中老年人的睡眠质量与跌倒:巴西 ELSI 研究。

Revista da Escola de Enfermagem da U S P Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0027en
André Pereira Dos Santos, Jéssica Fernanda Correa Cordeiro, Pedro Pugliesi Abdalla, Lucimere Bohn, Emerson Sebastião, Leonardo Santos Lopes da Silva, Márcio Fernando Tasinafo Júnior, Ana Cláudia Rossini Venturini, Alynne Christian Ribeiro Andaki, Edmar Lacerda Mendes, Pablo Jorge Marcos-Pardo, Jorge Mota, Dalmo Roberto Lopes Machado
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引用次数: 0

摘要

目的验证中老年人自我报告的低睡眠质量(LSQ)与跌倒之间的关联:利用具有全国代表性的巴西老龄化纵向研究(ELSI-Brazil)第一波(2015-2016 年)的数据开展了一项横断面研究。样本由8950名参与者组成,他们被分为8个年龄组:50-54岁、55-59岁、60-64岁、65-69岁、70-74岁、75-79岁、80-84岁和≥85岁。所使用的问卷包括自我报告的睡眠质量和国际体力活动问卷简易版。通过费雪精确检验和二元逻辑回归分析,确定了睡眠质量与跌倒发生率的比值,并对混杂变量进行了控制:参与研究的人员年龄在 50-105 岁之间(63.6 ± 10.2 岁),其中女性占 57.0%,男性占 43.0%。总体而言,21.5%的参与者至少摔倒过一次。在每个半衰期中,被归类为高或 LSQ 的参与者的相对频率保持不变。即使考虑了混杂变量,LSQ 在 84 岁以下的年龄组中仍显示出统计学意义上的跌倒 OR(p < 0.05):无论性别和体力活动水平如何,LSQ 与年龄大于 50 岁的成年人跌倒发生率的增加有明显关联,但与年龄≥ 85 岁的成年人跌倒发生率的增加无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep quality and falls in middle-aged and older adults: ELSI-Brazil study.

Objective: To verify the association between low self-reported sleep quality (LSQ) and fall in middle-aged and older adults every half-decade of life.

Method: A cross-sectional study was conducted using data from the first wave (2015-2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is nationally representative. The sample consisted of 8,950 participants who were allocated into eight age groups: 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, and ≥ 85 years. The questionnaires used included self-reported sleep quality and the International Physical Activity Questionnaire short version. Fisher's exact test followed by binary logistic regression analysis was performed to identify the odds ratio of sleep quality for fall occurrence, controlled for confounding variables.

Results: Individuals aged 50-105 years (63.6 ± 10.2 years), 57.0% females and 43.0% males, participated in this study. Overall, 21.5% of participants experienced at least one fall. The relative frequency of participants classified as having high or LSQ remained constant across each half-decade of life. The LSQ exhibited a statistically significant OR (p < 0.05) for falls across age groups up to 84, even after accounting for confounding variables.

Conclusion: LSQ is significantly associated with an increased occurrence of fall in adults aged >50 years, but not for ≥ 85 years regardless of sex and physical activity level.

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