The Irish Longitudinal Study On Ageing, Department of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Dublin 2, Ireland.
Department of General Practice, HRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.
BMC Public Health. 2022 Sep 9;22(1):1711. doi: 10.1186/s12889-022-14108-6.
Chronic diseases are the leading cause of death worldwide. Many of these diseases have modifiable risk factors, including physical activity and sleep, and may be preventable. This study investigated independent associations of physical activity and sleep with eight common chronic illnesses.
Data were from waves 1, 3 and 5 of The Irish Longitudinal Study on Ageing (n = 5,680). Inverse probability weighted general estimating equations were used to examine longitudinal lifetime prevalence and cumulative incidence of self-reported conditions.
Sleep problems were significantly associated with increased odds of incident and prevalent arthritis and angina. Additionally sleep problems were associated with higher odds of lifetime prevalence of hypertension and diabetes. Physical activity was negatively associated incident osteoporosis and respiratory diseases and negatively associated with lifetime prevalence of hypertension, high cholesterol and diabetes.
Worse sleep quality and lower physical activity were associated with higher odds of chronic diseases. Interventions to improve sleep and physical activity may improve health outcomes.
慢性疾病是全球范围内死亡的主要原因。这些疾病中有许多可改变的风险因素，包括身体活动和睡眠，并且可能是可以预防的。本研究调查了身体活动和睡眠与八种常见慢性疾病的独立关联。
数据来自爱尔兰老龄化纵向研究的第 1、3 和 5 波（n=5680）。使用逆概率加权广义估计方程来检查自我报告疾病的纵向终生患病率和累积发病率。
睡眠问题与关节炎和心绞痛的发病和现患率显著相关。此外，睡眠问题与高血压和糖尿病的终生患病率较高相关。身体活动与骨质疏松症和呼吸道疾病的发病呈负相关，与高血压、高胆固醇和糖尿病的终生患病率呈负相关。
较差的睡眠质量和较低的身体活动与更高的慢性病发病风险相关。改善睡眠和身体活动的干预措施可能会改善健康结果。
