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睡眠时间、周末补觉与握力相关的阻塞性睡眠呼吸暂停风险

Sleep duration, weekend catch-up sleep, and risk of obstructive sleep apnea in relation to handgrip strength.

作者信息

Lee Kayoung

机构信息

Department of Family Medicine, Busan Paik Hospital, College of Medicine, Inje University, 75, Bokji-ro, Busanjin-gu, Busan, Republic of Korea, (47392), 82-51-890-6229, 82-51-894-7554.

出版信息

Arch Gerontol Geriatr. 2023 Jul;110:104987. doi: 10.1016/j.archger.2023.104987. Epub 2023 Mar 4.

DOI:10.1016/j.archger.2023.104987
PMID:36889010
Abstract

PURPOSE

This cross-sectional study aimed to evaluate whether weekday sleep duration, weekend catch-up sleep, and risk of obstructive sleep apnea are individually and in combination associated with handgrip strength.

METHODS

Data from the Korea National Health and Nutrition Examination Survey 2019, including weekday sleep duration, weekend catch-up sleep, STOP-BANG scores, relative handgrip strength (handgrip strength divided by body mass index), and confounding factors (sociodemographic factors, health behaviors, and health and nutritional status), were evaluated in 3678 Korean adults aged 40 to 80 years. Adequate (vs. inadequate) sleep parameters were defined as weekday sleep duration (6-7 vs. ≤ 5 or ≥ 8 h), weekend catch-up sleep (presence vs. absence), and risk of obstructive sleep apnea (low vs. high based on STOP-BANG scores). Sex-specific quintiles of relative handgrip strength were categorized as high (highest 5th quintile) or low (lower 1 to 4 quintiles). A complex-sample logistic regression analysis was performed.

RESULTS

After adjusting for other sleep parameters and confounding variables, each adequate sleep parameter individually and collectively was associated with high relative handgrip strength (adjusted odds ratios [95% confidence interval], 1.43 [1.09, 1.89] for 6-7 h weekday sleep duration; 1.44 [1.10, 1.90] for low risk of obstructive sleep apnea; 1.72 [1.23, 2.40] for any two parameters; 1.81 [1.18, 2.79] for all parameters). The combination of adequate weekend catch-up sleep and obstructive sleep apnea risk had the highest odds ratio for high relative handgrip strength (2.36 [1.45, 3.83]).

CONCLUSIONS

Adequate weekday sleep duration, weekend catch-up sleep, and low obstructive sleep apnea risk were individually and in combination associated with high handgrip strength.

摘要

目的

本横断面研究旨在评估工作日睡眠时间、周末补觉以及阻塞性睡眠呼吸暂停风险单独及综合起来是否与握力相关。

方法

对韩国2019年全国健康与营养检查调查的数据进行评估,这些数据包括工作日睡眠时间、周末补觉、STOP - BANG评分、相对握力(握力除以体重指数)以及混杂因素(社会人口统计学因素、健康行为、健康和营养状况),研究对象为3678名年龄在40至80岁的韩国成年人。充足(与不充足相对)的睡眠参数定义为工作日睡眠时间(6 - 7小时与≤5或≥8小时)、周末补觉(有与无)以及阻塞性睡眠呼吸暂停风险(基于STOP - BANG评分低与高)。相对握力的性别特异性五分位数被分类为高(最高的第5五分位数)或低(较低的第1至4五分位数)。进行了复杂样本逻辑回归分析。

结果

在调整了其他睡眠参数和混杂变量后,每个充足的睡眠参数单独及综合起来都与高相对握力相关(调整后的比值比[95%置信区间],工作日睡眠时间6 - 7小时为1.43[1.09, 1.89];阻塞性睡眠呼吸暂停低风险为1.44[1.10, 1.90];任意两个参数为1.72[1.23, 2.40];所有参数为1.81[1.18, 2.79])。充足的周末补觉和阻塞性睡眠呼吸暂停风险的组合对于高相对握力的比值比最高(2.36[1.45, 3.83])。

结论

充足的工作日睡眠时间、周末补觉以及低阻塞性睡眠呼吸暂停风险单独及综合起来都与高握力相关。

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