The associations of sleep deficiency and frailty with multimorbidity among community-dwelling older adults in the Philippines and Viet Nam.

IF 1.9 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Psychology Health & Medicine Pub Date : 2025-10-01 Epub Date: 2025-06-30 DOI:10.1080/13548506.2025.2519223
Chrispin Mandiwa, Tuo-Yu Chen, Grace T Cruz, Nguyen C Vu, Kai-Wen Hsu, Yasuhiko Saito
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引用次数: 0

Abstract

We investigated the association of sleep deficiency and multimorbidity in the presence of frailty among community-dwelling older adults in the Philippines and Viet Nam. This cross-sectional study used data from the Longitudinal Study of Ageing and Health in the Philippines (2018, N = 3,598) and the Longitudinal Study of Ageing and Health in Viet Nam (2018, N = 4,396). Multimorbidity was defined as the presence of two or more chronic medical conditions within an individual. Sleep deficiency was conceptualized as self-reported short sleep duration (<6 hours), having trouble with falling asleep or maintaining sleep, and/or experiencing nonrestorative sleep. Frailty was estimated using self-reported measures based on a modified version of Fried's criteria. Logistic regression was used to analyze the data. Stratified analysis was used to investigate the association between sleep deficiency and multimorbidity by frailty status. The results showed that sleep deficiency was significantly related to 83% higher odds of experiencing multimorbidity in the Philippines and 57% higher odds of experiencing multimorbidity in Viet Nam when adjusting for frailty, demographics, body mass index, sleep medications, naps, mental health, and lifestyle. In the Philippines, sleep deficiency was significantly related to multimorbidity among individuals who were frail and not frail. In Viet Nam, sleep deficiency was significantly related to multimorbidity among individuals who were not frail. Overall, the findings suggest that managing or treating sleep deficiency among older adults in the Philippines and Viet Nam could reduce the risk of multimorbidity, although the associations were less clear among frail older adults in Viet Nam.

在菲律宾和越南社区居住的老年人中,睡眠不足和虚弱与多病的关系
我们调查了菲律宾和越南社区居住的老年人在虚弱的情况下睡眠不足和多病的关系。这项横断面研究使用了菲律宾老龄化与健康纵向研究(2018年,N = 3598)和越南老龄化与健康纵向研究(2018年,N = 4396)的数据。多病被定义为个体中存在两种或两种以上的慢性疾病。睡眠不足被定义为自我报告的睡眠时间短(
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来源期刊
Psychology Health & Medicine
Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.20
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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