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社区居住老年人的睡眠与代谢综合征、高血压、糖尿病和肥胖风险

Sleep and Risk for Metabolic Syndrome, Hypertension, Diabetes and Obesity Among Community-Dwelling Older Adults.

作者信息

Zendels Philip, Moore-Harrison Trudy, Gaultney Jane F

机构信息

Health Psychology and Psychological Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA.

Applied Physiology, Health and Clinical Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA.

出版信息

Int J Exerc Sci. 2021 Dec 1;15(3):88-102. doi: 10.70252/ODDB8638. eCollection 2022.

Abstract

Older adults often face a variety of health problems that are found less frequently in younger populations. Metabolic syndrome and other related diseases are common due to a variety of age and lifestyle factors. Sleep, often operationalized only as duration, quality, or apnea diagnosis, is associated with worse health outcomes across the lifespan. However, sleep is multi-faceted and may require a collection of measures in order to reflect this. This study examined a suite of self-reported sleep habits (risk for sleep apnea, night time duration, nap duration, quality, timing, and consistency of duration and timing) and physiological data in a sample of 144 older adults. Sleep-related variables as a group predicted risk for metabolic syndrome, hypertension, and diabetes but was not a clear predictor of obesity. Of the individual measures, risk for apnea and consistency of sleep duration throughout the week predicted risk for metabolic syndrome (apnea = .64, < .05; duration inconsistencies = .22, < .05). The findings of the study suggest that greater consistency in sleep schedules may benefit the health of older adult populations' risk for these disorders.

摘要

老年人常常面临各种健康问题,这些问题在年轻人中较少见。由于多种年龄和生活方式因素,代谢综合征及其他相关疾病很常见。睡眠通常仅以时长、质量或呼吸暂停诊断来衡量,在整个生命周期中,睡眠与更差的健康结果相关。然而,睡眠是多方面的,可能需要一系列测量方法才能反映这一点。本研究在144名老年人样本中,考察了一系列自我报告的睡眠习惯(睡眠呼吸暂停风险、夜间时长、午睡时长、质量、时间安排以及时长和时间安排的一致性)和生理数据。作为一个整体,与睡眠相关的变量可预测代谢综合征、高血压和糖尿病的风险,但并非肥胖的明确预测指标。在各项单独测量中,呼吸暂停风险和一周内睡眠时间的一致性可预测代谢综合征风险(呼吸暂停风险=0.64,P<0.05;时长不一致=0.22,P<0.05)。该研究结果表明,睡眠时间表的更高一致性可能有益于降低老年人群患这些疾病的风险。

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Predictors of metabolic syndrome in community-dwelling older adults.社区老年人代谢综合征的预测因素。
PLoS One. 2018 Oct 31;13(10):e0206424. doi: 10.1371/journal.pone.0206424. eCollection 2018.

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