The bidirectional relationship between sleep duration and depression in community-dwelling middle-aged and elderly individuals: evidence from a longitudinal study

2018 ◽  
Vol 52 ◽  
pp. 221-229 ◽  
Author(s):  
Yankun Sun ◽  
Le Shi ◽  
Yanping Bao ◽  
Yan Sun ◽  
Jie Shi ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Sleep Duration ◽  
Community Dwelling ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Bidirectional Relationship

scholarly journals Forgone care among middle aged and elderly with chronic diseases in China: evidence from the China Health and Retirement Longitudinal Study Baseline Survey

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019901 ◽  
Author(s):  
Xiangjun Li ◽  
Mingsheng Chen ◽  
Zhonghua Wang ◽  
Lei Si
Keyword(s):  
Longitudinal Study ◽  
Chronic Diseases ◽  
Elderly People ◽  
Inpatient Care ◽  
Healthcare Utilisation ◽  
Income Group ◽  
Baseline Survey ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Physical Examinations

ObjectiveIn general, published studies analyse healthcare utilisation, rather than foregone care, among different population groups. The assessment of forgone care as an aspect of healthcare system performance is important because it indicates the gap between perceived need and actual utilisation of healthcare services. This study focused on a specific vulnerable group, middle-aged and elderly people with chronic diseases, and evaluated the prevalence of foregone care and associated factors among this population in China.MethodsData were obtained from a nationally representative household survey of middle-aged and elderly individuals (≥45 years), the China Health and Retirement Longitudinal Study, which was conducted by the National School of Development of Peking University in 2013. Descriptive statistics were used to analyse sample characteristics and the prevalence of foregone care. Andersen’s healthcare utilisation and binary logistic models were used to evaluate the determinants of foregone care among middle-aged and elderly individuals with chronic diseases.ResultsThe prevalence of foregone outpatient and inpatient care among middle-aged and elderly people was 10.21% and 6.84%, respectively, whereas the prevalence of foregone care for physical examinations was relatively high (57.88%). Predisposing factors, including age, marital status, employment, education and family size, significantly affected foregone care in this population. Regarding enabling factors, individuals in the highest income group reported less foregone inpatient care or physical examinations compared with those in the lowest income group. Social healthcare insurance could significantly reduce foregone care in outpatient and inpatient situations; however, these schemes (except for urban employee medical insurance) did not appear to have a significant impact on foregone care involving physical examinations.ConclusionIn China, policy-makers may need to further adjust healthcare policies, such as health insurance schemes, and improve the hierarchical medical system, to promote reduction in foregone care and effective utilisation of health services.

scholarly journals Relationship Between Sleep and Arthritis in a Middle-aged and Older Chinese Population- the China Health and Retirement Longitudinal Study

2021 ◽  
Author(s):  
Chunnan Li ◽  
Shang shaomei
Keyword(s):  
Logistic Regression ◽  
Longitudinal Study ◽  
Protective Effect ◽  
Sleep Duration ◽  
Chinese Population ◽  
P Value ◽  
Confounding Factors ◽  
Middle Aged ◽  
Older Chinese ◽  
The Relationship

Abstract Objective. To evaluate the relationship between sleep duration, sleep restless and arthritis in middle-aged and older Chinese population. Methods. A total of 4957 middle-aged and elderly people aged 45 years and above from The China Health and Retirement Longitudinal Study (CHARLS) wave 3 were included. Multivariable logistic regression was used to calculate adjusted odds ratios (ORs) and 95 % confidence intervals (CIs) for arthritis. Results. Sleep duration was shown to have a U-shaped association with arthritis after adjusting confounding factors. Compared with <5h sleep duration per night, ORs (95 % CIs) of sleep duration 5-7,7-8 and 8-9 h per night for arthritis were 0.61 (0.52– 0.73, P value <0.001) ,0.47 (0.38-0.58, P value <0.001),0.50 (0.41,0.60, P value <0.001)and 0.50 (0.39–0.64, P value <0.001), respectively. Sleep restless was positively correlated with the prevalence of arthritis. After stratification according to sleep restless status, for those without sleep restless, 8-9 hours duration (OR=0.55, 95 % CI 0.39-0.78,P value=0.001)had the best protective effect on arthritis, while7-8 hours duration (OR=0.45, 95 % CI 0.34-0.60,P value <0.001)was best in people with sleep restless. Conclusion. In middle aged and old Chinese population, sleep duration is U-shaped associated with arthritis, and sleep restless affect the correlation.

TRANSITION PATTERNS OF FRAILTY SYNDROME IN COMMUNITY-DWELLING ELDERLY INDIVIDUALS: A LONGITUDINAL STUDY

2015 ◽  
pp. 1-6
Author(s):  
S. LANZIOTTI AZEVEDO DA SILVA ◽  
Á. CAMPOS CAVALCANTI MACIEL ◽  
L. DE SOUSA MÁXIMO PEREIRA ◽  
J.M. DOMINGUES DIAS ◽  
M. GUIMARÃES DE ASSIS ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Longitudinal Study ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Activity Level ◽  
Frailty Syndrome ◽  
Frailty Phenotype ◽  
Elderly Individuals ◽  
Belo Horizonte

Background: Little information is available about transitional patterns related to frailty syndrome in elderly individuals living in the community. Objective: To assess transitional patterns and determine which frailty phenotype variables are more involved in this process. Design: Longitudinal study. Population: Community-dwelling elderly individuals in Belo Horizonte, Minas Gerais, Brazil. Participants: Two hundred individuals over 65 years old. Measurements: The frailty phenotype was assessed at two different times, with a mean interval of 13 months. Comparison of the frequency distributions between the baseline and second assessment was conducted through Pearson’s chi-squared test, and a binary logistic regression was conducted to assess the most important items in this transition. Results: Sixty-eight percent of the elderly were women, with an average age of 73.7 (± 6.1) years. The pre-frail group transitioned the most between evaluations. Eighty-five individuals transitioned among frailty levels: 46 showed improvement while 39 worsened. Individuals who did scored low on the handgrip strength test in the first evaluation were more likely to have their frailty level worsen. Among individuals who showed improvements, those who were positive for weight loss and poor physical activity level in the first evaluation were less likely to improve. In this study, a greater number of individuals showed improved frailty levels over 13 months than worsened levels. Conclusion: Poor handgrip strength, weight loss, and poor physical activity are the most influential variables in frailty transitioning, leading to worsening levels of frailty or difficulty in making improvements.

scholarly journals 0609 Sleep Phenotypes in Middle-Aged and Older Hispanics/Latinos. Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A233-A233
Author(s):  
B Wu ◽  
W Tarraf ◽  
D M Wallace ◽  
A Stickel ◽  
N Schneiderman ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
Sleep Duration ◽  
Latent Class ◽  
Rating Scale ◽  
Community Dwelling ◽  
Health Study ◽  
Apnea Hypopnea Index ◽  
Middle Aged ◽  
Targeted Interventions ◽  
Percent Time

Abstract Introduction Identifying sleep phenotypes in the diverse and understudied US Hispanic/Latino population is critical to developing interventions and mitigating distal clinical outcomes (e.g. dementias). Methods Using latent class analyses (LCA), we identify empirically derived and clinically meaningful sleep phenotypes using data on community dwelling middle-aged/older adults (ages ≥45-years) from the HCHS/SOL (2008-2011) - Investigation of Neurocognitive Aging (n=6,377). Sleep variables used included Apnea/Hypopnea Index (AHI), percent time SpO2&lt;90%, Epworth Sleepiness Scale (ESS), Women’s Health Initiative Insomnia Rating Scale (WHIIRS), self-reported average sleep duration, restless legs symptoms, napping frequency, and sleep quality. Results Mean (M) age was 56.4±8.1 years, and 54.7% were female. Average AHI, ESS, WHIIRS, and sleep duration were 8.7±13.1, 6.0±5.0, 7.6±5.5, and 7.8±1.4, respectively, and 25.8% had zero percent time SpO2 &lt;90%. Fit statistics indicated that a four-class solution provided the best data fit. The derived classes, adjusting for age, sex, income, and acculturation, corresponded with four clinically meaningful groups: (1) 28.8% were asymptomatic [(M) AHI=0.8; (M) ESS=5.6; (M)WHIIRS=7.6; (M) sleep duration=7.8; 0% SpO2&lt;90%=74.1%], (2) 25.7 % were asymptomatic mild sleep apnea [(M) AHI=6.2; (M) ESS=3.8; (M) WHIIRS=2.9; (M) sleep duration=7.8; 0% SpO2&lt;90%=8.8%], (3) 19.4% were symptomatic sleep apnea [(M) AHI=25.6; (M) ESS=8.5; (M) WHIIRS=7.2; (M) sleep duration=7.7; 0% SpO2&lt;90%= 0.5%], and (4) 26.1% were insomnia [(M) AHI=5.7; (M) ESS=6.7; (M) WHIIRS=13.0; (M) sleep duration=7.8; 0% SpO2&lt;90%=10.3%]. Classification into groups 3 and 4 were primarily driven by elevated AHI and WHIIRS scores, respectively. The distribution of scores in the derived groups suggest variations relative to current clinical thresholds. Conclusion We identified 4-groups using LCA in a community-based sample of diverse U.S. Hispanic/Latino adults. Better characterization of sleep phenotypes for Hispanics/Latinos can help in developing targeted interventions studies and ameliorate health disparities. Support 5R01AG048642-05; R21AG056952; R21HL140437.

scholarly journals The Association of Sleep Duration With Vision Impairment in Middle-Aged and Elderly Adults: Evidence From the China Health and Retirement Longitudinal Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Mengsha Sun ◽  
Qiyu Bo ◽  
Bing Lu ◽  
Xiaodong Sun ◽  
Minwen Zhou
Keyword(s):  
Logistic Regression ◽  
Longitudinal Study ◽  
Sleep Duration ◽  
Regression Models ◽  
Vision Impairment ◽  
Multilevel Logistic Regression ◽  
Elderly Adults ◽  
Middle Aged ◽  
Logistic Regression Models ◽  
Long Sleep

Objective: This study aims to investigate the association of sleep duration with vision impairment (VI) in middle-aged and elderly adults.Methods: This cross-sectional study used the data from the baseline survey of the China Health and Retirement Longitudinal Study (CHARLS) 2011–2012, a national survey of adults aged 45 years or older. Weighted multilevel logistic regression models were used to evaluate the association between self-reported sleep duration and VI.Results: Of the 13,959 survey respondents, a total of 4,776 (34.2%) reported VI. The prevalence of short (≤6 h/night) and long (&gt;8 h/night) sleep durations was higher among respondents with VI than those without VI (P &lt; 0.001). Multilevel logistic regression models showed that compared with a sleep duration of 6–8 h/night, a sleep duration of ≤6 h/night was associated with a 1.45-fold [95% confidence interval (CI) = 1.34–1.56] higher VI risk, and a sleep duration of &gt;8 h/night was associated with a 1.18-fold (95% CI = 1.03–1.34) higher VI risk, after adjusting for sociodemographic data, lifestyle factors, and health conditions. Vision impairment was associated with short sleep duration in respondents from all age or gender categories. However, VI was associated with long sleep duration in respondents from the elderly or female categories. The association between VI and long sleep duration disappeared in respondents of middle-aged or male categories.Conclusions: The potential impact of sleep on the risk of visual functions requires further attention. A more comprehensive and integrated health care and rehabilitation system covering vision and sleep is also needed.

scholarly journals The Temporal Relationship Between Sleep Duration and Blood Lipids in Chinese Middle-aged and Elderly Individuals: Evidence From CHARLS

2021 ◽  
Author(s):  
Yilei Ma ◽  
Ziwei Chen ◽  
Yanran Duan ◽  
Tingting Mo ◽  
Wenli Liu ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Temporal Relationship ◽  
Blood Lipids ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Low Density Lipoprotein Cholesterol ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Path Coefficients

Abstract Background: To explore the temporal relationship between blood lipids and sleep duration and clarify their potential causality in Chinese middle-aged and elderly individuals.Methods: We used medical examinations and questionnaire data of 5016 Chinese middle-aged and elderly individuals in 2011 and 2015. Cross-lagged path analysis was performed to examine the potential bidirectional relationships between blood lipids and sleep duration.Results: In total population, significant bidirectional relationship was observed between sleep duration and high-density lipoprotein cholesterol level and the path coefficients were -0.171 (P = 0.005) and -0.006 (P = 0.002). In contrast, there was a positive correlation between and sleep duration, and the path coefficient from triglycerides to sleep duration 4 year later (O = 0.001, P = 0.018) was greater than that from sleep duration to triglycerides 4 year later (b = 0.109, P = 0.847), with P = 0.030 for the difference between j and e. Longer sleep duration was associated lower levels of low-density lipoprotein cholesterol (c = -0.275, P = 0.097) and total cholesterol (t = -0.329, P = 0.096) 4 year later. In stratified analysis, effects of sleep duration on blood lipids were only observed among individuals aged < 60 years, while the effect in the opposite direction was observed in elderly individuals, and the cross-lagged path coefficients were more significant in adults with BMI > 25.Conclusions: Temporal relationships between sleep duration and high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total cholesterol, and triglycerides were different. The strength and direction of the relationships may be related to age and BMI.

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