中老年2型糖尿病患者睡眠质量与肌少症关系的研究

目的 探讨中老年2型糖尿病患者睡眠质量与肌少症之间的关系，旨在为肌少症的预防和干预提供相关理论参考。方法 采用便利抽样法，对泸州市3所三甲综合医院的内分泌科收治的325名中老年2型糖尿病患者使用匹兹堡睡眠指数量表、肌少症筛查量表等进行问卷调查，采用非条件logistic回归分析受试者睡眠质量与肌少症关系。结果 在325名受试者中，筛查为肌少症的人数为78人(24%)，睡眠质量差的受试者为168人(51.7%)；肌少症总分与睡眠质量得分呈正相关(r=0.246,P＜0.001)；未纳入混杂因素前睡眠质量是受试者筛查为肌少症的危险因素(粗OR=1.11,95%CI:1.052~1.172,P＜0.01）；在该模型基础上，自变量增加了性别、年龄段、职业等变量后睡眠质量仍然是受试者筛查为肌少症的危险因素(调整后OR=1.083,95%CI:1.018~1.152,P＜0.001)。结论 睡眠质量得分是中老年2型糖尿病患者筛查为肌少症的独立危险因素，应尤其重视睡眠质量差的中老年2型糖尿病患者肌少症的预防与诊断。

Relationship between sleep quality and sarcopenia in middle-aged and elderly patients with type 2 diabetes

To analyze the relationship between subjective sleep quality and sarcopenia in middle － aged and elderly patients with type 2 diabetes and to provide theoretical references for the prevention and intervention of sarcopenia. Methods The convenience sampling method was used to conduct a questionnaire survey on 325 middle － aged and elderly type 2 diabetes patients admitted to the endocrinology department of top three general hospitals in Luzhou City using the Pittsburgh Sleep Index Scale and the Sarcopenia Screening Scale，etc. Unconditional logistic regression analysis was used to analyze the relationship between sleep quality and sarcopenia. Ｒesults A total of 325 middle － aged and elderly patients with type 2 diabetes were included. The number of patients with sarcopenia was 78 ( 24% ) ，and the number of poor sleep quality was 168 ( 51. 7% ) .The total score of sarcopenia was positively correlated with the subjective sleep quality score ( r = 0. 246，P ＜ 0. 001) . Sleep quality before the inclusion of confounders was a risk factor for screening for sarcopenia ( crude OＲ = 1. 111，95% CI: 1. 052 －1. 172，P ＜ 0. 01) . On the basis of this model，after the independent variables added gender，age，occupation and other variables，and the sleep quality score was still a risk factor for sarcopenia in the subjects ( crude OＲ = 1. 083，95% CI: 1. 018－ 1. 152，P ＜ 0. 001) . Conclusion Sleep quality score is an independent risk factor for screening of sarcopenia in middle －aged and elderly patients with type 2 diabetes. Particular attention should be paid to the prevention and diagnosis of sarcopenia in middle － aged and elderly patients with type 2 diabetes with poor sleep quality.