Maggi S, Langlois J A, Minicuci N, Grigoletto F, Pavan M, Foley D J, Enzi G
Project on Aging, National Research Council, Florence, Italy.
J Am Geriatr Soc. 1998 Feb;46(2):161-8. doi: 10.1111/j.1532-5415.1998.tb02533.x.
To determine the prevalence rates of self-reported sleep complaints and their association with health-related factors.
A cross-sectional study.
People living in the community.
A total of 2398 noninstitutionalized individuals, aged 65 years and older, residing in the Veneto region, northeast Italy.
Odds ratios for the association of sleep complaints with potential risk factors.
The prevalence of insomnia was 36% in men and 54% in women, with increased risks for women (odds ratio (OR) = 1.69, 95% CI: 1.3-2.1), depression (OR = 1.93, 95% CI, 1.5-2.5), and regular users of sleep medications (OR = 5.58, 95% CI, 4.3-7.3). About 26% of men and 21% of women reported no sleep complaints. Night awakening, reported by about two-thirds of the participants, was the most common sleep disturbance. Women and regular users of sleep medications had significantly increased odds for insomnia and for not feeling rested upon awakening in the morning. Depressive symptomatology was more strongly associated with insomnia and night awakening than with awakening not rested, whereas physical disability was more strongly associated with awakening not rested than with the other two sleep disturbances.
Our findings show that sleep complaints, highly common among older Italians, are associated with a wide range of medical conditions and with the use of sleep medications. Further longitudinal studies are needed to investigate the causes and the negative health consequences of sleep disturbances to improve both the diagnosis and treatment.
确定自我报告的睡眠问题患病率及其与健康相关因素的关联。
一项横断面研究。
社区居民。
总共2398名65岁及以上的非机构化个体，居住在意大利东北部的威尼托地区。
睡眠问题与潜在风险因素关联的比值比。
男性失眠患病率为36%，女性为54%，女性患病风险更高（比值比（OR）=1.69，95%置信区间：1.3 - 2.1），抑郁症患者（OR = 1.93，95%置信区间，1.5 - 2.5）以及经常使用睡眠药物的人（OR = 5.58，95%置信区间，4.3 - 7.3）。约26%的男性和21%的女性报告无睡眠问题。约三分之二的参与者报告有夜间觉醒，这是最常见的睡眠障碍。女性和经常使用睡眠药物的人患失眠以及早晨醒来后感觉未休息好的几率显著增加。抑郁症状与失眠和夜间觉醒的关联比与醒来后未休息好的关联更强，而身体残疾与醒来后未休息好的关联比与其他两种睡眠障碍的关联更强。
我们的研究结果表明，睡眠问题在意大利老年人中非常普遍，与多种医疗状况以及睡眠药物的使用有关。需要进一步进行纵向研究以调查睡眠障碍的原因和对健康的负面影响，从而改善诊断和治疗。
