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中国老年人午餐后午睡时长与社会参与之间的关联:一项横断面研究。

The association between post-lunch napping duration and social participation among the Chinese older adults: a cross-sectional study.

作者信息

Fu Xiaozhen, Lin Rong, Yan Yuanjiao, Huang Chenshan, Wei Bingjie, Li Hong

机构信息

The School of Nursing, Fujian Medical University, Fuzhou, 35000, China.

出版信息

BMC Geriatr. 2024 Dec 19;24(1):1005. doi: 10.1186/s12877-024-05593-y.

Abstract

BACKGROUND

Social participation (SP) affects the physical and mental health of older adults. Post-lunch napping is a prevalent lifestyle practice observed among older adults, and it may have an impact on their SP. However, research that explores the association between these factors is limited, and we thus aimed to examine this association.

METHODS

We conducted a cross-sectional study using data from the China Health and Retirement Longitudinal Study (CHARLS), focusing on participants aged 60 and older. SP was measured by both the number and frequency of activities based on participant self-reports. The duration of post-lunch napping was also self-reported. We explored the association between post-lunch napping duration and SP using logistic regression, subgroup analysis, and Restrictive Cubic Spline (RCS) analysis.

RESULTS

We included 4259 participants in the study. Post-lunch napping demonstrated a significant association with decreased odds ratio of poor SP in fully adjusted logistic regression models (odds ratio = 0.77, 95% CI: 0.66 ~ 0.90, p = 0.011). Subgroup analysis indicated consistent proportional effects across all subgroups (p > 0.05). RCS analysis revealed a non-linear "J"-shaped relationship between post-lunch napping duration and SP, with the lowest odds ratio corresponding to a duration of 34.37 min.

CONCLUSION

Our study suggests that a moderate duration of post-lunch napping, ideally around 34 min, might have the potential to enhance SP, whereas exceeding this duration could could potentially have a limiting effect. This observation implies that incorporating moderate post-lunch napping into health management strategies for older adults might offer some advantages.

摘要

背景

社会参与(SP)会影响老年人的身心健康。午餐后小睡是老年人中普遍存在的一种生活方式,它可能会对他们的社会参与产生影响。然而,探索这些因素之间关联的研究有限,因此我们旨在研究这种关联。

方法

我们使用中国健康与养老追踪调查(CHARLS)的数据进行了一项横断面研究,重点关注60岁及以上的参与者。社会参与通过基于参与者自我报告的活动数量和频率来衡量。午餐后小睡的时长也是自我报告的。我们使用逻辑回归、亚组分析和限制性立方样条(RCS)分析来探索午餐后小睡时长与社会参与之间的关联。

结果

我们纳入了4259名参与者进行研究。在完全调整的逻辑回归模型中,午餐后小睡与社会参与度差的比值比降低显著相关(比值比 = 0.77,95%置信区间:0.66 ~ 0.90,p = 0.011)。亚组分析表明在所有亚组中效应比例一致(p > 0.05)。RCS分析揭示了午餐后小睡时长与社会参与之间呈非线性“J”形关系,最低比值比对应时长为34.37分钟。

结论

我们的研究表明,适度的午餐后小睡时长,理想情况下约为34分钟,可能有增强社会参与的潜力,而超过这个时长可能会产生限制作用。这一观察结果意味着将适度的午餐后小睡纳入老年人的健康管理策略可能会有一些益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d8b/11658246/f8a60dff15f0/12877_2024_5593_Fig1_HTML.jpg

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