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Citation
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Wang Y, Li W, Shen L, Song L, Li H, Liu B, Yuan J, Wang Y. Geriatr. Gerontol. Int. 2017; 17(11): 1886-1892. |
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Affiliation
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MOE Key Lab for Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. |
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Abstract
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AIM: To examine the association between nighttime sleep duration, sleep timing, and their interactive effect on falls among middle-aged and older Chinese adults.
METHODS: The study sample of 35,465 (mean age 64.5 years) subjects were from the Dongfeng-Tongji cohort. All subjects completed baseline questionnaires and medical examinations. Participants were classified into five groups based on nighttime sleep duration: <7 h, 7- ≤ 8 h, 8- ≤ 9 h, 9- ≤ 10 h, ≥10 h, and three groups based on sleep timing: <21:00, 21:00- ≤ 23:00, ≥23:00. Logistic regression models estimated the odds ratios (ORs) of nighttime sleep duration/timing with single/recurrent falls.
RESULTS: The one year rate of falls was 15.2 % among the subjects. After adjusting for potential confounders, participants with longer sleep duration (≥10 h) had 1.48 times (95 % confidence interval [CI], 1.11-1.97) higher odds of recurrent falls, compared with those sleeping 7- ≤ 8 h. Earlier (<21:00) and later (≥23:00) sleep timing were associated with recurrent falls (earlier: OR 1.90, 95 % CI 1.33-2.73; later: OR 1.33, 95 % CI 1.14-1.56) compared with a normal sleep schedule (sleep during 21:00- ≤ 23:00). The combined effect showed that longer sleep duration and earlier sleep timing were associated with a greater occurrence of falls (OR 1.66, 95 % CI 1.22-2.26).
CONCLUSIONS: Long nighttime sleep duration was associated with a higher occurrence of recurrent falls but not with a single fall. Long sleep duration with early timing greatly increased both single and recurrent falls. Geriatr Gerontol Int 2017; ••: ••-••.
© 2017 Japan Geriatrics Society.
Language: en |