探究睡眠时长与社区老年2型糖尿病病人血糖管理效果之间的关联性  

Association between sleep duration and glycemic control among community elderly patients with type 2 diabetes mellitus

作　　者：卢昆 张艳 彭香红 洪镭 叶青[3] 董广强 LU Kun;ZHANG Yan;PENG Xianghong;HONG Lei;YE Qing;DONG Guangqiang(Nanjing Jiangbei New Area Public Health Service Center,Nanjing 211500,China;Nanjing Jiangbei New Area SHANPAN Community Health Service Center,Nanjing 211500,China;Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210008,China)

机构地区：[1]南京江北新区公共卫生服务中心,江苏省南京市211500 [2]南京江北新区山潘社区卫生服务中心,江苏省南京市211500 [3]南京市疾病预防控制中心,江苏省南京市210008

出　　处：《实用老年医学》2025年第4期406-410,共5页Practical Geriatrics

摘　　要：目的探讨社区老年2型糖尿病病人睡眠时长与血糖控制状况的关系。方法2021年6—11月,采用多阶段分层整群抽样方法,随机抽取688例≥60岁社区2型糖尿病病人作为调查对象,采用多因素logistic回归分析睡眠时长对糖尿病病人血糖控制的影响。结果老年糖尿病病人中,327例(47.5%)睡眠正常,136例(19.8%)睡眠不足,225例(32.7%)睡眠时间过长。调整年龄、性别、受教育水平、高血压、吸烟、饮酒、BMI、体力活动、糖尿病家族史和规律服药后,睡眠时间过长的老年糖尿病病人HbA1c控制率是睡眠正常病人的0.7倍(95%CI:0.49~0.97,P=0.036)。睡眠时间过长病人FPG控制率是睡眠正常病人的0.72倍(95%CI:0.49~0.95,P<0.001)。结论睡眠时间过长会影响社区老年糖尿病病人的血糖水平,降低其血糖控制率。Objective To investigate the association between sleep duration with glycemic control among community elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 688 elderly patients with T2DM were randomly selected from communities with multi-stage stratified cluster random sampling method.Multivariable logistic regression models were used to analyze the association of sleep duration with glycemic control.Results Of the elderly patients with T2DM,327(47.5%)cases presented with normal sleep,136(19.8%)presenting with short sleep,and 225(32.7%)presenting with long sleep,respectively.After adjustment for potential confounders,long sleep duration was an independent influencing factor of glycemic under control(OR=0.70,95%CI:0.49-0.97 for glycated hemoglobin;OR=0.72,95%CI:0.49-0.95 for fasting plasma glucose).Conclusions Long duration of sleep could influence the glucose metabolism in the community elderly patients with T2DM,and decrease the rate of glycemic control.

关 键 词：睡眠时间 血糖控制 社区老年人 2型糖尿病 

分 类 号：R587.1[医药卫生—内分泌]