匹兹堡睡眠质量指数
医学
睡眠障碍
队列
逻辑回归
老人忧郁量表
生活质量(医疗保健)
萧条(经济学)
老年学
优势比
队列研究
物理疗法
内科学
精神科
失眠症
睡眠质量
认知
抑郁症状
经济
护理部
宏观经济学
作者
Kazuki Honda,Tomohisa Ishikawa,Ryuji Fukuhara,Seiji Yuki,Yusuke Miyagawa,Asuka Koyama,Yosuke Hidaka,Shuken Boku,Minoru Takebayashi
出处
期刊:International Psychogeriatrics
日期:2020-10-01
卷期号:32 (S1): 167-167
标识
DOI:10.1017/s1041610220002999
摘要
[Background] Sleep disturbance is a common symptom in elderly people. However, the associated risk factors have not been completely clarified. We examined possible risk factors associated with sleep disturbance in a community-based Japanese cohort study. [Methods] 1521 community-dwelling individuals aged 65 years or older were selected from a consecutive series at a cohort study from 2016 to 2018 in Arao city, where located at south part of Japan. In this survey, the clinical valuables were collected as follows: age, sex, occupational status, education, lifestyle information, medical history, EuroQoL(EQ)-5D (a score of health-related quality of life [QOL]), Barthel index (a score of performance in activities of daily living), a score of Geriatric Depression Scale (GDS) and a score of Mini-Mental State Examination (MMSE). Sleep disturbance was assessed by the Pittsburgh Sleep Quality Index (when the global score was 6 or over, sleep disturbance was determined to be present). Multiple logistic regression analysis was used to examine the association between clinical valuables and sleep disturbance. This research was supported by AMED (Japan Agency for Medical Research and Development) under Grant Number JP18dk0207025h0003 and has been approved by the research ethics committee of Kumamoto University. Informed consent was obtained from all participants and their family members. [Results] Multiple logistic regression analysis revealed that Parkinson disease (Odds ratio[OR]=5.59), living alone (OR=1.93), liver disease (OR=1.89), hyperlipidemia (OR=1.36), higher score of GDS (OR=1.14), lower scores of both EQ-5D index (OR=1.11) and Barthel index (OR=1.03) were significantly associated as risk factors with sleep disturbance. Unexpectedly, lower score of MMSE was not a significant risk factor. [Conclusion] These results suggest that several physical illnesses, solitude, depressive symptoms and lower QOL, but not cognitive impairment, might be crucial risk factors associated with sleep disturbance in elderly population.
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