Tsai Hsiao-Chi, Chang Shu-Fang
Outpatient Nursing Department, Cardinal Tien Hospital An Kang Branch, New Taipei City, Taiwan.
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
BMC Geriatr. 2025 Jan 11;25(1):26. doi: 10.1186/s12877-024-05622-w.
The global aging population has increased dynapenia prevalence, leading to mobility issues and poor sleep quality among older adults. Despite its impact, research on sleep quality in dynapenic outpatients is limited. This study investigates how physiological status, community participation, and daily activity function influence sleep quality in this group.
This cross-sectional study employed purposive sampling to collect data from 192 dynapenic older outpatients in October 2022, assessing their basic attributes, physiological status, community participation, daily activity function, and sleep quality. Data were analyzed using SPSS 25.0 for descriptive statistics, independent samples t-tests, chi-square tests, and logistic regression analysis.
Findings indicated significant correlations between sleep quality and gender (X = 11.340, p < .001), occupational status (X = 13.378, p < .05), residence (X = 6.265, p < .05), medication intake (X = 7.250, p < .05), smoking history (X = 6.695, p < .01), instrumental activities of daily living (X = 12.556, p < .01), activities of daily living (t = 2.74, p < .01), instrumental activities of daily living (t = 3.60, p < .001), skeletal muscle mass (t = 2.94, p < .01), skeletal muscle index (t = 2.65, p < .01), grip strength (t = 3.61, p < .001), and walking speed (t = 2.09, p < .05). Furthermore, the type of occupational status (OR = 6.608, 95% CI = 1.124-3.744, p < .05), medication intake (OR = 3.916, 95% CI = 1.682-9.114, p < .05), and grip strength (OR = 0.891, 95% CI = 0.797-0.996, p < .05) were significant predictors of sleep quality in dynapenic older patients.
This cross-sectional study reveals significant correlations between sleep quality and key factors such as physiological status, community participation, and daily functional activities in older adults with dynapenia. These findings underscore the importance of addressing these determinants to enhance sleep quality in this population.
全球老龄化人口增加了肌肉减少症的患病率，导致老年人出现行动不便和睡眠质量差的问题。尽管有此影响，但关于肌肉减少症门诊患者睡眠质量的研究有限。本研究调查了生理状态、社区参与度和日常活动功能如何影响该群体的睡眠质量。
本横断面研究采用目的抽样法，于2022年10月收集了192名肌肉减少症老年门诊患者的数据，评估了他们的基本属性、生理状态、社区参与度、日常活动功能和睡眠质量。使用SPSS 25.0对数据进行描述性统计、独立样本t检验、卡方检验和逻辑回归分析。
研究结果表明，睡眠质量与性别（X = 11.340，p <.001）、职业状况（X = 13.378，p <.05）、居住情况（X = 6.2形，p <.05）、药物摄入（X = 7.250，p <.05）、吸烟史（X = 6.695，p <.01）、日常生活工具性活动（X = 12.556，p <.01）、日常生活活动（t = 2.74，p <.01）、日常生活工具性活动（t = 3.60，p <.001）、骨骼肌质量（t = 2.94，p <.01）、骨骼肌指数（t = 2.65，p <.01）、握力（t = 3.61，p <.001）和步行速度（t = 2.09，p <.05）之间存在显著相关性。此外，职业状况类型（OR = 6.608，95%CI = 1.124 - 3.744，p <.05）、药物摄入（OR = 3.916，95%CI = 1.682 - 9.114，p <.05）和握力（OR = 0.891，95%CI = 0.797 - 0.996，p <.05）是肌肉减少症老年患者睡眠质量的显著预测因素。
本横断面研究揭示了肌肉减少症老年人的睡眠质量与生理状态、社区参与度和日常功能活动等关键因素之间存在显著相关性。这些发现强调了解决这些决定因素以提高该人群睡眠质量的重要性。
