睡眠质量对社区老年人认知衰弱影响的归因分析

doi:10.3969/j.issn.1006-3110.2022.10.006

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摘要目的探究睡眠质量和睡眠时长对社区老年人认知衰弱的作用大小。方法采用现况调查方法,利用匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index, PSQI)评估老年人的睡眠质量,中文版Ascertain Dementia-8(AD-8)量表评估认知状态,Frail衰弱量表评估躯体衰弱。采用logistic回归分析和多因素调整的人群归因危险度分析睡眠对认知衰弱的作用大小。结果本研究共调查955名社区老人受试者,男性425名(44.5%),女性530名(55.5%)。认知衰弱的检出率为8.7%,睡眠障碍的检出率为24.5%。在调整性别、年龄、BMI、婚姻、体育锻炼、午睡、慢性病、身体疼痛、抑郁、焦虑等混杂因素后,睡眠障碍(OR=1.891,95%CI:1.087~3.291)和睡眠时间<6 h(OR=1.859, 95%CI:1.044~3.312)的老年人更易发生认知衰弱,认知衰弱的发生风险随着PSQI得分增加而逐渐上升。睡眠质量和睡眠时长对于认知衰弱人群归因危险度分别为25.53%和23.95%。结论社区老年人睡眠质量与认知衰弱程度相关,睡眠质量差及睡眠时间过短是导致该人群认知衰弱的重要因素。采取针对性睡眠质量改善措施,可能是减缓老年群体认知衰弱的重要途经。

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	姚梦
	蒙丽君
	周翠
	江文
	谢咏秋
	王锷
	李杏莉

关键词 ：社区老年人, 睡眠质量, 睡眠时间, 认知衰弱, 归因

Abstract：Objective To explore the role of sleep quality and sleep duration in cognitive frailty of the elderly living in the communities. Methods This study is cross-sectional. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep quality of the elderly, the Chinese version of the Ascertain Dementia-8(AD-8)questionnaire was applied to evaluating cognitive status, and the Frail Scale was employed to appraise physical frailty. Logistic regression analysis and multivariate-adjustedpopulation attribution risk analysis were performed to identify the effect of sleep on cognitive frailty. Results In this study, a total of 955 community-dwelling elderly subjects were surveyed, including 425 (44.5%) males and 530 (55.5%) females. The detection rate of cognitive frailty was 8.7%, and the detection rate of sleep disorder 24.5%. Multivariate logistic analysis showed that after adjusting for mixed factors like gender, age, body mass index, marriage, physical exercise, noontime snooze, chronic disease, body pain, depression and anxiety,senior citizenswith sleep disorder (OR=1.891, 95%CI:1.087-3.291) and sleep time < 6 hours (OR=1.859, 95%CI:1.044-3.312) were more likely to develop cognitive frailty. The risk of cognitive frailty increased with the gradual increment of PSQI score. The attributable risk of sleep quality and sleep duration to the cognitive frailty population was 25.53% and 23.95%, respectively. Conclusion The sleep quality of the elderly living in the communities was related to the degree of cognitive frailty. Poor sleep quality and short sleep duration were important factors leading to cognitive frailty in this study population. Taking targeted measures to intervene in sleep quality may be an important approach to alleviate cognitive frailty of the elderly.

Key words： community-dwelling elderly people sleep quality sleep duration cognitive frailty attribution

收稿日期: 2022-01-06

R749.1

基金资助:国家重点研发计划(2020YFC2005300);吴阶平医学基金会临床科研专项资助基金(320.6750.2021-18-1)

通讯作者: 李杏莉,E-mail:lixingli@csu.edu.cn;王锷,E-mail:Ewang324@csu.edu.cn。

作者简介: 姚梦(1997-),女,硕士在读。

引用本文:

姚梦, 蒙丽君, 周翠, 江文, 谢咏秋, 王锷, 李杏莉. 睡眠质量对社区老年人认知衰弱影响的归因分析[J]. 实用预防医学, 2022, 29(10): 1177-1181. YAO Meng, MENG Li-jun, ZHOU Cui, JIANG Wen, XIE Yong-qiu, WANG E, LI Xing-li. Attribution analysis on the influence of sleep quality on cognitive frailty of community-dwelling elderly people. , 2022, 29(10): 1177-1181.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2022.10.006 或 https://www.syyfyx.com/CN/Y2022/V29/I10/1177

[1] Kiiti Borges M,Oiring de Castro Cezar N,Silva Santos Siqueira A,et al.The relationship between physical frailty and mild cognitive impairment in the elderly: a systematic review[J].J Frailty Aging,2019,(4):192-197.
[2] Cheng MH,Chang SF.Frailty as a risk factor for falls among community dwelling people: evidence from a meta-analysis[J].J Nurs Scholarsh,2017,49(5):529-536.
[3] 刘东祺,李荣梅,张美琪,等.沈阳市社区老年人认知功能障碍现状及影响因素分析[J].护理研究,2020,34(13):2390-2393.
[4] Paganini-Hill A,Clark LJ,Henderson VW,et al.Clock drawing: analysis in a retirement community[J].J Am Geriatr Soc,2001,49(7):941-947.
[5] Ruan Q,Yu Z,Chen M,et al.Cognitive frailty, a novel target for the prevention of elderly dependency[J].Ageing Res Rev,2015,20:1-10.
[6] Canevelli M,Cesari M.Cognitive frailty: far from clinical and research adoption[J].J Am Med Dir Assoc,2017,18(10):816-818.
[7] Feng L,Zin Nyunt M,Gao Q,et al.Cognitive frailty and adverse health outcomes: findings from the SingaporeLongitudinal Ageing Studies (SLAS)[J].J Am Med Dir Assoc,2017,18(3):252-258.
[8] Yu R,Morley JE,Kwok T,et al. The effects of combinations of cognitive impairment and pre-frailty on adverse outcomes from a prospective community-based cohort study of older Chinese people[J].Front Med (Lausanne),2018,5:50.
[9] 熊风,赖玉清,涂嘉欣,等.中国老年人群睡眠障碍流行特征的Meta分析[J].中国循证医学杂志,2019,19(4):398-403.
[10] Alnaji A,Law GR,Scott EM.The role of sleep duration in diabetes and glucose control[J].Proc Nutr Soc,2016,75(4):512-520.
[11] Titova OE,Michaelsson K,Larsson SC.Sleep duration and stroke: prospective cohort study and Mendelian randomization analysis[J].Stroke,2020,51(11):3279-3285.
[12] Gadie A,Shafto M,Leng Y,et al.How are age-related differences in sleep quality associated with health outcomes? An epidemiological investigation in a UK cohort of 2,406 adults[J].BMJ Open,2017, 7(7):e014920.
[13] 刘财德,唐瑛,孙嘉斌,等.社区老年人衰弱与睡眠的关系[J].潍坊医学院学报,2020,42(4):312-314.
[14] Tsai PS,Wang SY,Wang MY,et al.Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects[J].Qual Life Res,2005,14(8):1943-1952.
[15] 李涛,王华丽,杨渊韩,等.中文版《AD8》信度与效度的初步研究[J].中华内科杂志,2012,51(10):777-780.
[16] 奚婧,贠航,王丽,等.社区老年人衰弱与睡眠质量的相关性[J].中国老年学杂志,2020,40(20):4461-4464.
[17] Chye L,Wei K,Nyunt MSZ,et al.Strong relationship between malnutrition and cognitive frailty in the Singapore Longitudinal Ageing Studies (SLAS-1 and SLAS-2)[J].J Prev Alzheimers Dis,2018,5(2):142-148.
[18] 潘利妞,张伟宏,余珍,等.郑州市社区老年人认知衰弱患病现状及影响因素[J].护理学杂志,2019,34(11):79-82.
[19] Bruzzi P,Green SB,Byar DP,et al.Estimating the population attributable risk for multiple risk factors using case-control data[J].Am J Epidemiol,1985,122(5):904-914.
[20] Ma L,Zhang L,Zhang Y,et al.Cognitive frailty in China: results from China Comprehensive Geriatric AssessmentStudy[J].Front Med (Lausanne),2017,4: 174.
[21] St John PD,Tyas SL,Griffith LE,et al.The cumulative effect of frailty and cognition on mortality - results of a prospective cohort study[J].Int Psychogeriatr,2017,29(4):535-543.
[22] Delrieu J,Andrieu S,Pahor M,et al.Neuropsychological profile of “cognitive frailty” subjects in MAPT study[J].J Prev Alzheimers Dis,2016,3(3):151-159.
[23] 杨源,刘光旭,陈超,等.北京市科研院所离退休老年人睡眠质量影响因素调查分析[J].实用预防医学,2021,28(8):961-963.
[24] 崔光辉,李少杰,孔庆悦,等.睡眠质量与抑郁症状及其交互作用与老年人认知衰弱的关联研究[J].中国全科医学,2021,24(9):1076-1081.
[25] 孔令磷,赵慧敏,刘玥婷,等.社区老年2型糖尿病患者认知衰弱现状及影响因素[J].护理学杂志,2020,35(7):89-92.
[26] Kaur S,Banerjee N,Miranda M,et al. Sleep quality mediates the relationship between frailty and cognitive dysfunction in non-demented middle aged to older adults[J].Int Psychogeriatr,2019,31(6):779-788.
[27] Bubu OM,Brannick M,Mortimer J,et al. Sleep, cognitive impairment, and Alzheimer's disease: a systematic review and meta-analysis[J].Sleep,2017,40(1):1-18.
[28] 樊少仪,徐福平,裴中,等.衰弱和睡眠障碍相关性的研究进展[J].重庆医学,2019,48(24):4256-4260.
[29] Schmidt C,Peigneux P,Cajochen C.Age-related changes in sleep and circadian rhythms: impact on cognitive performance and underlying neuroanatomical networks[J].Front Neurol,2012, 3:118.