School of Public Health and Health Management, Shandong First Medical University and Shandong Academy of Medical Sciences, 6699 Qingdao Rd, Jinan, 250117, Shandong, China.
Medical Science and Technology Innovation Center, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.
BMC Public Health. 2023 Nov 8;23(1):2199. doi: 10.1186/s12889-023-17077-6.
Sleep quality and exercise frequency are closely associated with coronary heart disease (CHD). Few studies focused on the joint effect of initiating sleep, sleep disorders, and exercise frequency on the risk of CHD in the elderly. We used a secondary data analysis based on Boshan Elderly cross-sectional study. We explored the sleep quality, exercise frequency, and their joint effects on the risk of CHD.
We collected 678 participants whose age ≥ 60 years old from Boshan District Hospital. We used the Pittsburgh Sleep Quality Index to evaluate the sleep quality and obtained physical examination information from the hospital.
Compared with the non-CHD group, patients with CHD spent more time in initiating sleep (time ≥ 60 min, 34.59% vs. 22.93%, P = 0.025) and less time exercising (exercise frequency < 1 times/week, 23.90% vs. 17.15%, P = 0.024). In multiple logistic regression analysis, sleep latency ≥ 60 min was associated with CHD risk (adjusted OR = 1.83; 95% CI: 1.11, 2.99; P-trend = 0.008). The adjusted OR (95% CI) of CHD was 2.24 (1.16, 4.34) for sleep duration < 5 h versus 5-9 h. Compared with exercise frequency < 1 times/week, the adjusted OR for exercise frequency ≥ 1 times/week was 0.46 (95% CI: 0.26, 0.83; P = 0.010). In addition, the joint effects of long sleep latency (≥ 60 min) and sleep disorders were associated with CHD (adjusted OR = 3.36; 95% CI: 1.41, 8.02). The joint effect of exercise frequency ≥ 1 times/week and sleep onset latency within normal limits (< 30 min) was also associated with CHD, and the adjusted OR (95% CI) was 0.42 (0.21, 0.87).
Long sleep latency, high frequency of initiating sleep difficulty, sleep disorders, and short sleep duration were positively associated with CHD. In addition, the joint effects of long sleep latency and sleep disorders were positively correlated with CHD incidence. However, the joint effects of exercise frequency ≥ 1 times/week and normal sleep onset latency were negatively associated CHD.
睡眠质量和运动频率与冠心病（CHD）密切相关。很少有研究关注开始睡眠、睡眠障碍和运动频率对老年人 CHD 风险的联合影响。我们使用基于博山老年人横断面研究的二次数据分析。我们探讨了睡眠质量、运动频率及其对 CHD 风险的联合影响。
我们收集了来自博山区医院的 678 名年龄≥60 岁的参与者。我们使用匹兹堡睡眠质量指数评估睡眠质量，并从医院获得体检信息。
与非 CHD 组相比，CHD 患者入睡时间较长（≥60 分钟，34.59%比 22.93%，P=0.025），运动频率较低（运动频率<1 次/周，23.90%比 17.15%，P=0.024）。在多因素逻辑回归分析中，睡眠潜伏期≥60 分钟与 CHD 风险相关（调整后的 OR=1.83；95%CI：1.11，2.99；P 趋势=0.008）。与睡眠 5-9 小时相比，睡眠<5 小时的 CHD 调整后 OR（95%CI）为 2.24（1.16，4.34）。与运动频率<1 次/周相比，运动频率≥1 次/周的调整后 OR 为 0.46（95%CI：0.26，0.83；P=0.010）。此外，长睡眠时间（≥60 分钟）和睡眠障碍的联合作用与 CHD 相关（调整后的 OR=3.36；95%CI：1.41，8.02）。运动频率≥1 次/周和正常入睡潜伏期（<30 分钟）的联合作用也与 CHD 相关，调整后的 OR（95%CI）为 0.42（0.21，0.87）。
长睡眠潜伏期、入睡困难频率高、睡眠障碍和短睡眠时间与 CHD 呈正相关。此外，长睡眠潜伏期和睡眠障碍的联合作用与 CHD 发生率呈正相关。然而，运动频率≥1 次/周和正常入睡潜伏期的联合作用与 CHD 呈负相关。
