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The relationship between sleep duration and frailty: findings from the China Health and Retirement Longitudinal Study

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [2]Guizhou Prov Peoples Hosp, Dept Nursing, Guiyang, Peoples R China [3]Guizhou Med Univ, Affiliated Hosp, Dept Neurol, Guiyang, Peoples R China [4]Department of Neurology, The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, China
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关键词: sleep duration frailty frailty index CHARLS Chinese middle-aged and older adults

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Background: Research investigating the association between sleep duration and the risk of frailty has yielded conflicting results. This study used data from the China Health and Retirement Longitudinal Study (CHARLS) to investigate the association between sleep duration and frailty. Methods: Participants aged 45 and above at baseline were included in this study. Night or total sleep was categorized into three groups: short (<6 h), normal (6-9 h), and long sleep duration (>= 9 h). Frailty was measured by a 31-item frailty index (FI). Non-frail participants at baseline were followed up after a 7-year period. The association between sleep duration and FI was examined by linear regression and restricted cubic spline (RCS) analysis. The relationship between sleep duration and the risk of frailty was evaluated using multinomial logistic regression analysis. Results: A total of 10,258/10,250 (night/total sleep duration) participants were included in the cross-sectional study and 4,770/4,768 in the longitudinal study. A negative correlation was identified between the both night and total sleep duration and FI (night: beta = -0.83, p < 0.001; total: beta = -0.66, p < 0.001) after adjusting for age, sex, education level, marital status, residence, yearly expenditure, BMI, waist circumference, smoking status, and drinking status in the cross-sectional study. In the longitudinal study, the relationship remained. Short sleep duration increased FI (night: beta = 3.59, p < 0.001; total: beta = 3.74, p < 0.001) and the risk of frailty (night: OR [95% confidence interval (CI)], 1.06 [1.05, 1.08], p < 0.001; total: 1.07 [1.06, 1.08], p < 0.001) compared to normal sleep duration in the fully adjusted model of the cross-sectional study. The result remains consistent in the longitudinal analysis. Conclusion: Short sleep duration increases the risk of frailty in Chinese individuals aged 45 and above. Extending sleep duration in this population may help prevent or alleviate frailty among middle-aged and older adult individuals.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
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出版当年[2022]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China
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