Zhou Baiyun, Ma Ruijie, Wang Mang, Wang Yanmei
Department of Nursing, Gongli Hospital of Shanghai Pudong New Area, 219 Miao Pu Road, Shanghai, 200135, China.
School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, 750004, China.
BMC Public Health. 2025 Mar 17;25(1):1034. doi: 10.1186/s12889-025-22294-2.
BACKGROUND: Intrinsic capacity is a crucial indicator of adverse outcomes and has predictive value for diseases and mortality. The objective of this study is to assess the association between nighttime sleep duration and intrinsic capacity in older Chinese adults. METHODS: Data were collected from the China Health and Retirement Longitudinal Study (CHARLS) spanning the years 2008-2020. Minimally sufficient adjustment was made for confounding factors identified through a Directed Acyclic Graphs (DAGs), and multivariate logistic regression analysis was conducted to determine the relationship between nighttime sleep duration and intrinsic capacity. Restricted cubic splines (RCS) were used to assess the nonlinear relationship between nighttime sleep duration and intrinsic capacity in this population. Finally, subgroup analysis and interaction effect analysis were performed. RESULTS: Among the 4994 older adults, 3118 (62.4%) experienced a decline in intrinsic capacity. After adjusting for confounding factors, nighttime sleep duration was associated with an increased risk of intrinsic capacity decline (P < 0.001), exhibiting a nonlinear J-shaped pattern. CONCLUSIONS: For Chinese older adults, increased nighttime sleep duration shows a nonlinear, J-shaped dose-response relationship with the risk of intrinsic capacity decline. Our study provides important insights into the intrinsic capacity and health self-management of older adults.
背景:内在能力是不良结局的关键指标,对疾病和死亡率具有预测价值。本研究的目的是评估中国老年人群夜间睡眠时间与内在能力之间的关联。 方法:数据来自2008年至2020年的中国健康与养老追踪调查(CHARLS)。通过有向无环图(DAGs)确定混杂因素并进行最小充分调整,然后进行多因素逻辑回归分析以确定夜间睡眠时间与内在能力之间的关系。使用限制立方样条(RCS)评估该人群中夜间睡眠时间与内在能力之间的非线性关系。最后,进行亚组分析和交互作用分析。 结果:在4994名老年人中,3118名(62.4%)出现了内在能力下降。在调整混杂因素后,夜间睡眠时间与内在能力下降风险增加相关(P < 0.001),呈现非线性J形模式。 结论:对于中国老年人,夜间睡眠时间增加与内在能力下降风险呈非线性J形剂量反应关系。我们的研究为老年人的内在能力和健康自我管理提供了重要见解。
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