睡眠质量对老年人代谢性心血管疾病的影响

Impact of sleep quality on cardiometabolic diseases in the elderly

目的探讨睡眠质量对老年人代谢性心血管疾病(CMD)的影响。方法选取2022年3至9月在杭州市西湖区三墩镇参加社区体检且年龄≥65岁的329名常住居民为研究对象,收集研究对象的一般人口学资料、BMI、血清尿酸水平、匹兹堡睡眠质量指数量表(PSQI)评分、抑郁症筛查量表(PHQ-9)评分等资料。采用多因素有序分类logistic回归分析老年人CMD程度的影响因素。结果老年人CMD轻度117例,中度94例,重度105例。睡眠质量下降发生率为13.07%。CMD轻、中、重度组在BMI、丧偶/离异、独居、尿酸水平、PSQI总分、PHQ-9评分等方面比较,差异均有统计学意义(均P<0.05);其中PSQI总分(OR=1.14,95%CI:1.04~1.25,P<0.05)是老年人CMD程度的独立影响因素。CMD轻、中、重度组PSQI入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍等维度评分比较,差异均有统计学意义(均P<0.05);其中睡眠效率评分(OR=1.39,95%CI:1.02~1.88,P<0.05)、睡眠障碍评分(OR=1.87,95%CI:1.20~2.91,P<0.05)、日间功能障碍评分(OR=1.45,95%CI:1.06~2.00,P<0.05)是老年人CMD程度的独立影响因素。结论睡眠效率、睡眠障碍及日间功能障碍对老年人CMD具有显著影响。

Objective To investigate the impact of sleep quality on cardiometabolic diseases(CMD)in the elderly.Methods A total of 329 permanent residents aged≥65 who participated in community physical examinations in Sandun Town of Xihu District,Hangzhou from March to September 2022 were enrolled in the study.The demographic data,BMI,serum uric acid level,Pittsburg sleep quality index(PSQI)score and patient health questionaire-9 items(PHQ-9)score of the subjects were collected.Multivariate ordinal logistic regression was used to analyze the influencing factors of CMD in the elderly.Results There were 117 subjects with mild CMD,94 with moderate CMD and 105 with severe CMD.The incidence of decreased sleep quality was 13.07%.There were significant differences in BMI,marriage status,uric acid level,PSQI score and PHQ-9 score among mild,moderate and severe CMD groups(all P<0.05).The PSQI score(OR=1.14,95%CI:1.04-1.25,P<0.05)was an independent influencing factor for the degree of CMD in the elderly.There were significant differences in sleep onset time,sleep time,sleep efficiency,sleep disorders and daytime dysfunction among the mild,moderate and severe CMD groups(all P<0.05).Sleep efficiency(OR=1.39,95%CI:1.02-1.88,P<0.05),sleep disorders(OR=1.87,95%CI:1.20-2.91,P<0.05),and daytime dysfunction(OR=1.45,95%CI:1.06-2.00,P<0.05)were independent influencing factors for the degree of CMD in the elderly.Conclusion Sleep efficiency,sleep disorders and daytime dysfunction have a significant impact on CMD in the elderly.