{"title":"睡眠时间和质量的轨迹及其与轻度认知障碍、虚弱和全因死亡率的关系。","authors":"Aarón Salinas-Rodríguez MSc , Betty Manrique-Espinoza PhD , Karla Moreno-Tamayo PhD , Selene Guerrero-Zúñiga MD","doi":"10.1016/j.sleh.2023.12.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To identify longitudinal trajectories of sleep duration<span> and quality and estimate their association with mild cognitive impairment<span>, frailty, and all-cause mortality.</span></span></p></div><div><h3>Methods</h3><p>We used data from three waves (2009, 2014, 2017) of the WHO Study on Global Aging and Adult Health in Mexico. The sample consisted of 2722 adults aged 50 and over. Sleep duration and quality were assessed by self-report. Sleep trajectories were determined by applying growth mixture models. Mixed-effects logistic (mild cognitive impairment) and ordinal logistic (frailty), and Cox proportional hazards (all-cause mortality) models were fitted.</p></div><div><h3>Results</h3><p><span><span>Three classes for sleep duration (“optimal-stable,” “long-increasing,” and “short-decreasing”) and quality (“very good-increasing,” “very good-decreasing,” and “moderate/poor stable”) were identified. Compared to the optimal-stable group, the long-increasing trajectory had greater odds for </span>mild cognitive impairment (odds ratio</span> <!-->=<!--> <!-->1.68, 95% CI: 1.01-2.78) and frailty (odds ratio<!--> <!-->=<!--> <!-->1.66, 95% CI: 1.13-2.46), and higher risk for all-cause mortality (hazard ratio<!--> <!-->=<!--> <!-->1.91, 95% CI: 1.14-3.19); and the short-decreasing class had a higher probability of frailty (odds ratio<!--> <!-->=<!--> <!-->1.83, 95% CI: 1.26-2.64). Regarding the sleep quality, the moderate/poor stable trajectory had higher odds of frailty (odds ratio<!--> <!-->=<!--> <!-->1.71, 95% CI: 1.18-2.47) than very good-increasing group.</p></div><div><h3>Conclusions</h3><p>These results have important implications for clinical practice and public health policies<span><span>, given that the evaluation and treatment<span> of sleep disorders need more attention in primary care settings. Interventions to detect and treat sleep disorders should be integrated into clinical practice to prevent or delay the appearance of alterations in older adults' physical and cognitive function. Further research on sleep quality and duration is warranted to understand their contribution to </span></span>healthy aging.</span></p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trajectories of sleep duration and quality and their association with mild cognitive impairment, frailty, and all-cause mortality\",\"authors\":\"Aarón Salinas-Rodríguez MSc , Betty Manrique-Espinoza PhD , Karla Moreno-Tamayo PhD , Selene Guerrero-Zúñiga MD\",\"doi\":\"10.1016/j.sleh.2023.12.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>To identify longitudinal trajectories of sleep duration<span> and quality and estimate their association with mild cognitive impairment<span>, frailty, and all-cause mortality.</span></span></p></div><div><h3>Methods</h3><p>We used data from three waves (2009, 2014, 2017) of the WHO Study on Global Aging and Adult Health in Mexico. The sample consisted of 2722 adults aged 50 and over. Sleep duration and quality were assessed by self-report. Sleep trajectories were determined by applying growth mixture models. Mixed-effects logistic (mild cognitive impairment) and ordinal logistic (frailty), and Cox proportional hazards (all-cause mortality) models were fitted.</p></div><div><h3>Results</h3><p><span><span>Three classes for sleep duration (“optimal-stable,” “long-increasing,” and “short-decreasing”) and quality (“very good-increasing,” “very good-decreasing,” and “moderate/poor stable”) were identified. Compared to the optimal-stable group, the long-increasing trajectory had greater odds for </span>mild cognitive impairment (odds ratio</span> <!-->=<!--> <!-->1.68, 95% CI: 1.01-2.78) and frailty (odds ratio<!--> <!-->=<!--> <!-->1.66, 95% CI: 1.13-2.46), and higher risk for all-cause mortality (hazard ratio<!--> <!-->=<!--> <!-->1.91, 95% CI: 1.14-3.19); and the short-decreasing class had a higher probability of frailty (odds ratio<!--> <!-->=<!--> <!-->1.83, 95% CI: 1.26-2.64). Regarding the sleep quality, the moderate/poor stable trajectory had higher odds of frailty (odds ratio<!--> <!-->=<!--> <!-->1.71, 95% CI: 1.18-2.47) than very good-increasing group.</p></div><div><h3>Conclusions</h3><p>These results have important implications for clinical practice and public health policies<span><span>, given that the evaluation and treatment<span> of sleep disorders need more attention in primary care settings. Interventions to detect and treat sleep disorders should be integrated into clinical practice to prevent or delay the appearance of alterations in older adults' physical and cognitive function. Further research on sleep quality and duration is warranted to understand their contribution to </span></span>healthy aging.</span></p></div>\",\"PeriodicalId\":48545,\"journal\":{\"name\":\"Sleep Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352721823003029\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352721823003029","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Trajectories of sleep duration and quality and their association with mild cognitive impairment, frailty, and all-cause mortality
Objectives
To identify longitudinal trajectories of sleep duration and quality and estimate their association with mild cognitive impairment, frailty, and all-cause mortality.
Methods
We used data from three waves (2009, 2014, 2017) of the WHO Study on Global Aging and Adult Health in Mexico. The sample consisted of 2722 adults aged 50 and over. Sleep duration and quality were assessed by self-report. Sleep trajectories were determined by applying growth mixture models. Mixed-effects logistic (mild cognitive impairment) and ordinal logistic (frailty), and Cox proportional hazards (all-cause mortality) models were fitted.
Results
Three classes for sleep duration (“optimal-stable,” “long-increasing,” and “short-decreasing”) and quality (“very good-increasing,” “very good-decreasing,” and “moderate/poor stable”) were identified. Compared to the optimal-stable group, the long-increasing trajectory had greater odds for mild cognitive impairment (odds ratio = 1.68, 95% CI: 1.01-2.78) and frailty (odds ratio = 1.66, 95% CI: 1.13-2.46), and higher risk for all-cause mortality (hazard ratio = 1.91, 95% CI: 1.14-3.19); and the short-decreasing class had a higher probability of frailty (odds ratio = 1.83, 95% CI: 1.26-2.64). Regarding the sleep quality, the moderate/poor stable trajectory had higher odds of frailty (odds ratio = 1.71, 95% CI: 1.18-2.47) than very good-increasing group.
Conclusions
These results have important implications for clinical practice and public health policies, given that the evaluation and treatment of sleep disorders need more attention in primary care settings. Interventions to detect and treat sleep disorders should be integrated into clinical practice to prevent or delay the appearance of alterations in older adults' physical and cognitive function. Further research on sleep quality and duration is warranted to understand their contribution to healthy aging.
期刊介绍：
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
