成都市农村老年人体力活动与睡眠质量的关系  

Association ofphysical activity with sleep quality among older adults in rural China

作　　者：叶琴 李县兰 刘倩倩 周峻民 YE Qin;LI Xian-lan;LIU Qian-qian;ZHOU Jun-min(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院/华西第四医院,四川成都610041

出　　处：《现代预防医学》2025年第4期685-689,702,共6页Modern Preventive Medicine

基　　金：国家自然科学基金(71904135);西藏自治区科技计划(XZ202301ZY0047G);四川省卫生健康委员会科技项目(24QNMP043)。

摘　　要：目的 分析成都市农村老年人体力活动及其不同类型与睡眠质量的关系,进一步探究该关系在不同年龄组中是否存在差异。方法 利用2021年5月至2023年5月在成都市农村地区进行的群随机对照试验数据,以8个村511名60岁及以上老年人为研究对象。采用老年人体力活动量表(Physical Activity Scale for the Elderly)、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index)等进行问卷调查。运用线性混合模型分析体力活动及其三种类型(闲暇时间体力活动、工作相关体力活动和家务性体力活动)与睡眠质量的关系。结果 闲暇时间体力活动与睡眠质量存在统计学关联(P<0.05),总体力活动水平、工作相关体力活动、家务性体力活动与睡眠质量不存在统计学关联(P>0.05)。≥70岁人群闲暇时间体力活动与睡眠质量存在统计学关联(β=-0.009,P=0.049)。结论 闲暇时间体力活动水平高的农村老年人睡眠质量较好。有必要开展提高我国农村老年人闲暇时间体力活动水平的干预项目,促进其睡眠质量的改善。Objective To examine the association between physical activity and its different domains with sleep quality among rural older adults in Chengdu,and to further investigate whether this relationship differs between different age groups.Methods Using data from a cluster randomized controlled trial conducted from May 2021 to May 2023 in rural areas of Chengdu,the study included 511 older adults aged 60 years and above from eight villages.A questionnaire survey was conducted using the Physical Activity Scale for the Elderly(PASE),the Pittsburgh Sleep Quality Index(PSQI),and other instruments.Linear mixed models were used to analyze the relationship between physical activity andits three domains(leisure time physical activity,work-related physical activity,and household physical activity)and sleep quality.Results There was a statistically significant association between leisure time physical activity and sleep quality(P<0.05),and there was no statistically significant association of total physical activity,work-related physical activity,household physical activity with sleep quality(P>0.05).The association between leisure time physical activity and sleep quality was more pronounced among those aged≥70 years(β=-0.009,P=0.049).Conclusion Rural older adults with higher leisure time physical activity level have better sleep quality.There is a need to carry out intervention programs to increase leisure time physical activity level among rural older adults to improve their sleep quality.

关 键 词：老年人 体力活动 睡眠质量 年龄差异 

分 类 号：R165[医药卫生—公共卫生与预防医学]