中老年男性糖尿病患病情况与午间睡眠的相关性研究  

The Relationship between the Prevalence of Diabetes and Noon Sleep in Middle-aged and Elderly Men

作　　者：王瑞 孙健 段思宇 何沛 王玉华 杨惠芳 WANG Rui;SUN Jian;DUAN Siyu;HE Pei;WANG Yuhua;YANG Huifang(School of Public Healthy and Management,Ningxia Medical University,Yinchuan 750004,China;Key Laboratory of Environmental Factors and Chronic Disease Control,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院,银川750004 [2]宁夏环境因素与慢性病控制重点实验室,银川750004

出　　处：《宁夏医科大学学报》2022年第10期1038-1043,共6页Journal of Ningxia Medical University

基　　金：宁夏自然科学基金项目(2022AAC05028)。

摘　　要：目的探讨我国中老年男性糖尿病患病与午间睡眠之间的关联。方法采用横断面研究调查方法,数据来源于北京大学中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS),共纳入1923名研究对象。研究对象依据糖化血红蛋白水平共分为三组:无糖尿病组(糖化血红蛋白<5.7%)、糖尿病组(糖化血红蛋白≥6.5%)、糖尿病前期组(糖化血红蛋白≥5.7%且≤6.4%)。运用Logistic回归模型,分析糖尿病患病与午间睡眠的关联。结果矫正混杂因素后,Logistic回归模型结果显示,与无糖尿病组(糖化血红蛋白<5.7%)相比,糖尿病组(糖化血红蛋白≥6.5%)、糖尿病前期组(糖化血红蛋白≥5.7%且≤6.4%)与午间睡眠状况均无明显关联(P>0.05)。按年龄分层分析发现,在60岁及以上老年男性人群中,糖尿病组(糖化血红蛋白≥6.5%)和糖尿病前期组(糖化血红蛋白≥5.7%且≤6.4%)的午睡风险较高(OR=1.66,95%CI:1.09~2.52,P=0.02;OR=1.36,95%CI:1.04~1.77,P=0.02)。在40~60岁中年男性人群中差异无统计学意义。结论不同的糖尿病状态可能与午睡具有关联性,更多关注午睡可能有助于糖尿病病理状态的修复和改善。Objective To explore the relationship between diabetes and midday sleep in middle-aged and elderly men in China.Methods The cross-sectional survey method was adopted,and the data were from the China Health and Retirement Long term Study(CHARLS)of Peking University,which included 1923 subjects.The subjects were divided into three groups according to the level of glycosylated hemoglobin:non diabetic group(glycosylated hemoglobin<5.7%)(control group),diabetic group(glycosylated hemoglobin≥6.5%)and pre diabetic group(glycosylated hemoglobin≥5.7%and≤6.4%).Logistic regression model was used to analyze the relationship between diabetes and midday sleep.Results After correcting the confounding factors,the results of Logistic regression model showed that,compared with the non diabetic group(glycosylated hemoglobin<5.7%),diabetic group(glycosylated hemoglobin≥6.5%)and pre diabetic group(glycosylated hemoglobin≥5.7%and≤6.4%)had no significant correlation with the status of midday sleep(P>0.05).By age stratification analysis,it was found that in the elderly male population aged 60 years and above,the risk of siesta was higher in the diabetes group(glycosylated hemoglobin≥6.5%)and pre diabetes group(glycosylated hemoglobin≥5.7%and≤6.4%)(OR=1.66,95%CI:1.09-2.52,P=0.02)(OR=1.36,95%CI:1.04-1.77,P=0.02).However,there was no significant difference among middle-aged men aged 40-60 years.Conclusion Different diabetic states may be significantly related to siesta,and more attention to siesta may contribute to the repair and improvement of diabetic pathological state.

关 键 词：糖尿病 午间睡眠 中老年 男性 相关性 中国健康与养老追踪调查2015 

分 类 号：R587.1[医药卫生—内分泌]