老年人群睡眠时长及睡眠质量与心血管疾病危险因素的关系研究

目的 本研究拟调查老年人睡眠情况与心血管疾病危险因素之间的相关性,为心血管疾病防治提供参考。 方法 选取2018年2月—2019年6月在浙江医院健康管理科参加体检老年人1 061名,其中男性473名,女性588名,年龄≥60岁,对研究对象进行问卷调查、体格检查和生化检查。采用自述方式对研究对象睡眠时长、睡眠质量进行评估。 结果 睡眠时长<7 h组和>9 h组糖尿病、高血压、血脂异常至少1种疾病的患病率分别为57.2%和63.4%,显著高于睡眠时长7~8 h组42.3%(P<0.05)。多因素logistic回归分析的结果,与7~8 h组相比,睡眠时长<7 h组、8~9 h组和>9 h组的老年人,糖尿病、高血压、血脂异常中至少1种疾病的OR值分别为2.493(95%CI:1.207~4.934,P<0.05)、1.093(95%CI:0.762~1.874,P>0.05)和1.258(95%CI:1.074~2.706,P<0.05);与睡眠质量好者相比,睡眠差者糖尿病、高血压、血脂异常中至少1种疾病的OR值为1.817(95%CI:1.024~3.272,P<0.05)。 结论 老年人群睡眠时长与心血管疾病危险因素之间存在一种“U”形关系,睡眠时间减少和延长都会增加心血管疾病危险因素的发病风险,睡眠质量也与心血管疾病危险因素密切相关。 

The correlation between sleep duration、sleep quality and cardiovascular disease risk factors in elderly

Objective To investigate the correlation between sleep status and cardiovascular disease risk factors in the elderly and provide reference for the prevention and treatment of cardiovascular disease. Methods From February 2018 to June 2019, 1 061 elderly people who underwent physical examination in the department of health management of our hospital were selected as research subjects, including 473 males and 588 females, aged ≥ 60 years. Subjects were given a questionnaire, physical examination, and biochemical examination. Sleep duration and sleep quality were assessed on a self-reported basis. Results The incidence rate of diabetes, hypertension and dyslipidemia in at least one diseases in sleep group <7 h and >9 h were 57.2% and 63.4% respectively, significantly higher than those in the 7-8 h group(P<0.05). Multivariable logistic regression analysis results showed that compared to sleep 7-8 h group, the sleep group <7 h, 8-9 h and > 9 h of the elderly, at least one type of diabetes, hypertension and dyslipidemia OR values were 2.493(95%CI:1.207-4.934, P<0.05), 1.093(95%CI:0.762-1.874, P>0.05) and 1.258(95%CI:1.074-2.706, P<0.05). Compared with the elderly with good sleep, the risk OR value of at least one of diabetes, hypertension and dyslipidemia in those with poor sleep was 1.817(95%CI:1.024-3.272, P<0.05). Conclusion There is a "U" relationship between the duration of sleep and cardiovascular disease risk factors in elderly people. The reduction and extension of sleep time can increase cardiovascular disease risk factors. Sleep quality is also closely related to cardiovascular disease risk factors.