Tracy Eunjin Lee, Lehrer H Matthew, Chao Pei-Shu, So Christine J, Hasler Brant P, Kanaley Jill A, Manrique-Acevedo Camila, Kim Eunjung, Chin Brian, Buysse Daniel J
Department of Human Development and Family Science, University of Missouri, Columbia, MO, USA.
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Behav Sleep Med. 2025 Jul-Aug;23(4):540-551. doi: 10.1080/15402002.2025.2493651. Epub 2025 Apr 17.
Individual sleep characteristics have been shown to independently influence physical and mental health in older adults, but these characteristics are often interdependent. However, few studies have explored multidimensional sleep health in relation to self-rated health outcomes among retired older adults, particularly with regard to sex differences. This study examined the associations between multidimensional sleep health, and self-rated physical and mental (i.e. depressive symptoms) health in retired older adults (M years of retirement = 6.59), stratified by sex.
Participants ( = 154; Mage = 68.4, 55.2% female) reported physical health (RAND-12) and depressive symptoms (CES-D). Multidimensional sleep health was measured using wrist actigraphy to assess sleep efficiency, timing, duration, and regularity, and sleep diaries to evaluate daytime alertness and sleep satisfaction. Each component was dichotomized and summed for a composite score (0-6). Hierarchical linear regressions examined the relationships between multidimensional sleep health and health outcomes.
Women had poorer multidimensional sleep health compared to men. In the full sample, poorer multidimensional sleep health was associated with worse self-rated physical health and depressive symptoms. Sex-stratified analyses revealed significant associations only in women.
Multidimensional sleep health is associated with self-rated physical health and depressive symptoms in older retired women. Future research should explore why sleep health may be more salient for self-rated physical health and depressive symptoms in women vs. men and their links to health outcomes, providing insights for tailored interventions.
个体睡眠特征已被证明会独立影响老年人的身心健康，但这些特征往往相互依存。然而，很少有研究探讨退休老年人多维睡眠健康与自评健康结果之间的关系，尤其是性别差异方面。本研究对退休老年人（退休年限M = 6.59年）按性别分层，考察了多维睡眠健康与自评身体和心理健康（即抑郁症状）之间的关联。
参与者（n = 154；年龄中位数Mage = 68.4岁，55.2%为女性）报告了身体健康状况（兰德12项健康调查）和抑郁症状（流调中心用抑郁量表）。多维睡眠健康通过手腕活动记录仪测量睡眠效率、时间、时长和规律性，并用睡眠日记评估日间警觉性和睡眠满意度。每个维度进行二分法划分并求和得出一个综合得分（0 - 6分）。分层线性回归分析了多维睡眠健康与健康结果之间的关系。
与男性相比，女性的多维睡眠健康状况较差。在整个样本中，较差的多维睡眠健康与较差的自评身体健康和抑郁症状相关。按性别分层分析显示，仅在女性中存在显著关联。
多维睡眠健康与老年退休女性的自评身体健康和抑郁症状相关。未来的研究应探讨为何睡眠健康对女性自评身体健康和抑郁症状可能比男性更为显著，以及它们与健康结果的联系，为针对性干预提供见解。
