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睡眠与肥胖对中老年人功能损失的联合作用研究

王云艳 李莉 孙东晗 邬闻文

王云艳, 李莉, 孙东晗, 邬闻文. 睡眠与肥胖对中老年人功能损失的联合作用研究[J]. 中华疾病控制杂志, 2023, 27(8): 883-888. doi: 10.16462/j.cnki.zhjbkz.2023.08.003
引用本文: 王云艳, 李莉, 孙东晗, 邬闻文. 睡眠与肥胖对中老年人功能损失的联合作用研究[J]. 中华疾病控制杂志, 2023, 27(8): 883-888. doi: 10.16462/j.cnki.zhjbkz.2023.08.003
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

睡眠与肥胖对中老年人功能损失的联合作用研究

doi: 10.16462/j.cnki.zhjbkz.2023.08.003
基金项目: 

湖北省教育厅重点项目 D20222105

湖北医药学院人才启动金项目 2020QDJRW003

大学生创新创业训练计划项目 S202210929030

湖北省普通高等学校人文社科重点研究基地开放基金 2022YB001

详细信息
    通讯作者:

    邬闻文,E-mail: 335631216@qq.com

  • 中图分类号: R181

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

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
  • 摘要:   目的  了解中老年人睡眠、肥胖的联合作用对中老年人功能损失的影响。  方法  数据来源于北京大学2015年中国健康与养老追踪调查(China Health and Retirement Longitudinal Study, CHARLS)数据库。采用logistic回归分析模型分析睡眠、肥胖对功能损失的联合作用。  结果  以腰围(waist circumference, WC)正常+夜间睡眠6~ < 8 h组为参照,腹型肥胖+夜间睡眠0~ < 4 h组功能损失患病风险最高(OR=1.655, P < 0.001)。以WC正常+午睡0~ < 30 min组为参照,腹型肥胖+无午睡组功能损失患病风险最高(OR=3.360, P=0.008)。以非全身性肥胖+夜间睡眠6~ < 8 h组为参照,全身性肥胖+夜间睡眠4~ < 6 h组功能损失患病风险最高(OR=2.359, P < 0.001)。以非全身性肥胖+午睡0~ < 30 min组为参照,全身性肥胖+午睡30~ < 90 min组功能损失患病风险最高(OR=1.905, 95% CI: 1.237~2.933, P=0.003)。  结论  夜间睡眠时间短、无午睡或午睡时间长分别与腹型肥胖或全身性肥胖共存会增加功能损失的患病风险,提示夜间睡眠时间短、无午睡或午睡时间长的中老年人控制BMI和WC有利于改善日常生活活动能力。
  • 图  1  中老年人功能损失影响因素的logistic回归分析模型

    校正的变量有性别、年龄、婚姻状态、文化程度、跌倒、抑郁、视力、听力、自评健康、生活满意度。

    Figure  1.  Logistic regression analysis of the influencing factors on the prevalence of functional disability among middle-aged and older adults

    Adjusting variables included sex, age, marital status, education level, falls, depression, vision, hearing, health self-assessment, and life satisfaction.

    表  1  2015年中国不同特征的中老年人功能损失情况的比较

    Table  1.   Comparison of the prevalence of functional disability among Chinese middle-aged and older adults with different characteristics in 2015

    变量 Variable 调查人数[人数(占比/%)]
    Number of respondents [Number (proportion/%)]
    功能损失[人数(占比/%)]
    Functional disability [Number (proportion/%)]
    功能未损失[人数(占比/%)]
    Non-functional disability [Number (proportion/%)]
    χ2
    value
    P
    value
    性别 Gender 28.271 < 0.001
      男 Male 2 952(41.79) 751(25.44) 2 201(74.56)
      女 Female 4 112(58.21) 1 285(31.25) 2 827(68.75)
    年龄组/岁 Age group/years 67.108 < 0.001
      40~ < 60 2 852(40.37) 669(23.46) 2 183(76.54)
      ≥60 4 212(59.63) 1 367(32.45) 2 845(67.55)
    跌倒 Fall 261.335 < 0.001
      是 Yes 1 543(21.84) 699(45.30) 844(54.70)
      否 No 5 521(78.16) 1 337(24.22) 4 184(75.78)
    文化程度 Education 17.359 < 0.001
      小学及以下 Primary school and below 5 038(71.32) 1 497(29.71) 3 541(70.29)
      初中 Middle school 1 325(18.76) 384(28.98) 941(71.02)
      高中及以上 High school and above 701(9.92) 155(22.11) 546(77.89)
    婚姻状况 Marital status 36.372 < 0.001
      已婚/同居 Married/cohabitated 5 510(78.00) 1 493(27.10) 4 017(72.90)
      离婚/分居/丧偶/未婚 Divorced/separated/widowed/unmarried 1 554(22.00) 543(34.94) 1 011(65.06)
    夜间睡眠/h  Nocturnal sleep time/h 132.090 < 0.001
      0~ < 4 866(12.26) 365(42.15) 501(57.85)
      4~ < 6 1 888(26.73) 618(32.73) 1 270(67.27)
      6~ < 8 2 466(34.91) 626(25.39) 1 840(74.61)
      ≥8 1 844(26.10) 427(23.16) 1 417(76.84)
    吸烟 Smoking 0.017 0.895
      是 Yes 410(5.80) 117(28.54) 293(71.46)
      否 No 6 654(94.20) 1 919(28.84) 4 735(71.16)
    饮酒 Drinking 0.314 0.575
      是 Yes 1 330(18.83) 375(28.20) 955(71.80)
      否 No 5 734(81.17) 1 661(28.97) 4 073(71.03)
    午睡/min  Nap/min 12.732 0.005
      0 3 370(47.71) 1 020(30.27) 2 350(69.73)
      0~ < 30 202(2.86) 45(22.28) 157(77.72)
      30~ < 90 2 496(35.33) 672(26.92) 1 824(73.08)
      ≥90 996(14.10) 299(30.02) 697(69.98)
    抑郁 Depression 263.228 < 0.001
      是 Yes 3 498(49.52) 1 317(37.65) 2 181(62.35)
      否 No 3 566(50.48) 719(20.16) 2 847(79.84)
    视力 Eyesight 96.494 < 0.001
      好及以上 Good and above 2 545(36.03) 554(21.77) 1 991(78.23)
      一般及以下 General and below 4 519(63.97) 1 482(32.79) 3 037(67.21)
    听力 Hearing 104.648 < 0.001
      好及以上 Good and above 2 000(28.31) 401(20.05) 1 599(79.95)
      一般及以下 General and below 5 064(71.69) 1 635(32.29) 3 429(67.71)
    BMI/(kg·m-2) 27.665 < 0.001
       < 18.50 380(5.38) 121(31.84) 259(68.16)
      18.50~ < 24.00 3 252(46.04) 966(29.70) 2 286(70.30)
      24.00~ < 28.00 2 441(34.55) 618(25.32) 1 823(74.68)
      ≥28.00 991(14.03) 331(33.40) 660(66.60)
    WC 9.317 0.002
      腹型肥胖 Abdominal obesity 4 794(67.87) 1 436(29.95) 3 358(70.05)
      正常 Normal 2 270(32.13) 600(26.43) 1 670(73.57)
    自评健康状况 Health self-assessment 389.839 < 0.001
      极好 Excellent 51(0.72) 1(1.96) 50(98.04)
      很好 Very good 420(5.95) 64(15.24) 356(84.76)
      好 Good 613(8.68) 136(22.19) 477(77.81)
      一般 General 3 617(51.20) 808(22.34) 2 809(77.66)
      不好 Poor 2 363(33.45) 1 027(43.46) 1 336(56.54)
    生活满意度 Life satisfaction 155.100 < 0.001
      满意 Satisfaction 6 277(88.86) 1 660(26.45) 4 617(73.55)
      不满意 Dissatisfaction 787(11.14) 376(47.78) 411(52.22)
    下载: 导出CSV

    表  2  夜间睡眠与腹型肥胖的联合作用对功能损伤影响的logistic回归分析模型

    Table  2.   Logistic regression analysis of the combined effect of nocturnal sleep and central obesity on the prevalence of functional disability

    夜间睡眠时间/h
    Nocturnal sleep time/h
    非腹型肥胖  Non-abdominal obesity 腹型肥胖  Abdominal obesity
    OR值(95% CI)  OR value(95% CI) P值  value OR值(95% CIOR value(95% CI) P值  value
    0~ < 4 1.182(0.868~1.608) 0.288 1.655(1.280~2.141) < 0.001
    4~ < 6 1.033(0.798~1.337) 0.805 1.355(1.085~1.692) 0.007
    6~ < 8 1.000 1.120(0.903~1.390) 0.303
    ≥8 0.715(0.542~0.944) 0.018 1.032(0.820~1.298) 0.791
    注:调整的变量有性别、年龄、婚姻状态、文化程度、跌倒、抑郁、视力、听力、自评健康、生活满意度。
    Note: Adjusted variables include gender, age, marital status, educational level, falls, depression, vision, hearing, health self-assessment, and life satisfaction.
    下载: 导出CSV

    表  3  午睡与腹型肥胖的联合作用对功能损伤影响的logistic回归分析模型

    Table  3.   Logistic regression analysis of the combined effect of afternoon nap and central obesity on the prevalence of functional disability

    午睡时间/min
    Afternoon nap time/min
    非腹型肥胖  Non-abdominal obesity 腹型肥胖  Abdominal obesity
    OR值(95% CIOR value(95% CI) P值  value OR值(95% CIOR value(95% CI) P值  value
    0 2.482(1.014~6.072) 0.046 3.360(1.379~8.186) 0.008
    0~ < 30 1.000 2.926(1.114~7.690) 0.029
    30~ < 90 2.303(0.933~5.684) 0.070 2.885(1.183~7.040) 0.020
    ≥90 2.885(1.141~7.296) 0.025 3.118(1.266~7.679) 0.013
    注:调整的变量有性别、年龄、婚姻状态、文化程度、跌倒、抑郁、视力、听力、自评健康、生活满意度。
    Note: Adjusted variables included gender, age, marital status, educational level, falls, depression, vision, hearing, health self-assessment, and life satisfaction.
    下载: 导出CSV

    表  4  夜间睡眠与全身性肥胖的联合作用对功能损伤影响的logistic回归分析模型

    Table  4.   Logistic regression analysis of the combined effect of nocturnal sleep time and systemic obesity on the prevalence of functional disability

    夜间睡眠时间/h
    Nocturnal sleep time/h
    非全身性肥胖 Non-systemic obesity 全身性肥胖  Systemic obesity
    OR值(95% CI)  OR value(95% CI) P值  value OR值(95% CI)  OR value(95% CI) P值  value
    0~ < 4 1.519(1.258~1.835) < 0.001 1.020(0.621~1.675) 0.936
    4~ < 6 1.115(0.955~1.302) 0.167 2.359(1.750~3.180) < 0.001
    6~ < 8 1.000 1.551(1.208~1.993) 0.001
    ≥8 0.878(0.744~1.036) 0.122 1.087(0.811~1.458) 0.576
    注:调整的变量有性别、年龄、婚姻状态、文化程度、跌倒、抑郁、视力、听力、自评健康、生活满意度。
    Note: Adjusted variables included gender, age, marital status, educational level, falls, depression, vision, hearing, health self-assessment, and life satisfaction.
    下载: 导出CSV

    表  5  午睡与全身性肥胖的联合作用对功能损伤影响的logistic回归分析模型

    Table  5.   Logistic regression model of the combined effect of afternoon nap and systemic obesity on the prevalence of functional disability

    午睡时间/min
    Afternoon nap time/min
    非全身性肥胖  Non-abdominal obesity 全身性肥胖  Abdominal obesity
    OR值(95% CI)  OR value(95% CI) P值  value OR值(95% CIOR value(95% CI) P值  value
    0 1.348(0.919~1.975) 0.126 1.606(1.036~2.492) 0.034
    0~ < 30 1.000 1.744(0.616~4.936) 0.295
    30~ < 90 1.123(0.762~1.655) 0.558 1.905(1.237~2.933) 0.003
    ≥90 1.304(0.868~1.959) 0.202 1.868(1.138~3.066) 0.014
    注:调整的变量有性别、年龄、婚姻状态、文化程度、跌倒、抑郁、视力、听力、自评健康、生活满意度。
    Note: Adjusted variables included gender, age, marital status, educational level, falls, depression, vision, hearing, health self-assessment, and life satisfaction.
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-11-17
  • 修回日期:  2022-04-28
  • 网络出版日期:  2023-09-02
  • 刊出日期:  2023-08-10

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