Chinese General Practice ›› 2023, Vol. 26 ›› Issue (10): 1250-1256.DOI: 10.12114/j.issn.1007-9572.2022.0766
Special Issue: 社区卫生服务最新研究合集; 睡眠问题专题研究; 老年问题最新文章合集
• Original Research·Focus on Cognitive Impairment • Previous Articles Next Articles
Received:
2022-10-24
Revised:
2023-01-06
Published:
2023-04-05
Online:
2023-02-09
Contact:
YANG Linsheng
About author:
通讯作者:
杨林胜
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0766
特征 | 例数 | 认知功能障碍 | 睡眠时间 | |||||||
---|---|---|---|---|---|---|---|---|---|---|
检出率 | χ2值 | P值 | ≤6 h | >6~8 h | >8 h | χ2值 | P值 | |||
性别 | 51.58 | <0.001 | 21.18 | <0.001 | ||||||
男 | 2 366 | 765(32.33) | 793(33.52) | 1 056(44.63) | 517(21.85) | |||||
女 | 2 471 | 1 046(42.33) | 980(39.66) | 1 032(41.76) | 459(18.57) | |||||
年龄(岁) | 71.42 | <0.001 | 56.23 | <0.001 | ||||||
60~69 | 2 111 | 696(32.97) | 871(41.26) | 894(42.35) | 346(16.39) | |||||
70~79 | 2 349 | 906(38.57) | 780(33.20) | 1 045(44.49) | 524(22.31) | |||||
≥80 | 377 | 209(55.44) | 122(32.36) | 149(39.52) | 106(28.12) | |||||
居住地区 | 30.08 | <0.001 | 33.05 | <0.001 | ||||||
农村 | 4 028 | 1 577(39.15) | 1 459(36.22) | 1 697(42.13) | 872(21.65) | |||||
城市 | 809 | 234(28.92) | 314(38.81) | 391(48.33) | 104(12.86) | |||||
文化程度 | 46.89 | <0.001 | 25.07 | <0.001 | ||||||
文盲 | 2 628 | 1 064(40.49) | 1 018(38.74) | 1 054(40.11) | 556(21.16) | |||||
小学 | 774 | 315(40.70) | 281(36.30) | 344(44.44) | 149(19.25) | |||||
初中及以上 | 1 435 | 432(30.10) | 474(33.03) | 690(48.08) | 271(18.88) | |||||
职业 | 15.01 | 0.001 | 13.70 | 0.008 | ||||||
技术活动 | 216 | 59(27.31) | 85(39.35) | 96(44.44) | 35(16.20) | |||||
体力活动 | 2 179 | 789(36.21) | 848(38.92) | 918(42.13) | 413(18.95) | |||||
无业 | 2 442 | 963(39.43) | 840(34.40) | 1 074(43.98) | 528(21.62) | |||||
婚姻状况 | 19.92 | <0.001 | 1.70 | 0.427 | ||||||
无配偶 | 376 | 181(48.14) | 149(39.63) | 152(40.43) | 75(19.95) | |||||
有配偶 | 4 461 | 1 630(36.54) | 1 624(36.40) | 1 936(43.40) | 901(20.20) | |||||
独居状况 | 3.26 | 0.071 | 1.57 | 0.457 | ||||||
否 | 205 | 89(43.41) | 82(40.00) | 80(39.02) | 43(20.97) | |||||
是 | 4 632 | 1 722(37.18) | 1 691(36.51) | 2 008(43.35) | 933(20.14) | |||||
经济状况a | 14.51 | 0.001 | 24.24 | <0.001 | ||||||
贫困 | 991 | 413(41.68) | 326(32.90) | 424(42.78) | 241(24.32) | |||||
一般 | 3 600 | 1 301(36.14) | 1 353(37.58) | 1 554(43.17) | 693(19.25) | |||||
富裕 | 90 | 24(26.67) | 31(34.44) | 51(56.67) | 8(8.89) | |||||
BMI | 10.16 | 0.017 | 20.26 | 0.002 | ||||||
偏瘦 | 583 | 246(42.20) | 192(32.93) | 247(42.37) | 144(24.70) | |||||
正常 | 1 902 | 725(38.12) | 733(38.54) | 773(40.64) | 396(20.82) | |||||
超重 | 1 626 | 569(34.99) | 592(36.41) | 741(45.57) | 293(18.02) | |||||
肥胖 | 726 | 271(37.33) | 256(35.26) | 327(45.0) | 143(19.70) | |||||
吸烟情况a | 20.38 | <0.001 | 4.41 | 0.354 | ||||||
从未吸烟 | 3 287 | 1 301(39.58) | 1 227(37.33) | 1 389(42.26) | 671(20.41) | |||||
现在吸烟 | 969 | 317(32.71) | 350(36.12) | 430(44.37) | 189(19.50) | |||||
曾经吸烟 | 552 | 182(32.97) | 185(33.51) | 255(46.19) | 112(20.29) | |||||
饮酒情况a | 33.17 | <0.001 | 6.14 | 0.046 | ||||||
不喝酒 | 3 351 | 1 331(39.72) | 1 212(36.17) | 1 426(42.55) | 713(21.28) | |||||
喝酒 | 1 072 | 321(29.94) | 398(37.13) | 483(45.06) | 191(17.82) | |||||
锻炼情况a | 9.29 | 0.002 | 28.04 | <0.001 | ||||||
不锻炼 | 3 796 | 1 465(38.59) | 1 337(35.22) | 1 637(43.12) | 822(21.65) | |||||
锻炼 | 1 024 | 342(33.40) | 428(41.80) | 444(43.36) | 152(14.84) | |||||
高血压 | 10.70 | 0.001 | 2.35 | 0.308 | ||||||
否 | 1 920 | 665(34.64) | 690(35.94) | 822(42.81) | 408(21.25) | |||||
是 | 2 917 | 1 146(39.29) | 1 083(37.13) | 1 266(43.40) | 568(19.47) | |||||
糖尿病a | 0.95 | 0.329 | 6.85 | 0.033 | ||||||
否 | 4 229 | 1 574(37.22) | 1 523(36.01) | 1 842(43.56) | 864(20.43) | |||||
是 | 593 | 233(39.29) | 245(41.32) | 244(41.15) | 104(17.54) | |||||
抑郁a | 39.95 | <0.001 | 37.17 | <0.001 | ||||||
否 | 4 207 | 1 508(35.84) | 1 479(35.15) | 1 872(44.50) | 856(20.35) | |||||
是 | 549 | 273(49.73) | 265(48.27) | 185(33.70) | 99(18.03) |
Table 1 Comparisons of cognitive impairment and nighttime sleep duration across older adults with different characteristics
特征 | 例数 | 认知功能障碍 | 睡眠时间 | |||||||
---|---|---|---|---|---|---|---|---|---|---|
检出率 | χ2值 | P值 | ≤6 h | >6~8 h | >8 h | χ2值 | P值 | |||
性别 | 51.58 | <0.001 | 21.18 | <0.001 | ||||||
男 | 2 366 | 765(32.33) | 793(33.52) | 1 056(44.63) | 517(21.85) | |||||
女 | 2 471 | 1 046(42.33) | 980(39.66) | 1 032(41.76) | 459(18.57) | |||||
年龄(岁) | 71.42 | <0.001 | 56.23 | <0.001 | ||||||
60~69 | 2 111 | 696(32.97) | 871(41.26) | 894(42.35) | 346(16.39) | |||||
70~79 | 2 349 | 906(38.57) | 780(33.20) | 1 045(44.49) | 524(22.31) | |||||
≥80 | 377 | 209(55.44) | 122(32.36) | 149(39.52) | 106(28.12) | |||||
居住地区 | 30.08 | <0.001 | 33.05 | <0.001 | ||||||
农村 | 4 028 | 1 577(39.15) | 1 459(36.22) | 1 697(42.13) | 872(21.65) | |||||
城市 | 809 | 234(28.92) | 314(38.81) | 391(48.33) | 104(12.86) | |||||
文化程度 | 46.89 | <0.001 | 25.07 | <0.001 | ||||||
文盲 | 2 628 | 1 064(40.49) | 1 018(38.74) | 1 054(40.11) | 556(21.16) | |||||
小学 | 774 | 315(40.70) | 281(36.30) | 344(44.44) | 149(19.25) | |||||
初中及以上 | 1 435 | 432(30.10) | 474(33.03) | 690(48.08) | 271(18.88) | |||||
职业 | 15.01 | 0.001 | 13.70 | 0.008 | ||||||
技术活动 | 216 | 59(27.31) | 85(39.35) | 96(44.44) | 35(16.20) | |||||
体力活动 | 2 179 | 789(36.21) | 848(38.92) | 918(42.13) | 413(18.95) | |||||
无业 | 2 442 | 963(39.43) | 840(34.40) | 1 074(43.98) | 528(21.62) | |||||
婚姻状况 | 19.92 | <0.001 | 1.70 | 0.427 | ||||||
无配偶 | 376 | 181(48.14) | 149(39.63) | 152(40.43) | 75(19.95) | |||||
有配偶 | 4 461 | 1 630(36.54) | 1 624(36.40) | 1 936(43.40) | 901(20.20) | |||||
独居状况 | 3.26 | 0.071 | 1.57 | 0.457 | ||||||
否 | 205 | 89(43.41) | 82(40.00) | 80(39.02) | 43(20.97) | |||||
是 | 4 632 | 1 722(37.18) | 1 691(36.51) | 2 008(43.35) | 933(20.14) | |||||
经济状况a | 14.51 | 0.001 | 24.24 | <0.001 | ||||||
贫困 | 991 | 413(41.68) | 326(32.90) | 424(42.78) | 241(24.32) | |||||
一般 | 3 600 | 1 301(36.14) | 1 353(37.58) | 1 554(43.17) | 693(19.25) | |||||
富裕 | 90 | 24(26.67) | 31(34.44) | 51(56.67) | 8(8.89) | |||||
BMI | 10.16 | 0.017 | 20.26 | 0.002 | ||||||
偏瘦 | 583 | 246(42.20) | 192(32.93) | 247(42.37) | 144(24.70) | |||||
正常 | 1 902 | 725(38.12) | 733(38.54) | 773(40.64) | 396(20.82) | |||||
超重 | 1 626 | 569(34.99) | 592(36.41) | 741(45.57) | 293(18.02) | |||||
肥胖 | 726 | 271(37.33) | 256(35.26) | 327(45.0) | 143(19.70) | |||||
吸烟情况a | 20.38 | <0.001 | 4.41 | 0.354 | ||||||
从未吸烟 | 3 287 | 1 301(39.58) | 1 227(37.33) | 1 389(42.26) | 671(20.41) | |||||
现在吸烟 | 969 | 317(32.71) | 350(36.12) | 430(44.37) | 189(19.50) | |||||
曾经吸烟 | 552 | 182(32.97) | 185(33.51) | 255(46.19) | 112(20.29) | |||||
饮酒情况a | 33.17 | <0.001 | 6.14 | 0.046 | ||||||
不喝酒 | 3 351 | 1 331(39.72) | 1 212(36.17) | 1 426(42.55) | 713(21.28) | |||||
喝酒 | 1 072 | 321(29.94) | 398(37.13) | 483(45.06) | 191(17.82) | |||||
锻炼情况a | 9.29 | 0.002 | 28.04 | <0.001 | ||||||
不锻炼 | 3 796 | 1 465(38.59) | 1 337(35.22) | 1 637(43.12) | 822(21.65) | |||||
锻炼 | 1 024 | 342(33.40) | 428(41.80) | 444(43.36) | 152(14.84) | |||||
高血压 | 10.70 | 0.001 | 2.35 | 0.308 | ||||||
否 | 1 920 | 665(34.64) | 690(35.94) | 822(42.81) | 408(21.25) | |||||
是 | 2 917 | 1 146(39.29) | 1 083(37.13) | 1 266(43.40) | 568(19.47) | |||||
糖尿病a | 0.95 | 0.329 | 6.85 | 0.033 | ||||||
否 | 4 229 | 1 574(37.22) | 1 523(36.01) | 1 842(43.56) | 864(20.43) | |||||
是 | 593 | 233(39.29) | 245(41.32) | 244(41.15) | 104(17.54) | |||||
抑郁a | 39.95 | <0.001 | 37.17 | <0.001 | ||||||
否 | 4 207 | 1 508(35.84) | 1 479(35.15) | 1 872(44.50) | 856(20.35) | |||||
是 | 549 | 273(49.73) | 265(48.27) | 185(33.70) | 99(18.03) |
睡眠时间(h) | 认知功能障碍 | χ2值 | P值 | |
---|---|---|---|---|
总样本 | 21.43 | <0.001 | ||
≤6 | 692(39.03) | |||
> 6~8 | 709(33.96) | |||
>8 | 410(42.01) | |||
男 | 13.82 | <0.001 | ||
≤6 | 258(32.53) | |||
> 6~8 | 308(29.17) | |||
>8 | 199(38.49) | |||
女 | 9.13 | 0.010 | ||
≤6 | 434(44.29) | |||
> 6~8 | 401(38.86) | |||
>8 | 211(45.97) |
Table 2 Comparisons of the detection rates of cognitive impairment among older adults(by total sample and gender) with different nighttime sleep time
睡眠时间(h) | 认知功能障碍 | χ2值 | P值 | |
---|---|---|---|---|
总样本 | 21.43 | <0.001 | ||
≤6 | 692(39.03) | |||
> 6~8 | 709(33.96) | |||
>8 | 410(42.01) | |||
男 | 13.82 | <0.001 | ||
≤6 | 258(32.53) | |||
> 6~8 | 308(29.17) | |||
>8 | 199(38.49) | |||
女 | 9.13 | 0.010 | ||
≤6 | 434(44.29) | |||
> 6~8 | 401(38.86) | |||
>8 | 211(45.97) |
自变量 | 模型1 | 模型2 | 模型3 | |||||
---|---|---|---|---|---|---|---|---|
OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | |||
总样本 | ||||||||
睡眠时间(h,以>6~8为参照) | ||||||||
≤6 | 1.25(1.09,1.42) | 0.001 | 1.24(1.09,1.42) | 0.001 | 1.26(1.09,1.46) | 0.002 | ||
>8 | 1.41(1.21,1.65) | <0.001 | 1.33(1.13,1.56) | <0.001 | 1.22(1.03,1.46) | 0.023 | ||
男 | ||||||||
睡眠时间(h,以>6~8为参照) | ||||||||
≤6 | 1.17(0.96,1.43) | 0.120 | 1.21(0.99,1.47) | 0.069 | 1.22(0.98,1.51) | 0.072 | ||
>8 | 1.52(1.22,1.90) | <0.001 | 1.47(1.18,1.84) | 0.001 | 1.35(1.06,1.72) | 0.013 | ||
女 | ||||||||
睡眠时间(h,以>6~8为参照) | ||||||||
≤6 | 1.25(1.05,1.49) | 0.014 | 1.27(1.06,1.52) | 0.009 | 1.29(1.06,1.58) | 0.012 | ||
>8 | 1.34(1.07,1.67) | 0.010 | 1.18(0.94,1.49) | 0.146 | 1.08(0.84,1.40) | 0.537 |
Table 3 Binary Logistic regression analyses on the associations and their gender differences of nighttime sleep duration with cognitive impairment in older adults
自变量 | 模型1 | 模型2 | 模型3 | |||||
---|---|---|---|---|---|---|---|---|
OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | |||
总样本 | ||||||||
睡眠时间(h,以>6~8为参照) | ||||||||
≤6 | 1.25(1.09,1.42) | 0.001 | 1.24(1.09,1.42) | 0.001 | 1.26(1.09,1.46) | 0.002 | ||
>8 | 1.41(1.21,1.65) | <0.001 | 1.33(1.13,1.56) | <0.001 | 1.22(1.03,1.46) | 0.023 | ||
男 | ||||||||
睡眠时间(h,以>6~8为参照) | ||||||||
≤6 | 1.17(0.96,1.43) | 0.120 | 1.21(0.99,1.47) | 0.069 | 1.22(0.98,1.51) | 0.072 | ||
>8 | 1.52(1.22,1.90) | <0.001 | 1.47(1.18,1.84) | 0.001 | 1.35(1.06,1.72) | 0.013 | ||
女 | ||||||||
睡眠时间(h,以>6~8为参照) | ||||||||
≤6 | 1.25(1.05,1.49) | 0.014 | 1.27(1.06,1.52) | 0.009 | 1.29(1.06,1.58) | 0.012 | ||
>8 | 1.34(1.07,1.67) | 0.010 | 1.18(0.94,1.49) | 0.146 | 1.08(0.84,1.40) | 0.537 |
[1] |
|
[2] |
|
[3] |
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
|
[9] |
张晓帆,金东辉,鲍威,等. 中国四省55岁及以上人群睡眠时长与轻度认知功能障碍的关联性[J]. 卫生研究,2021,50(1):15-20. DOI:10.19813/j.cnki.weishengyanjiu.2021.01.004.
|
[10] |
陈琛,李江平,张佳星,等. 中老年人睡眠时间与认知、抑郁关系及影响因素[J]. 中华疾病控制杂志,2020,24(8):919-922. DOI:10.16462/j.cnki.zhjbkz.2020.08.011.
|
[11] |
朱云,史静琤,罗旋,等. BMI与糖尿病关联强度剂量-反应关系分析[J]. 中国卫生统计,2017,34(6):887-890,895.
|
[12] |
中国肥胖问题工作组数据汇总分析协作组. 我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J]. 中华流行病学杂志,2002,23(1):5-10.
|
[13] |
刘力生. 中国高血压防治指南2010[J]. 中华高血压杂志,2011,19(8):701-743.
|
[14] |
中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志,2018,38(4):292-344.
|
[15] |
|
[16] |
|
[17] |
|
[18] |
|
[19] |
靳真真. 社区老年人群睡眠时间与认知功能的相关性研究[D]. 济南:济南大学,2019.
|
[20] |
|
[21] |
|
[22] |
刘艳,赖晓萱. 我国中老年人健康状况与睡眠时长的关系研究[C]. 北京:第四届北京大学老龄健康博士生论坛,2019.
|
[23] |
贾改珍,赵延延,徐天和,等. 农村老年人睡眠障碍影响因素多水平模型分析[J]. 中国老年学杂志,2016,36(1):186-188. DOI:10.3969/j.issn.1005-9202.2016.01.089.
|
[24] |
丁秀娟,项曼君,刘向红. 北京市老年人的睡眠状况及睡眠障碍[J]. 中国老年学杂志,1997,17(6):323-325.
|
[25] |
|
[26] |
|
[27] |
魏玥,林进龙,陈功,等. 中国65岁及以上老年人睡眠时长与其认知障碍风险的关联研究[J]. 中华流行病学杂志,2021,42(12):2138-2142.
|
[28] |
|
[29] |
|
[30] |
|
[31] |
吉赛赛,吕跃斌,曲英莉,等. 中国65岁及以上老年人睡眠时长与认知功能受损的关联研究[J]. 中华预防医学杂志,2021,55(1):31-38.
|
[32] |
|
[33] |
|
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