中老年人午睡时长与糖尿病相关性研究  

Study on the correlation between nap duration and diabetes mellitus in middle-aged and elderly Chinese

作　　者：张崇旭[1] 段利忠[1] 刘航宇[1] 张殷然 殷丽丽[1] 卢奇[2] ZHANG Chong-xu;DUAN Li-zhong;LIU Hang-yu;ZHANG Yin-ran;YIN Li-li;LU Qi(Management School of Beijing University of Chinese Medicine,Beijing 100029,China;College of Economics,Beijing Technology and Business University,Beijing 100048,China)

机构地区：[1]北京中医药大学管理学院,北京100029 [2]北京工商大学经济学院,北京100048

出　　处：《卫生软科学》2019年第7期76-82,共7页Soft Science of Health

基　　金：国家社会科学基金:农消对接型特色农产品流通机制研究(16BJY126);卫生计生健康智库联盟2017年课题:医疗服务价格动态调整机制研究;北京中医药大学2019年度基本科研业务费在读研究生项目(2019-JYB-XS-126)

摘　　要：[目的]探究在中国中老年人群中,午睡与糖尿病的高患病率是否存在关联性。[方法]采用横断面研究方法,资料来源于北京大学中国健康与养老追踪调查(CHARLS)数据库,共纳入研究对象12591人。本研究将午睡时长分为4组:0min(参照组),<30min,30min~,90min~。采用二分类Logistic回归分析并建立3个模型,在调整不同协变量下逐步探索不同午睡时长对糖尿病发生的影响,获得优势比(ORs)和95%置信区间(95%CIs)。[结果]本研究共有53.47%的研究对象报告了有午睡的习惯,午睡时长的平均值为32.92min。单因素分析显示,年龄、体重指数(BMI)、腰围(WC)、高血压史、吸烟史和抑郁状况因素与糖尿病的关联存在统计学意义(P<0.05)。相比不午睡者,有午睡习惯的研究对象与糖尿病发生有更高的相关性;通过3个模型逐步调整了混杂因素后,相比于午睡时长为0min的研究对象,午睡时长≥90min时患糖尿病风险的比值OR(95%CIs)为1.33(1.14±1.55)。[结论]在中国中老年人群中,长时间的午睡与糖尿病的发生有正相关关系,这种关系在女性人群中更为明显。需要进一步生理机制研究及前瞻性队列研究来证实该研究的结论及其内在影响机制。Objective To investigate whether there is correlation between nap and high prevalence rate of diabetes in middle-aged and elderly Chinese population.Methods Cross-sectional study method was conducted.Data were collected from the database of China Health and Retirement Longitudinal Study(CHARLS)of Peking University.A total of 12591 subjects were included.In this study,the nap duration was divided into four groups which were 0min(reference group),<30 min,30~90 min and≥90 min.It used binary logistic regression analysis and established three models,the effects of different nap duration on diabetes were explored step by step under different covariates,and the odds ratios(ORs)and 95%confidence intervals(95%CIs)were obtained.Results A total of 53.47%of the subjects reported that had nap habit.The average nap duration was 32.92 minutes.Univariate analysis showed that here was statistical significance in the correlation among age,BMI,waist circumference(WC),history of hypertension,smoking history and depression with diabetes mellitus(P<0.05).Compared with non-nappers,the subjects with nap habits had higher correlation with diabetes mellitus.After adjusted the confounding factors step by step through three models,the ratio OR(95%CIs)of risk of diabetes mellitus when nap duration was longer than 90min was 1.33(1.14±1.55).Conclusions There is positive correlation between long nap duration and diabetes in middle-aged and elderly Chinese population,especially in female population.It needs further physiological mechanisms and prospective cohort studies to confirm the conclusion of this study and its underlying influence mechanism.

关 键 词：午睡 糖尿病 中老年 相关性 CHARLS 

分 类 号：R587.1[医药卫生—内分泌] C913.6[医药卫生—内科学]