College of Sports, Nanjing Tech University, Nanjing, China.
School of Athletic Performance, Shanghai University of Sport, Shanghai, China.
PLoS One. 2024 Jun 6;19(6):e0302939. doi: 10.1371/journal.pone.0302939. eCollection 2024.
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.
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。
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