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中国老年人午睡时间、夜间睡眠时间与抑郁的关系:一项横断面研究。

The association between nap time, nighttime sleep and depression in Chinese older adults: A cross-sectional study.

机构信息

College of Sports, Nanjing Tech University, Nanjing, China.

School of Athletic Performance, Shanghai University of Sport, Shanghai, China.

出版信息

PLoS One. 2024 Jun 6;19(6):e0302939. doi: 10.1371/journal.pone.0302939. eCollection 2024.


DOI:10.1371/journal.pone.0302939
PMID:38843237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11156306/
Abstract

OBJECTIVE: To explore the relationship among nap time, night sleep time, and depression among the elderly and to determine the recommended sleep time to provide a scientific and reasonable basis for the prevention and control of depression in residents. METHODS: Based on the 2020 China Health and Elderly Care Longitudinal Survey (CHARLS) database, the demographic data and the health and lifestyle information of the study subjects were obtained. A total of 2,959 valid samples were included, and the relationship between sleep and depression was explored by logistic regression, restricted cubic spline, and isotemporal substitution model. RESULTS: In the cross-sectional analysis, no statistical relationship was observed between napping time and depression in the elderly. The optimal sleep interval for the elderly at night is 6-7.5 hours, and the health benefits are the largest. A sleep duration of < 6 hours at night (OR = 2.25, 95% CI: 1.90 to 2.65) was associated with a high likelihood of depression. The probability of depression in the elderly continues to decrease with the increase of time after the nighttime sleep duration reaches 6 hours and is at the lowest level of about 7.5 hours. Moreover, the probability of depression will increase after the sleep duration exceeds 9.5 hours. In the range of 6-7.5 hours of recommended sleep duration, the likelihood of depression in the elderly will be reduced by 0.311 for every 30-minute increase in nighttime sleep time instead of noon sleep time. CONCLUSION: The duration of nighttime sleep and the probability of depression have a U-shaped relationship. The likelihood of depression was lowest in the elderly who slept for 6-8 hours at night, and the likelihood of depression could be reduced by increasing the nighttime sleep time instead of napping time within the optimal nighttime sleep range.

摘要

目的:探讨老年人午睡时间、夜间睡眠时间与抑郁之间的关系,确定推荐的睡眠时间,为居民抑郁的预防和控制提供科学合理的依据。

方法:基于 2020 年中国健康与养老追踪调查(CHARLS)数据库,获取研究对象的人口统计学数据和健康生活方式信息。共纳入 2959 例有效样本,采用 logistic 回归、限制性立方样条和等时替代模型探讨睡眠与抑郁的关系。

结果:在横断面分析中,老年人午睡时间与抑郁之间无统计学关系。老年人夜间最佳睡眠时间间隔为 6-7.5 小时,健康获益最大。夜间睡眠时间<6 小时(OR=2.25,95%CI:1.90 至 2.65)与抑郁发生的可能性较高相关。随着夜间睡眠时间达到 6 小时后时间的增加,老年人抑郁的概率持续降低,在约 7.5 小时时处于最低水平。此外,睡眠时间超过 9.5 小时后,抑郁的概率会增加。在推荐的 6-7.5 小时睡眠时长范围内,夜间睡眠时间每增加 30 分钟,老年人患抑郁的可能性会降低 0.311,而不是午睡时间。

结论:夜间睡眠时间的长短与抑郁的发生概率呈 U 型关系。夜间睡眠时间为 6-8 小时的老年人患抑郁的可能性最低,在最佳夜间睡眠时间范围内,通过增加夜间睡眠时间而非午睡时间,可以降低抑郁的发生概率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0254/11156306/1f0bbfb28a19/pone.0302939.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0254/11156306/1f0bbfb28a19/pone.0302939.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0254/11156306/1f0bbfb28a19/pone.0302939.g001.jpg

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引用本文的文献

[1]
Association between changes in sleep duration and the risk of incident depressive symptoms among Chinese middle-aged and older adults.

PLoS One. 2025-8-11

[2]
Depression and its influencing factors among older adults with chronic pain in China: an empirical analysis based on CHARLS data.

Front Public Health. 2025-4-2

[3]
Association between sleep characteristics and physical functioning in middle-aged and elderly adults: findings from Chinese cohorts.

Aging Clin Exp Res. 2025-4-7

[4]
Interaction effects of sleep duration and activities of daily living on depressive symptoms among Chinese middle-aged and older adult individuals: evidence from the CHARLS.

Front Public Health. 2025-3-12

[5]
Machine learning algorithms to predict depression in older adults in China: a cross-sectional study.

Front Public Health. 2025-1-7

本文引用的文献

[1]
Sequential link in depression, sleep and cognition: Longitudinal evidence from a serial multiple mediation analysis of older adults in China.

Arch Gerontol Geriatr. 2024-2

[2]
The relationship between sleep quality and anxiety and depression among older caregivers of centenarians in China: A cross-sectional study.

Geriatr Nurs. 2023

[3]
Quantile regression to explore association of sleep duration with depression among adults in NHANES and KNHANES.

J Affect Disord. 2024-1-15

[4]
Sleep duration and depressive symptoms in Chinese middle-aged and older adults: The moderating effects of grip strength.

J Affect Disord. 2023-10-15

[5]
Physical activity level and factors associated with perceived stress among Peruvian university professors during the COVID-19 pandemic.

Heliyon. 2023-6

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J Affect Disord. 2023-5-1

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Arch Gerontol Geriatr. 2023-4

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Association between sleep duration and depression in US adults: A cross-sectional study.

J Affect Disord. 2022-1-1

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Prevalence of depressive disorders and treatment in China: a cross-sectional epidemiological study.

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[10]
Sleep quality, depression and frailty among Chinese community-dwelling older adults.

Geriatr Nurs. 2021

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