摘要
目的分析中老年人群睡眠质量与体力活动、静坐时间的关联,为改善中老年人群睡眠质量提供依据。方法采用方便抽样法,于2019—2020年选择浙江省长兴县45~69岁中老年人为调查对象,通过调查问卷收集人口学信息和生活行为资料;采用匹兹堡睡眠质量指数量表评估睡眠质量;采用全球体力活动问卷评估体力活动水平和静坐时间;采用多因素logistic回归模型分析睡眠质量与体力活动、静坐时间的关联。结果调查7170人,其中男性2780人,占38.77%。睡眠质量差643人,占8.97%。体力活动水平0~<80、80~<880、880~<9240、≥9240 min/周分别为1780、1803、1787和1800人,占24.83%、25.15%、24.92%和25.10%。静坐时间≤1、>1~2、>2 h/d分别为2535、2259和2376人,占35.36%、31.51%和33.14%。多因素logistic回归分析结果显示,调整性别、年龄、婚姻状况、文化程度、家庭人均年收入、吸烟、饮酒和患慢性病数量后,与体力活动水平0~<80 min/周相比,体力活动水平880~<9240 min/周(OR=0.705,95%CI:0.565~0.880)、≥9240 min/周(OR=0.476,95%CI:0.364~0.622)的中老年人睡眠质量较好;与静坐时间>1~2 h/d相比,静坐时间>2 h/d的中老年人睡眠质量较差(OR=1.303,95%CI:1.053~1.613)。睡眠质量与体力活动的关联在女性中更为显著(OR:0.369~0.734,95%CI:0.258~0.950);睡眠质量与体力活动(OR:0.427~0.648,95%CI:0.282~0.917)、静坐时间(OR=1.406,95%CI:1.010~1.958)的关联在55~<65岁人群中更为显著。结论中老年人群睡眠质量差与低体力活动水平、长时间静坐有关。
Objective To examine the associations of sleep quality with physical activity and sitting time among middleaged and elderly community populations,so as to provide insights into improving sleep quality among middle-aged and elderly populations.Methods Middle-aged and elderly residents aged 45-69 years were recruited using the convenient sampling method in Changxing County of Zhejiang Province from 2019 to 2020.Participants'demographic characteristics and living behaviors were collected using questionnaires.Sleep quality was evaluated using Pittsburgh Sleep Quality Index,and physical activity level and sitting time were evaluated using Global Physical Activity Questionnaire.The associations of sleep quality with physical activity and sitting time were evaluated using a multivariable logistic regression model.Results A total of 7170 middle-aged and elderly residents were recruited,including 2780 men(38.77%).The overall prevalence of poor sleep quality was 8.97%.There were 1780(24.83%)participants with a physical activity of 0 to<80 min/week,1803(25.15%)with a physical activity of 80 to<880 min/week,1787(24.92%)with a physical activity of 880 to<9240 min/week,and 1800(25.10%)with a physical activity of 9240 min/week and longer,and there were 2535(35.36%)participants with sitting time of 1 h/d and shorter,2259(31.51%)with sitting time of>1 to 2 h/d and 2376(33.14%)with sitting time of over 2 h/d,respectively.Multivariable logistic regression analysis showed that the middle-aged and elderly residents with a physical activity of 880 to<9240 min/week(OR=0.705,95%CI:0.565-0.880)and 9240 min/week and longer(OR=0.476,95%CI:0.364-0.622)had better sleep than those with a physical activity of 0 to<80 min/week after adjustment for gender,age,marital status,annual mean household income,smoking,alcohol consumption and number of chronic diseases,and poorer sleep quality was observed among middle-aged and elderly residents with sitting time of over 2 h/d than among those with sitting time of>1 to 2 h/d(OR=1.303,95%CI:1.053-1.613).In addition,the association between sleep quality and physical activity was more significant among women(OR:0.369-0.734,95%CI:0.258-0.950),and the associations of sleep quality with physical activity(OR:0.427-0.648,95%CI:0.282-0.917)and sitting time(OR=1.406,95%CI:1.010-1.958)were more significant among participants at ages of 55 to<65 years.Conclusion Poor sleep quality correlates with low-intensity physical activity and long sitting time among middle-aged and elderly populations.
作者
陈蓉
林静静
秦家胜
陆凤
CHEN Rong;LIN Jingjing;QIN Jiasheng;LU Feng(Department of Non-communicable and Endemic Disease Control and Prevention,Changxing Center for Disease Control and Prevention,Changxing,Zhejiang 313199,China;Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)
出处
《预防医学》
2023年第6期533-537,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
睡眠质量
体力活动
静坐时间
中老年人
sleep quality
physical activity
sitting time
middle-aged and elderly populations
