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中国老年人夜间睡眠时间与内在能力下降之间的剂量反应关系:基于中国健康与养老追踪调查(CHARLS)的横断面研究

Dose-response relationship between nighttime sleep duration and intrinsic capacity declines among Chinese elderly: a cross-sectional study from CHARLS.

作者信息

Zhou Baiyun, Ma Ruijie, Wang Mang, Wang Yanmei

机构信息

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.

出版信息

BMC Public Health. 2025 Mar 17;25(1):1034. doi: 10.1186/s12889-025-22294-2.


DOI:10.1186/s12889-025-22294-2
PMID:40098027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11917026/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/9cddc6d3a9f7/12889_2025_22294_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/d3f50a8c646a/12889_2025_22294_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/b556a4583f10/12889_2025_22294_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/12b3aed34c44/12889_2025_22294_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/9cddc6d3a9f7/12889_2025_22294_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/d3f50a8c646a/12889_2025_22294_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/b556a4583f10/12889_2025_22294_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/12b3aed34c44/12889_2025_22294_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a67/11917026/9cddc6d3a9f7/12889_2025_22294_Fig4_HTML.jpg

相似文献

[1]
Dose-response relationship between nighttime sleep duration and intrinsic capacity declines among Chinese elderly: a cross-sectional study from CHARLS.

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引用本文的文献

[1]
The association between sleep duration trajectories and intrinsic capacity in middle-aged and older adults in China: a longitudinal Chinese study assessing healthy aging.

Front Med (Lausanne). 2025-7-7

本文引用的文献

[1]
Trajectory of intrinsic capacity among community-dwelling older adults in China: The China health and retirement longitudinal study.

Arch Gerontol Geriatr. 2024-9

[2]
Implications of gut and oral microbiota in neuroinflammatory responses in Alzheimer's disease.

Life Sci. 2023-11-15

[3]
Association between sleep health and intrinsic capacity among older adults in Taiwan.

Sleep Med. 2023-9

[4]
The brain structure and genetic mechanisms underlying the nonlinear association between sleep duration, cognition and mental health.

Nat Aging. 2022-5

[5]
Improving sleep health management in primary care: A potential role for community nurses?

J Adv Nurs. 2023-6

[6]
The standard for healthy Chinese older adults (2022).

Aging Med (Milton). 2022-12-28

[7]
Operationalization of Intrinsic Capacity in Older People and Its Association With Subsequent Disability, Hospital Admission and Mortality: Results From The English Longitudinal Study of Ageing.

J Gerontol A Biol Sci Med Sci. 2023-3-30

[8]
Association of Blood Glucose Level and Glycemic Variability With Mortality in Sepsis Patients During ICU Hospitalization.

Front Public Health. 2022

[9]
What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis.

Front Psychiatry. 2022-3-14

[10]
The Potential Role of Gut Microbiota in Alzheimer's Disease: From Diagnosis to Treatment.

Nutrients. 2022-2-5

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