Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Department of Biomedical Sciences, University of Cagliari, 09042 Monserrato, Italy.
Medicina (Kaunas). 2024 Oct 9;60(10):1654. doi: 10.3390/medicina60101654.
: Sex differences are unclear in geriatric sleep medicine, and most evidence comes from inference from preclinical bases or clinical studies conducted on younger people. The aim of this study is to explore sex differences in sleep quality and daytime sleepiness in a cohort of elderly people. : This cross-sectional study involved subjects aged 65 years or older undergoing multidimensional evaluation, including sleep quality and daytime sleepiness assessment with validated tools. : This study included 226 subjects (69.5% women), the majority of whom showed poor sleep quality (64.2%). A logistic regression model put one before the other sleep quality and gender. It initially showed that men were about half likely as women to have poor sleep quality (OR 0.48, 95%CI 0.27-0.86). Nonetheless, after adjusting for cognitive status and mood, the difference became smaller and insignificant (OR 0.72, 95%CI 0.38-1.38). : Sex differences in elderly people's sleep quality seem to not be independent, appearing to be affected by alterations in cognitive status and mood.
性别差异在老年睡眠医学中尚不清楚，大多数证据来自于临床前基础或在年轻人中进行的临床研究的推断。本研究旨在探讨老年人群中睡眠质量和日间嗜睡的性别差异。
本横断面研究纳入了接受多维评估的 65 岁或以上的受试者，包括使用经过验证的工具评估睡眠质量和日间嗜睡。
这项研究包括 226 名受试者（69.5%为女性），其中大多数人睡眠质量较差（64.2%）。一个逻辑回归模型将睡眠质量和性别逐一进行比较。它最初表明，男性出现睡眠质量较差的可能性约为女性的一半（OR 0.48，95%CI 0.27-0.86）。然而，在调整认知状态和情绪后，差异变得更小且无统计学意义（OR 0.72，95%CI 0.38-1.38）。
老年人睡眠质量的性别差异似乎不是独立的，似乎受到认知状态和情绪变化的影响。
