Association between nap time, nighttime sleep, and multimorbidity in Chinese older adults: a cross-sectional study

被引:0
作者
Song, Yanliqing [1 ]
Chen, Lin [1 ]
Liu, Yue [2 ]
机构
[1] Nanjing Tech Univ, Coll Sports, Nanjing, Peoples R China
[2] Shanghai Univ Sport, Sch Athlet Performance, Shanghai, Peoples R China
关键词
Multimorbidity; Elderly; China; Sleep duration; Health; MILD COGNITIVE IMPAIRMENT; C-REACTIVE PROTEIN; CHRONIC DISEASES; HEALTH OUTCOMES; DURATION; METAANALYSIS; MORTALITY; QUALITY; RISK;
D O I
10.1186/s12877-025-05807-x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
ObjectiveThis study aims to explore the relationship between sleep duration and multimorbidity among elderly Chinese and to determine the optimal sleep duration for preventing multimorbidity.MethodsThis study is based on data from the 2020 China Health and Elderly Care Longitudinal Survey (CHARLS), which collected detailed information from 5,761elderly individuals, including demographic characteristics, sleep duration, health status, and lifestyle information. Logistic regression models were used to investigate the relationship between sleep duration and multimorbidity, and restricted cubic spline analysis was employed to analyze the dose-response relationship between sleep duration and multimorbidity.ResultsAfter adjusting for potential confounders, a U-shaped association was found between nighttime sleep duration and the likelihood of multimorbidity among the elderly. Specifically, elderly individuals with a nighttime sleep duration of 7 h had the lowest incidence of multimorbidity. Compared to those with 6-8 h of nighttime sleep, elderly individuals with less than 6 h (OR = 1.24, 95% CI: 1.05-1.48) or more than 8 h (OR = 1.79, 95% CI: 1.37-2.34) of nighttime sleep had a 24% and 79% increased likelihood of multimorbidity, respectively. The restricted cubic spline analysis further confirmed this U-shaped relationship, showing that the likelihood of multimorbidity gradually decreased as sleep duration increased from 6 to 7 h, but gradually increased as sleep duration exceeded 7 h. Additionally, a positive correlation was found between napping habits and the likelihood of multimorbidity, with elderly individuals without napping habits having a lower likelihood of multimorbidity compared to those with napping habits. Subgroup analysis indicated no significant differences in the impact of 6-8 h of nighttime sleep on multimorbidity among male and female elderly individuals and different age groups.ConclusionAppropriate nighttime sleep duration may be an important factor in preventing multimorbidity among the elderly, while increased napping duration may increase the likelihood of multimorbidity. These findings provide scientific evidence for sleep health management among the elderly, suggesting the promotion of appropriate sleep duration to reduce the likelihood of multimorbidity in this population.
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页数:11
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[1]   Multimorbidity: Epidemiology and Risk Factors in the Golestan Cohort Study, Iran: A Cross-Sectional Analysis [J].
Ahmadi, Batoul ;
Alimohammadian, Masoomeh ;
Yaseri, Mehdi ;
Majidi, Azam ;
Boreiri, Majid ;
Islami, Farhad ;
Poustchi, Hossein ;
Derakhshan, Mohammad H. ;
Feizesani, Akabar ;
Pourshams, Akram ;
Abnet, Christian C. ;
Brennan, Paul ;
Dawsey, Sanford M. ;
Kamangar, Farin ;
Boffetta, Paolo ;
Sadjadi, Alireza ;
Malekzadeh, Reza .
MEDICINE, 2016, 95 (07) :e2756
[2]   Sleep Restriction for 1 Week Reduces Insulin Sensitivity in Healthy Men [J].
Buxton, Orfeu M. ;
Pavlova, Milena ;
Reid, Emily W. ;
Wang, Wei ;
Simonson, Donald C. ;
Adler, Gail K. .
DIABETES, 2010, 59 (09) :2126-2133
[3]   Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies [J].
Cappuccio, Francesco P. ;
D'Elia, Lanfranco ;
Strazzullo, Pasquale ;
Miller, Michelle A. .
SLEEP, 2010, 33 (05) :585-592
[4]   Physical multimorbidity and psychological distress among Chinese older adults: Findings from Chinese Longitudinal Healthy Longevity Survey [J].
Cheng, Cheng ;
Du, Yinjun ;
Bai, Jie .
ASIAN JOURNAL OF PSYCHIATRY, 2022, 70
[5]   Impact of COVID-19 on routine care for chronic diseases: A global survey of views from healthcare professionals [J].
Chudasama, Yogini, V ;
Gillies, Clare L. ;
Zaccardi, Francesco ;
Coles, Briana ;
Davies, Melanie J. ;
Seidu, Samuel ;
Khunti, Kamlesh .
DIABETES & METABOLIC SYNDROME-CLINICAL RESEARCH & REVIEWS, 2020, 14 (05) :965-967
[6]   Association of Sleep Duration and Use of Sleeping Medication with Multimorbidity in Adults: Results from the PAMPA (Brazil) Cohort Study [J].
Delpino, Felipe Mendes ;
Caputo, Eduardo L. ;
Arcencio, Ricardo Alexandre ;
Cassuriaga, Julia ;
Huckembeck, Caroline Malue ;
Nunes, Bruno Pereira ;
Rombaldi, Airton Jose ;
Reichert, Felipe Fossati ;
da Silva, Marcelo Cozzensa ;
Feter, Natan .
SLEEP SCIENCE, 2023, 16 (01) :68-74
[7]   Association between sleep duration and depression in US adults: A cross-sectional study [J].
Dong, Lu ;
Xie, Yongwei ;
Zou, Xiaohua .
JOURNAL OF AFFECTIVE DISORDERS, 2022, 296 :183-188
[8]   Social inequalities in multimorbidity, frailty, disability, and transitions to mortality: a 24-year follow-up of the Whitehall II cohort study [J].
Dugravot, Aline ;
Fayosse, Aurore ;
Dumurgier, Julien ;
Bouillon, Kim ;
Ben Rayana, Tesnim ;
Schnitzler, Alexis ;
Kivimaki, Mika ;
Sabia, Severine ;
Singh-Manoux, Archana .
LANCET PUBLIC HEALTH, 2020, 5 (01) :E42-E50
[9]   Associations Between Change in Sleep Duration and Inflammation: Findings on C-reactive Protein and Interleukin 6 in the Whitehall II Study [J].
Ferrie, Jane E. ;
Kivimaeki, Mika ;
Akbaraly, Tasnime N. ;
Singh-Manoux, Archana ;
Miller, Michelle A. ;
Gimeno, David ;
Kumari, Meena ;
Smith, George Davey ;
Shipley, Martin J. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2013, 178 (06) :956-961
[10]   Global Multimorbidity Patterns: A Cross-Sectional, Population-Based, Multi-Country Study [J].
Garin, Noe ;
Koyanagi, Ai ;
Chatterji, Somnath ;
Tyrovolas, Stefanos ;
Olaya, Beatriz ;
Leonardi, Matilde ;
Lara, Elvira ;
Koskinen, Seppo ;
Tobiasz-Adamczyk, Beata ;
Luis Ayuso-Mateos, Jose ;
Maria Haro, Josep .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2016, 71 (02) :205-214