School of Nursing, 74790Xinjiang Medical University, Urumqi, China.
School of Nursing, 12465Peking University, Beijing, China.
J Appl Gerontol. 2022 Dec;41(12):2511-2519. doi: 10.1177/07334648221118904. Epub 2022 Aug 9.
This study was conducted using the data from 2015 China Health and Retirement Longitudinal Study (CHARLS). Gender-specific association between nighttime sleep duration (NSD) and falls were evaluated through multiple logistic regression by adjusting for confounding variables. Of the 22,899 respondents, 18,446 were eligible and 3,144 (16.99%) had more than a single fall. Short and long NSD were associated with high occurrences of falls in the total and female population, but only a short NSD was associated with a high occurrence of falls in the male population. In conclusion, NSD was strongly and significantly associated with falls, but the association was gender-specific. Accordingly, increasing targeted, evidence-based and gender-specific preventions for NSD and sleep disturbance are necessary among primary care interventions to prevent falls.
本研究使用了 2015 年中国健康与养老追踪调查（CHARLS）的数据。通过多因素逻辑回归分析，调整混杂因素后，评估了夜间睡眠时间（NSD）与跌倒之间的性别特异性关联。在 22899 名受访者中，18446 名符合条件，3144 名（16.99%）发生了多次跌倒。无论在总人群还是女性人群中，短时间和长时间 NSD 均与高跌倒发生率相关，但仅在男性人群中，短时间 NSD 与高跌倒发生率相关。总之，NSD 与跌倒有很强的显著相关性，但这种相关性是性别特异性的。因此，在初级保健干预中，需要针对 NSD 和睡眠障碍制定有针对性的、基于证据的、性别特异性的预防措施，以预防跌倒。
