Kohanmoo Ali, Kazemi Asma, Akhlaghi Masoumeh
Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Nutrition Research Centre, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Psychogeriatrics. 2025 May;25(3):e70026. doi: 10.1111/psyg.70026.
The relationship of sleep with objective health measures is well-known, but the link between sleep quality and self-rated health is less clear. We investigated the association of sleep quality with self-rated physical and mental health in a sample of Iranian elderly.
The cross-sectional study was performed on older men (n = 92) and women (n = 213). Sleep quality and self-rated health were assessed by Pittsburgh Sleep Quality Index (PSQI) questionnaire and Patient-Reported Outcomes Measurement Information System (PROMIS), respectively. The association of sleep quality and PROMIS scales were examined by linear regression analysis.
Both men and women indicated high levels of poor sleep quality, but women had a worse condition (P < 0.001). Women also had lower scores of perceived global and physical health compared to men (P < 0.001 for both) but mental health score was not different between genders (P = 0.114). Sleep quality was associated with PROMIS scales of physical, mental, and global health in the crude regression model for both men and women but it was not associated with mental health scale after controlling for potential confounders in men. Physical health and fatigue were associated with poor sleep quality in both men and women. Mental health, emotional problems, pain, quality of life, and performing social activities/roles were associated with poor sleep quality only in women.
Good sleep quality may help both genders for general and physical health, but older women may also benefit in terms of emotional and mental health.
睡眠与客观健康指标之间的关系已广为人知，但睡眠质量与自评健康之间的联系尚不清楚。我们在一组伊朗老年人样本中调查了睡眠质量与自评身心健康之间的关联。
对老年男性（n = 92）和女性（n = 213）进行了横断面研究。分别通过匹兹堡睡眠质量指数（PSQI）问卷和患者报告结局测量信息系统（PROMIS）评估睡眠质量和自评健康。通过线性回归分析检验睡眠质量与PROMIS量表之间的关联。
男性和女性均表明睡眠质量差的水平较高，但女性的情况更糟（P < 0.001）。与男性相比，女性在整体健康和身体健康方面的感知得分也较低（两者均P < 0.001），但心理健康得分在性别之间没有差异（P = 0.114）。在男性和女性的粗回归模型中，睡眠质量与PROMIS身体、心理和整体健康量表相关，但在控制男性的潜在混杂因素后，睡眠质量与心理健康量表不相关。身体健康和疲劳在男性和女性中均与睡眠质量差相关。心理健康、情绪问题、疼痛、生活质量以及参与社会活动/角色仅在女性中与睡眠质量差相关。
良好的睡眠质量可能有助于男女的总体健康和身体健康，但老年女性在情绪和心理健康方面也可能受益。
