摘要
目的 了解中国老年人睡眠时间分布状况,并探讨睡眠时间与脑卒中的关系。方法 2013年中国慢性病及其危险因素监测第四次现场调查在全国31个省（自治区、直辖市）和新疆生产建设兵团的302个县（区、团）开展,选取51 774名≥60岁的人群为本研究对象。采用面对面调查的方法收集信息,血糖检测于当地通过性能验证合格的实验室进行,血脂于国家统一实验室检测。采用复杂加权方法计算率和构成比及95%CI,采用多因素Logistic回归模型检验入选研究对象每天平均睡眠时间和脑卒中的关系。结果 我国60岁及以上老年人每天平均睡眠时间为（7.30±1.63）小时,睡眠时间不足（〈7小时）的比例为31.2%,其中12.7%的老年人睡眠时间≤5小时,睡眠时间过多（≥9小时）的比例为18.5%,其中8.2%的老年人睡眠时间≥10小时。我国老年人的脑卒中患病率为4.77%（95%CI：4.18%-5.36%）,患病率随睡眠时间增加呈“U”形特征。调整年龄、性别、社会经济状况和健康状态等因素后,与每天7小时睡眠时间相比,睡眠时间≤5小时、8-9小时和≥10小时的OR分别为1.41（95%CI：1.05-1.89）、1.33（95%CI：1.10-1.62）和2.10（95%CI：1.63-2.70）,且关联具有显著性（P〈0.05）。结论 我国老年人睡眠时间过少和睡眠时间过多均与脑卒中患病存在关联。
Objective To explore the sleep duration among elderly in 2013 and the association with stroke. Method A total of 51 774 subjects over 60 years old were enrolled in this study, which were selected from the fourth chronic non-communicable disease and related factor surveillance conducted in 302 surveillance centers of China in 2013. Information was collected by face-to-face questionnaire interview. Plasma glucose was tested in local qualified laboratory. Blood lipid was detected in a national qualified laboratory. The prevalence and its 95%CI were calculated after a complex weighting on the sample. The multiple Logistic regression analysis was used to assess the association of sleep duration with stroke. Result Among elderly, the general sleep duration was （7.30±1.63） h/d. The proportion of insucient sleeping （ 〈 7 hours） was 31.2%, and 12.7% of the elderly sleeping no more than 5 hours. The proportion of excessive sleeping （ ≥ 9 hours） was 18.5%, and 8.2% of the elderly sleeping 10 hours and more. The prevalence of stroke among elderly was 4.77% （95%CI： 4.18%-5.36%） and showed a U-shaped distribution with sleep duration. Compared with 7 hours sleep duration per day, sleep durations（ ≤ 5 hours, 8 - 9 hours and ≥ 10 hours） were associated with stroke significantly （P 〈 0.05）. The odds ratios （OR） were 1.41 （95%CI： 1.05 - 1.89）, 1.33 （95%CI： 1.10 - 1.62） and 2.10 （95%CI： 1.63 - 2.70） respectively after adjusting age, gender, socioeconomic status and health status. Conclusion Both short and long sleep duration are associated with increased risk of stroke among elderly.
出处
《中国医学前沿杂志（电子版）》
2016年第6期109-114,共6页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
2013年国家重大公共卫生服务项目
