Li Yang, Zhou Huiqian, Xu Dandan, Wang Hua, Zhao Yutong, Jiang Hua
Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Department of Geriatrics, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
BMC Geriatr. 2025 Jul 12;25(1):519. doi: 10.1186/s12877-025-06170-7.
Cardiometabolic multimorbidity (CMM) has become a significant public health challenge in the context of global ageing. Sleep disorders are prevalent in older adults with CMM, but their correlations with physical activity and a body shape index (ABSI) remain unclear. This study aimed to investigate the independent and joint associations of physical activity and ABSI with sleep disorders in older adults with CMM.
This cross-sectional study was conducted between February and March 2024 and recruited 650 older CMM patients (aged ≥ 65 years) by random sampling. Data were collected using a structured questionnaire as well as the Pittsburgh Sleep Quality Index (PSQI) and the International Physical Activity Questionnaire-short form (IPAQ-SF). Logistic regression models were used to assess the independent and joint associations of physical activity and ABSI with sleep disorders.
The prevalence of sleep disorders among older CMM patients was 48.46%, and low IPAQ (OR = 3.61, 95%CI: 2.41 to 5.43) and high ABSI (OR = 1.46, 95%CI: 1.04 to 2.04) were identified as independent risk factors for sleep disorders. The risk of sleep disorders in patients with low IPAQ and high ABSI group was approximately 5.1 times higher than that in patients with middle/high IPAQ and low ABSI group (OR = 5.10, 95% CI: 2.88 to 9.02). The stratified analyses indicated that these relationships were particularly pronounced in the > 70 years and female subgroups.
This study highlights the important impact of physical activity and body shape management on sleep disorders in older CMM patients.
在全球老龄化背景下，心脏代谢多重疾病（CMM）已成为一项重大的公共卫生挑战。睡眠障碍在患有CMM的老年人中很普遍，但它们与身体活动及体型指数（ABSI）之间的关联仍不明确。本研究旨在调查身体活动和ABSI与患有CMM的老年人睡眠障碍之间的独立关联和联合关联。
本横断面研究于2024年2月至3月进行，通过随机抽样招募了650名老年CMM患者（年龄≥65岁）。使用结构化问卷以及匹兹堡睡眠质量指数（PSQI）和国际体力活动问卷简表（IPAQ-SF）收集数据。采用逻辑回归模型评估身体活动和ABSI与睡眠障碍的独立关联和联合关联。
老年CMM患者中睡眠障碍的患病率为48.46%，低IPAQ（比值比[OR]=3.61，95%置信区间[CI]：2.41至5.43）和高ABSI（OR=1.46，95%CI：1.04至2.04）被确定为睡眠障碍的独立危险因素。低IPAQ和高ABSI组患者睡眠障碍的风险比中/高IPAQ和低ABSI组患者高约5.1倍（OR=5.10，95%CI：2.88至9.02）。分层分析表明，这些关系在70岁以上和女性亚组中尤为明显。
本研究强调了身体活动和体型管理对老年CMM患者睡眠障碍的重要影响。
