Author:
Yang Shanshan,Wang Shengshu,Liu Guangdong,Li Rongrong,Li Xuehang,Chen Shimin,Zhao Yali,Liu Miao,Liu Yunxi,He Yao
Abstract
Abstract
Objective
This study, based on the China Hainan Centenarians Cohort Study (CHCCS), aims to comprehensively describe the characteristic of daytime, night and total sleep duration, sleep quality and different sleep mode of Hainan centenarians and their associations with activity of daily living (ADL) functions.
Method
The baseline data of CHCCS was used. ADL function was evaluated the Bathel index, sleep quality was evaluated by Pittsburgh sleep quality index (PSQI), sleep status including daytime, night and total sleep duration as well as sleep quality and sleep mode. Multivariate logistic regression model was used to explore the association between sleep status and ADL disability and ADL moderate & severe disability.
Results
A total of 994 centenarians were included in this study with the age range 100–116 years old. Compared with the centenarians who sleep 6–9 h at night and < 2 h in the daytime, the adjusted OR between sleep > 9 h at night and sleep ≥ 2 h in the daytime and ADL disability was 2.93 (95% CI: 1.02–8.44), and adjusted OR of ADL moderate & severe disability was 2.75 (95% CI: 1.56–4.83). Compared with centenarians who sleep for 7–9 h and have good sleep quality, centenarians who sleep for > 9 h and have poor sleep quality have an increased risk of ADL moderate & severe disability (OR = 3.72, 95% CI: 1.54–9.00).
Conclusion
Relation between sleep duration and ADL disability was more significant compared with sleep quality in Hainan centenarians. Poor sleep quality can aggravate the relationship between sleep duration and ADL moderate & severe disability.
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology
Reference30 articles.
1. Anand A, Bharti J. health concern: aging and health. Gis Sci J. 2021;08:857–61.
2. WHO. World health statistics 2022. 2022.
3. Chien MY, Chen HC. Poor sleep quality is independently associated with physical disability in older adults. J Clin Sleep Med. 2015;11(3):225–32.
4. Sun Y, Lyu YB, Zhong WF, Zhou JH, Li ZH, Wei Y, Shen D, Wu B, Zhang XR, Chen PL, et al. Association between sleep duration and activity of daily living in the elderly aged 65 years and older in China. Zhonghua Yi Xue Za Zhi. 2022;102(2):108–13.
5. Takada S, Yamamoto Y, Shimizu S, Kimachi M, Ikenoue T, Fukuma S, Onishi Y, Takegami M, Yamazaki S, Ono R, et al. Association between subjective sleep quality and future risk of falls in older people: results from LOHAS. J Gerontol A Biol Sci Med Sci. 2018;73(9):1205–11.