Independent and joint associations of physical activity and a body shape index with sleep disorders in older adults with cardiometabolic multimorbidity: a cross-sectional study.

IF 3.8 2区医学 Q2 GERIATRICS & GERONTOLOGY

BMC Geriatrics Pub Date : 2025-07-12 DOI:10.1186/s12877-025-06170-7

Yang Li, Huiqian Zhou, Dandan Xu, Hua Wang, Yutong Zhao, Hua Jiang

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引用次数: 0

Abstract

Background: Cardiometabolic multimorbidity (CMM) has become a significant public health challenge in the context of global ageing. Sleep disorders are prevalent in older adults with CMM, but their correlations with physical activity and a body shape index (ABSI) remain unclear. This study aimed to investigate the independent and joint associations of physical activity and ABSI with sleep disorders in older adults with CMM.

Methods: This cross-sectional study was conducted between February and March 2024 and recruited 650 older CMM patients (aged ≥ 65 years) by random sampling. Data were collected using a structured questionnaire as well as the Pittsburgh Sleep Quality Index (PSQI) and the International Physical Activity Questionnaire-short form (IPAQ-SF). Logistic regression models were used to assess the independent and joint associations of physical activity and ABSI with sleep disorders.

Results: The prevalence of sleep disorders among older CMM patients was 48.46%, and low IPAQ (OR = 3.61, 95%CI: 2.41 to 5.43) and high ABSI (OR = 1.46, 95%CI: 1.04 to 2.04) were identified as independent risk factors for sleep disorders. The risk of sleep disorders in patients with low IPAQ and high ABSI group was approximately 5.1 times higher than that in patients with middle/high IPAQ and low ABSI group (OR = 5.10, 95% CI: 2.88 to 9.02). The stratified analyses indicated that these relationships were particularly pronounced in the > 70 years and female subgroups.

Conclusion: This study highlights the important impact of physical activity and body shape management on sleep disorders in older CMM patients.

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身体活动和身体形状指数与老年心脏代谢多病患者睡眠障碍的独立和联合关联：一项横断面研究

背景：在全球老龄化背景下，心脏代谢多病（CMM）已成为一个重大的公共卫生挑战。睡眠障碍在老年慢性mm患者中普遍存在，但其与身体活动和身体形状指数（ABSI）的相关性尚不清楚。本研究旨在探讨体力活动和ABSI与老年CMM患者睡眠障碍的独立和联合关联。方法：本横断面研究于2024年2月至3月进行，随机抽取≥65岁的老年CMM患者650例。使用结构化问卷、匹兹堡睡眠质量指数（PSQI）和国际体育活动问卷（IPAQ-SF）收集数据。Logistic回归模型用于评估体力活动和ABSI与睡眠障碍的独立和联合关联。结果：老年CMM患者睡眠障碍患病率为48.46%，低IPAQ （OR = 3.61, 95%CI: 2.41 ~ 5.43）和高ABSI （OR = 1.46, 95%CI: 1.04 ~ 2.04）为睡眠障碍的独立危险因素。低IPAQ、高ABSI组患者发生睡眠障碍的风险约为中高IPAQ、低ABSI组患者的5.1倍（OR = 5.10, 95% CI: 2.88 ~ 9.02）。分层分析表明，这些关系在60 - 70岁和女性亚组中尤为明显。结论：本研究强调了身体活动和身体形态管理对老年CMM患者睡眠障碍的重要影响。

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

BMC Geriatrics GERIATRICS & GERONTOLOGY-

CiteScore

5.70

自引率

7.30%

发文量

873

审稿时长

20 weeks

期刊介绍： BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.