Association of sleep status with depressive state in centenarians: Evidence from Hainan centenarian cohort.

Autor: Yang S; Department of Disease Prevention and Control, First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China., Han K; Department of Gastroenterology and Hepatology, First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China., Wang S; Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China., Li R; Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China., Li X; Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China., Chen S; Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China., Zhao Y; Central Laboratory of Hainan Hospital, Chinese People's Liberation Army General Hospital, Sanya, 572013, China., Liu G; Sixth Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China., Liu M; Department of Statistics and Epidemiology, Graduate School, Chinese People's Liberation Army General Hospital, Beijing, 100853, China. Electronic address: liumiaolmbxb@163.com., He Y; Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China; State Key Laboratory of Kidney Diseases, Beijing, 100853, China. Electronic address: yhe301@x263.net.
Jazyk: angličtina
Zdroj: Sleep medicine [Sleep Med] 2023 Dec; Vol. 112, pp. 308-315. Date of Electronic Publication: 2023 Nov 08.
DOI: 10.1016/j.sleep.2023.11.007
Abstrakt: Objective: The objective of this study is to analyze the association between sleep quality, sleep duration, sleep patterns, and depressive states among centenarians due to the crucial impact of depression on the well-being of elderly individuals, particularly the oldest. Recognizing easily identifiable manifestations and risk factors is essential since the onset of depressive states tends to be insidious.
Methods: The baseline data from the China Hainan Centenarians Cohort Study (CHCCS) served as the basis for this study. Questionnaire surveys were conducted to obtain research indicators, with depressive states evaluated using the GDS-15 scale and sleep quality evaluated using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression was employed to describe the association between sleep status and depressive states.
Results: A total of 994 centenarians, with an age range of 100-116 years and a mean age of 102.77 ± 2.75 years, were included in this study. Among these participants, 815 were female, accounting for 82.0 %. After adjustment, the odds ratio (OR) for the association between poor sleep quality and depressive states was 2.07 (95 % CI: 1.54-2.77) compared to those with normal sleep quality. Additionally, there were associations between depressive states and both nighttime sleep duration and total sleep duration. After adjustment, the strongest association between depressive state and sleep patterns was found for those who had >9 h of nighttime sleep and ≥2 h of daytime sleep (OR = 1.80, 95%CI: 1.02-3.16). Moreover, compared to centenarians with 7-9 h of sleep duration and good sleep quality, the highest odds ratio (OR = 3.44, 95%CI: 2.18-5.43) for the association between depressive states and sleep duration ≤7 h and poor sleep quality was observed.
Conclusion: The findings of this study indicate that there is an association between poor sleep quality and depressive states in centenarians. Furthermore, both sleep quality and long/short total sleep duration are associated with depressive states in this population. Therefore, special attention should be given to the psychological state of elderly individuals with short sleep duration and poor sleep quality in order to prevent depression and minimize its negative impact on their overall health.
Competing Interests: Declaration of competing interest Shanshan Yang and Yao He, on behalf of all the authors of “Association of Sleep Status with Depressive state in Centenarians: Evidence from Hainan Centenarian Cohort” disclose that no financial and personal relationships with other people or organizations that could inappropriately influence (bias) our work.
(Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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