中国社区中老年人夜间睡眠时长与抑郁的相关性研究  

Study on the relationship between nocturnal sleep time and depression in the middle-aged and elderly in Chinese community

作　　者：汪玥杉 龙文成 彭介入 沈晓丽 张璐 张绮文 董尧 黄祖波[2] 余葱葱[2] 王超[2] 周浩[2] 杨春霞 WANG Yue-shan;LONG Wen-cheng;PENG Jie-ru;SHEN Xiao-li;ZHANG Lu;ZHANG Qi-wen;DONG Yao;HUANG Zu-bo;YU Cong-cong;WANG Chao;ZHOU Hao;YANG Chun-xia(Department of Epidemiology and Health Statistics,West China School of Public Health/West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川大学华西公共卫生学院/华西第四医院流行病与卫生统计学系,四川成都610041 [2]四川省中西医结合医院亚健康研究中心 [3]成都市妇女儿童中心医院 [4]四川大学华西第四医院陈志潜慢性病研究中心,四川成都610041

出　　处：《现代预防医学》2024年第11期2061-2065,共5页Modern Preventive Medicine

摘　　要：目的探讨中国社区中老年人睡眠情况与抑郁的相关性,为提升中老年人睡眠质量、心理健康及生活质量提供参考。方法本研究数据来自中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)2013和2018年资料,经过筛选数据,最终纳入研究对象6312例。将研究对象按其夜间睡眠时长进行分组,构建多因素线性回归模型及多元logistic回归模型,调整协变量,分析夜间睡眠时长与抑郁的关系。结果夜间睡眠时长过短或过长(7~<8 h为正常睡眠时长)的占76.81%;2018年的抑郁得分及检出率在不同夜间睡眠时长分组中差异具有统计学意义(F=30.127,χ2=67.928,均有P<0.001)。夜间睡眠时间与抑郁得分呈负相关(β=-0.278,P<0.001),进一步考虑协变量后,短时睡眠时长(≤5 h)是检出抑郁的风险因素(OR=1.621,95%CI:1.371~1.918),且女性相较男性风险更高(女性OR=1.673,95%CI:1.363~2.054;男性OR=1.501,95%CI:1.120~2.012)。结论中老年人的夜间睡眠与抑郁相关,并受到人口学、社会经济因素、健康行为因素等协变量影响,且中老年女性较男性、高龄较低龄有更高风险。应重视中老年人睡眠健康与心理健康,提高中老年人生活质量。Objective To explore the correlation between sleep and depression in middle-aged and elderly people in Chinese community,so as to provide references for improving sleep quality,mental health and quality of life of middle-aged and elderly people.Methods The data of this study were collected from the China Health and Retirement Longitudinal Study(CHARLS)in 2013 and 2018.After screening the data,6312 participants were included in the study,and they were divided into groups according to their nocturnal sleep duration.The multivariate linear regression model and multivariate logistic regression model were constructed,and the covariates were adjusted to analyze the relationship between nocturnal sleep duration and depression.Results There were 76.81%of the patients having too short or too long sleep at night(7 to<8 hours was the normal sleep time).The scores and detection rates of depression in 2018 were significantly different among different night sleep length groups(F=30.127,χ2=67.928,P<0.001).There was a negative correlation between night sleep time and depression score(β=-0.278,P<0.001).After further consideration of covariates,short sleep duration(≤5 h)was a risk factor for depression(OR=1.621,95%CI:1.371-1.918),and the risk of depression was higher in women than in men(OR=1.673,95%CI:1.363-2.054 in women;OR=1.501,95%CI:1.120-2.012 in men).Conclusion The nocturnal sleep of the middle-aged and elderly is related to depression and is affected by demographic,socio-economic factors,health behavior factors and other covariables,and middle-aged and elderly women have a higher risk than men and older age.Attention should be paid to sleep health and mental health of the middle-aged and elderly,so as to improve their quality of life.

关 键 词：睡眠时间 抑郁 CHARLS 老龄化 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R161.7[医药卫生—临床医学]