Sleep Quality as a Critical Pathway Between Adverse Childhood Experiences and Multimorbidity and the Impact of Lifestyle.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Aging and Health Pub Date : 2024-03-06 DOI:10.1177/08982643241237832

Julia L Sheffler, Zhuo Meng, Natalie Sachs-Ericsson, Viviana G Caimary, Juhi Patel, Scott Pickett

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Abstract

Objectives: This study aims to establish the effects of ACEs on multimorbidity through sleep quality and investigate whether lifestyle factors (e.g., eating habits and exercise) may influence this relationship among middle-aged and older adults.

Methods: Participants were drawn from a cross-sectional sample of community dwelling older adults (N = 276, 55+) and three waves of data from the Midlife in the United States study (MIDUS, N = 843). We examined the direct and indirect effects of ACEs, sleep quality, and health conditions, as well as the conditional effects of physical activity and eating habits.

Results: Across both samples, sleep quality mediated the relationship between ACEs and chronic health conditions. Moderating effects of unhealthy eating and physical activity differed between samples.

Discussion: Sleep quality is an important pathway connecting ACEs and adult multimorbidity, and health behaviors may provide targets for intervention particularly in older adults.

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睡眠质量是童年不良经历与多病症之间的关键途径，也是生活方式的影响因素。

研究目的本研究旨在通过睡眠质量确定ACE对多病症的影响，并调查生活方式因素（如饮食习惯和锻炼）是否会影响中老年人的这种关系：参与者来自社区居住的老年人横截面样本（N = 276，55 岁以上）和美国中年研究（MIDUS，N = 843）的三波数据。我们研究了ACE、睡眠质量和健康状况的直接和间接影响，以及体育锻炼和饮食习惯的条件影响：结果：在两个样本中，睡眠质量对 ACE 与慢性健康状况之间的关系起着中介作用。不健康饮食和体育锻炼的调节作用在不同样本之间存在差异：讨论：睡眠质量是连接 ACE 与成人多病症的重要途径，健康行为可为干预提供目标，尤其是针对老年人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.