中国老年人午睡时间与抑郁的风险因素研究  

A study on the risk factors of depression and napping time in chinese elderly

作　　者：张红月 俞彤 夏仲 ZHANG Hong-yue(Wannan Medical College,Graduate School,Wuhu 241000,China)

机构地区：[1]皖南医学院研究生学院,安徽芜湖241000 [2]皖南医学院人文与管理学院,安徽芜湖241000 [3]皖南医学院安徽省芜湖市第四人民医院睡眠医学科,安徽芜湖241000

出　　处：《牡丹江医学院学报》2023年第4期59-65,96,共8页Journal of Mudanjiang Medical University

基　　金：安徽省哲学社会科学项目研究成果(AHSKY2021D32)。

摘　　要：目的调查中国60岁以上老年人午睡时长与抑郁情绪之间的关系。方法数据来自于2018年中国健康与退休纵向研究(CHARLS)数据集,使用流调中心抑郁评定量表(CES-D)的中文版对抑郁情绪进行评估,将午睡时长分为五级:无午睡、<30 min、30~59 min、60~89 min、≥90 min,采用单因素方差分析比较不同抑郁程度老年人之间的差异,二分类多因素logistic回归分析午睡时长是否是不同性别老年人抑郁的风险因素。结果样本共9629例,男性4892人(50.80%),女性4737人(49.20%)。单因素方差分析发现,午睡时长、户口、教育程度、婚姻状况、是否体育锻炼、是否上网、是否社交、生活满意度、自评健康评定、视力程度、身体疼痛状况、饮酒情况、夜眠时长、童年健康状况都与抑郁情绪有显著差异,二分类多因素logistic回归发现,相较于无午睡,午睡时间短(<30 min)的老年人出现抑郁风险更高(OR=1.223,95%CI=1.026~1.459),对老年女性的影响更加显著(OR=1.306,95%CI=1.013~1.684),ROC曲线显示午睡能显著预测老年人抑郁风险的出现。结论中国60岁以上老年人中,午睡与抑郁情绪之间存在一定的关联,所以适当延长午睡时间有利于降低老年人发生抑郁的风险,但还需要进一步的研究来调查其中的联系机制,探索两者间的因果关系,促进老年人心理健康。Objective To investigate the relationship between the duration of siesta and depression in Chinese elderly over 60 years old.Methods The data were from the 2018 China Health and Retirement Longitudinal Study(CHARLS)data set.The Chinese version of the Epidemiology Research Center Depression Rating Scale(CES-D)was used to assess depression.The duration of the siesta was divided into five levels:no siesta,<30minutes,30~59 minutes,60~89 minutes,and≥90 minutes.The difference between the elderly with different levels of depression was compared by one-way ANOVA,Whether the duration of siesta is a risk factor for depression in the elderly of different genders was analyzed by binary multivariate logistic regression.Results A total of 9629 samples,4892 males(50.80%),and 4737 women(49.20%).Univariate ANOVA found that the duration of siesta,household registration,education level,marital status,whether to exercise,whether to surf the Internet,whether to socialize,life satisfaction,self-assessment health assessment,vision level,physical pain,drinking,length of sleep at night,childhood health was significantly different from depression.Two classification logistic regression found that compared with no siesta,The elderly who took a short nap(<30 minutes)had a higher risk of depression(OR=1.223,95%CI=1.026~1.459),and had a more significant impact on elderly women(OR=1.306,95%CI=1.013-1.684).The ROC curve showed that taking a nap could significantly predict the occurrence of depression in the elderly.Conclusion There is a certain correlation between siesta and depression among the elderly over 60 years old in China.Therefore,appropriately prolonging the siesta time is conducive to reducing the risk of depression in the elderly.However,further research is needed to investigate the linkage mechanism,explore the causal relationship between them,and promote the mental health of the elderly.

关 键 词：老年人 抑郁 午睡 

分 类 号：R749.4[医药卫生—神经病学与精神病学]