio (OR): 1.10], sitting time (OR: 1.001), and diseases (OR: 1.23) were significantly associated with low QoL (P < 0.05).

CONCLUSION

Confinement has a deleterious effect on QoL, which is influenced by quality of sleep, sitting time, and disease. Awareness regarding the significance of sleep and physical exercise in older adults can mitigate the damage to their health during confinement.

摘要

背景

尽管居家隔离减少了 SARS-CoV-2 感染的数量，但它可能会对老年人的身心健康产生负面影响。

目的

本研究试图描述 COVID-19 爆发前后老年人的生活质量（QoL），重点评估居家隔离期间的 QoL、身体活动、久坐时间和睡眠质量。

方法

本研究纳入了巴西社会项目中的 1063 名老年人（91%为女性）。在隔离 11.6±2.4 周后，对他们进行了生活质量（EQ-5D）、身体活动（国际身体活动问卷-短卷）和睡眠质量[匹兹堡睡眠质量指数（PSQI）]的访谈。逻辑回归证实了 QoL 的变化。

结果

隔离期间 QoL（86.5±14.7）显著下降（66.0±21.0；P<0.001），而 PSQI 总分增加了 6.8±3.9 分。老年人每天进行 18.7±29.8 分钟的中等到剧烈身体活动，而每天久坐时间为 325.5±144.4 分钟。PSQI 总分（比值比[OR]：1.10）、久坐时间（OR：1.001）和疾病（OR：1.23）与 QoL 降低显著相关（P<0.05）。