Study on the combined effects of sleep and obesity on functional loss in middle-aged and elderly people

WANG Yunyan; LI Li; SUN Donghan; WU Wenwen

doi:10.16462/j.cnki.zhjbkz.2023.08.003

Volume 27 Issue 8

Aug. 2023

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WANG Yunyan, LI Li, SUN Donghan, WU Wenwen. Study on the combined effects of sleep and obesity on functional loss in middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(8): 883-888. doi: 10.16462/j.cnki.zhjbkz.2023.08.003

Citation:

WANG Yunyan, LI Li, SUN Donghan, WU Wenwen. Study on the combined effects of sleep and obesity on functional loss in middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(8): 883-888. doi: 10.16462/j.cnki.zhjbkz.2023.08.003

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Study on the combined effects of sleep and obesity on functional loss in middle-aged and elderly people

doi: 10.16462/j.cnki.zhjbkz.2023.08.003

WANG Yunyan¹,
LI Li²,
SUN Donghan²,
WU Wenwen^{2, 3, 4
,
,}

1.
Department of Anesthesia, First Clinical Medicine School, Hubei University of Medicine, Shiyan 442000, China
2.
Institute of Medicine and Nursing, Affiliated People′s Hospital, Hubei University of Medicine, Shiyan 442000, China
3.
Department of Preventive Medicine, School of Public Health, Hubei University of Medicine, Shiyan 442000, China
4.
Center of Health Administration and development studies, Hubei University of Medicine, Shiyan 442000, China

Funds:

Key Project of Natural Science Foundation of Hubei Provincial Department of Education D20222105

Cultivating Project for Young Scholar at Hubei University of Medicine 2020QDJRW003

Innovation and Entrepreneurship Training Program for University Students S202210929030

Open Fund Project of Key Research Center for Humanities and Socia1 Sciences in Hubei Province 2022YB001

More Information

Corresponding author: WU Wenwen, E-mail: 335631216@qq.com
Received Date: 2021-11-17
Rev Recd Date: 2022-04-28

Available Online: 2023-09-02

Publish Date: 2023-08-10

Abstract

Abstract

Objective The aim of this study was to investigate the combined effect of sleep and obesity on the prevalence of functional disability among middle-aged and older adults. Methods Data were collected from the 2015 China Health and Retirement Longitudinal Study (CHARLS). The logistic regression model was performed to estimate the combined effect of sleep and obesity on the prevalence of functional disability. Results Compared to participants with normal waist circumference (WC) and 6- < 8 hours of nocturnal sleep, those with abdominal obesity and 0- < 4 hours of nocturnal sleep exhibited an increased risk of functional disability (OR=1.655, P < 0.001). Similarly, participants with abdominal obesity and no afternoon nap, compared to those with normal WC and 0- < 30 minutes of afternoon nap, showed an elevated risk of functional disability (OR=3.360, P=0.008). When compared to non-systemically obese individuals with 6- < 8 hours of nocturnal sleep, those with systemic obesity and 4- < 6 hours of nocturnal sleep had an increased risk of functional disability (OR=2.359, P < 0.001). Additionally, systemically obese individuals with 30- < 90 minutes of afternoon nap, compared to non-systemically obese individuals with 0- < 30 minutes of afternoon nap, showed an increased risk of functional disability (OR=1.905, 95% CI: 1.237-2.933, P=0.003). Conclusions The concurrent presence of short nocturnal sleep duration, absence of an afternoon nap or extended afternoon nap duration, and either abdominal or systemic obesity, increases the risk of functional disability. This suggests that controlling body mass index (BMI) and WC among middle-aged and older adults with short nocturnal sleep duration, absence of an afternoon nap, or extended afternoon nap duration could be beneficial in preventing functional disability.
- Sleep,
- Body mass index,
- Waist circumference,
- Functional disability

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References(18)

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