Poor sleep quality increases mortality risk: A population-based longitudinal prospective study in community-dwelling middle-aged and older adults

被引:9
作者
Del Brutto, Oscar H. [1 ]
Mera, Robertino M. [2 ]
Rumbea, Denisse A. [1 ]
Sedler, Mark J. [3 ]
Castillo, Pablo R. [4 ]
机构
[1] Univ Espiritu Santo Ecuador, Sch Med & Res Ctr, Samborondon, Ecuador
[2] Freenome Inc, Biostat Epidemiol, San Francisco, CA USA
[3] SUNY Stony Brook, Renaissance Sch Med, New York, NY USA
[4] Mayo Clin, Coll Med, Sleep Disorders Ctr, Jacksonville, FL USA
关键词
Sleep quality; Pittsburgh Sleep Quality Index; Mortality; Population study; ALL-CAUSE MORTALITY; 9-YEAR FOLLOW-UP; CARDIOVASCULAR-DISEASE; PHYSICAL-ACTIVITY; DURATION; ASSOCIATION; COHORT;
D O I
10.1016/j.sleh.2023.10.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: To assess the association between sleep quality and all-cause mortality in community-dwelling adults living in rural Ecuador. Methods: Individuals aged >= 40 years enrolled in the prospective population-based Three Villages Study cohort were included. Sleep quality was assessed by means of the Pittsburgh Sleep Quality Index. Study participants were evaluated at baseline and at every annual door-to-door survey until they remained enrolled in the study. Mixed models Poisson regression for repeated Pittsburgh Sleep Quality Index determinations and multivariate Cox-proportional hazards models were fitted to estimate mortality risk according to sleep quality. Results: Analysis included 1494 individuals (mean age: 56.6 +/- 12.5 years; 56% women) followed for a median of 6.3 +/- 3.3 years. At baseline, 978 (65%) individuals had good sleep quality and 516 (35%) had poor sleep quality. The effects of Pittsburgh Sleep Quality Index scores changing over time on mortality was confounded by the impact of the SARS-CoV-2 pandemic on both. One hundred ninety-five individuals (13%) died during the follow-up, resulting in a crude mortality rate of 1.58 per 100 person years (95% C.I.: 1.271.88) for individuals with good sleep quality, and 3.18 (95% C.I.: 2.53-3.82) for those with poor sleep quality at baseline. A multivariate Cox-proportional hazards model showed that individuals with poor sleep quality at baseline were 1.38 times (95% C.I.: 1.02-1.85) more likely to die compared to those with good sleep quality; in this model, increased age, poor physical activity, and high fasting glucose remained significant. Conclusions: Poor sleep quality is associated with increased mortality risk among middle-aged and older adults. (c) 2023 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:144 / 148
页数:5
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