Goda Akio, Nakano Hideki, Kikuchi Yuki, Mori Kohei, Mitsumaru Nozomi, Murata Shin
Hokuriku University Well-Being Research Team, Department of Physical Therapy, Faculty of Health and Medical Science, Hokuriku University, Kanazawa 920-1180, Japan.
Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan.
Healthcare (Basel). 2024 Jun 22;12(13):1245. doi: 10.3390/healthcare12131245.
Subjective cognitive complaints (SCCs) are a crucial modifiable risk factor for dementia. There is increasing interest in the association between SCC and sleep disturbance; however, the effects of sleep disturbance on SCC development among community-dwelling elderly individuals in Japan remain unclear. We aimed to cross-sectionally investigate the association between SCC and sleep disturbance, with adjustment for multiple factors related to cognitive decline, among 241 community-dwelling elderly persons without cognitive impairment. The measures were SCCs (Kihon Checklist-Cognitive Function, KCL-CF), sleep disturbance (Japanese version of the Athens Insomnia Scale, AIS-J), general cognitive function (Mini-Mental State Examination), and depressive symptoms (five-item version of the Geriatric Depression Scale [GDS-5]). The following data were collected: sex, age, educational history, whether the participants had visited a medical institution for diseases (hypertension, diabetes, hyperlipidemia, heart disease), and the presence/absence of established risk factors (hearing loss, history of head injury, drinking habits, smoking habits, social isolation, and physical inactivity and activity). Based on the KCL-CF, 96 and 145 participants were considered to have and lack SCCs, respectively. On logistic regression analysis, the AIS-J score and smoking history were significantly associated with SCCs. Our findings suggest that sleep disturbance is associated with SCC development among community-dwelling elderly people in Japan. Evaluating and managing sleep disturbances can be important in preventing SCCs and dementia.
主观认知主诉（SCCs）是痴呆症一个关键的可改变风险因素。人们对SCC与睡眠障碍之间的关联越来越感兴趣；然而，在日本社区居住的老年人中，睡眠障碍对SCC发生发展的影响仍不明确。我们旨在对241名无认知障碍的社区居住老年人进行横断面研究，调查SCC与睡眠障碍之间的关联，并对与认知衰退相关的多个因素进行校正。测量指标包括SCCs（简易认知功能检查表，KCL-CF）、睡眠障碍（雅典失眠量表日语版，AIS-J）、一般认知功能（简易精神状态检查表）和抑郁症状（老年抑郁量表五项版[GDS-5]）。收集了以下数据：性别、年龄、教育史、参与者是否因疾病（高血压、糖尿病、高脂血症、心脏病）去过医疗机构，以及是否存在既定风险因素（听力损失、头部受伤史、饮酒习惯、吸烟习惯、社会隔离、身体活动不足及活动情况）。根据KCL-CF，分别有96名和145名参与者被认为有和无SCCs。在逻辑回归分析中，AIS-J评分和吸烟史与SCCs显著相关。我们的研究结果表明，在日本社区居住的老年人中，睡眠障碍与SCC的发生发展有关。评估和管理睡眠障碍对于预防SCCs和痴呆症可能很重要。
