Lage Flávia F, Valim Tamyres Andréa C, Fernandes Lara V, da Silva Amanda C Queiroz, Segheto Wellington, De Melo Camila M
Postgraduate Program in Nutrition and Health, Federal University of Lavras, Brazil.
Postgraduate Program in Nutrition and Health, Federal University of Lavras, Brazil.
Rev Esp Geriatr Gerontol. 2025 May-Jun;60(3):101636. doi: 10.1016/j.regg.2025.101636. Epub 2025 Mar 18.
Sleep patterns change with the aging process, resulting in an increased risk of sleep disorders. Sleep quality might be associated with body composition and has been associated with frailty. The objective of the present study was to evaluate the association of sleep quality with frailty components and body compositions of community-dwelling elderly individuals.
Observational and cross-sectional study conducted with ≥60 years of both sexes. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Self-reports of involuntary weight loss, handgrip strength (HGS), self-reported fatigue by the Geriatric Depression Scale (GDS), gait speed (GS) and levels of physical activity were assessed. Anthropometric measurements of body weight, height, calf circumference (CC) and waist circumference (WC), and body composition was assessed.
A total of 141 participants (82% female; 69.5±6.4 years old) were studied. It was found 60% of poor sleep quality. The prevalence of frailty was 2%, and 38% of the participants were classified as prefrail. Positive moderate correlations between sleep quality and BMI, CC, WC, GS, fat mass, fat mass and depressive symptoms (p<0.05) were found. The logistic regression test revealed that HGS was positively associated with good sleep quality, while fat mass and depressive symptoms were negatively associated.
The present study demonstrated a high prevalence of poor sleep quality and a low prevalence of frailty in community-dwelling older adults. Sleep was associated with strength, body composition and depressive symptoms in this population.
睡眠模式会随着衰老过程而改变，导致睡眠障碍风险增加。睡眠质量可能与身体组成有关，并且与身体虚弱有关。本研究的目的是评估社区居住的老年人睡眠质量与身体虚弱成分和身体组成之间的关联。
对年龄≥60岁的男女进行观察性横断面研究。通过匹兹堡睡眠质量指数（PSQI）和爱泼华嗜睡量表（ESS）评估睡眠质量。评估非自愿体重减轻、握力（HGS）、老年抑郁量表（GDS）自我报告的疲劳、步速（GS）和身体活动水平的自我报告。测量体重、身高、小腿围（CC）和腰围（WC）的人体测量学指标，并评估身体组成。
共研究了141名参与者（82%为女性；69.5±6.4岁）。发现60%的人睡眠质量差。虚弱的患病率为2%，38%的参与者被归类为虚弱前期。发现睡眠质量与BMI、CC、WC、GS、脂肪量、脂肪量和抑郁症状之间存在中度正相关（p<0.05）。逻辑回归测试显示，握力与良好的睡眠质量呈正相关，而脂肪量和抑郁症状呈负相关。
本研究表明，社区居住的老年人睡眠质量差的患病率较高，虚弱的患病率较低。在这一人群中，睡眠与力量、身体组成和抑郁症状有关。
