唐山市社区高龄老年人跌倒风险与睡眠和运动关系

Associations of sleep and exercise with fall risk among community oldest old people in Tangshan city

目的了解河北省唐山市社区高龄老年人跌倒风险与睡眠和运动的关系,为采取应对的干预措施提供参考依据。方法于2016年7月—2017年1月采用分层随机整群抽样方法在唐山市抽取3448名≥75岁社区高龄老年人进行问卷调查。结果唐山市社区高龄老年人跌倒风险得分为(8.19±6.74)分;多元线性回归分析结果显示,年龄较高、分居或离异、不经常运动、睡眠质量较差、夜间异醒或早醒次数多、催眠药物使用次数较多和睡眠导致疼痛次数较多的唐山市社区高龄老年人跌倒风险较高。结论有睡眠问题或不经常运动均会增加唐山市社区高龄老年人的跌倒风险。

Objective To explore associations of sleep and exercise with fall risk among oldest old people in communities of Tangshan city,Hebei province and to provide references for developing intervention measures.Methods We carried out a household survey among 3448 community residents aged≥75 years recruited with stratified random cluster sampling in Tangshan city of Hebei province between July 2016 and January 2017.A general questionnaire,Pittsburgh Sleep Quality Index(PSQI),and Modified Falls Risk for Older People in the Community(FROP-Com)were adopted in the study.Results The mean score of fall risk was 8.19±6.74 for all the participants.Multivariate linear regression analysis revealed that the participants at older age,living alone or divorced,withou frequent exercise,having poor sleep quality,having more waking up at night or early awakening,with more use of hypnotic drugs,and reporting more sleep-induced pain were at a higher risk of falling.Conclusion Sleep problems or lack of regular exercise could increase fall risk among oldest old community residents in urban Tangshan.