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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34391


    標題: Insomnia in older adult females is highly associated with metabolic syndrome
    作者: Chang, Hui-Chi
    Hsu, Ying-Hsin
    Chou, Ming-Yueh
    Chu, Che-sheng
    Su, Chen-San
    Liang, Chih-Kuang
    Chang, Cheng-Ho
    Yang, Tsan
    Chen, Liang-Kung
    Lin, Yu-Te
    貢獻者: Kaohsiung Vet Gen Hosp, Div Neurol, Dept Internal Med
    Kaohsiung Vet Gen Hosp, Ctr Geriatr & Gerontol
    Chia Nan Univ Pharm & Sci
    Natl Yang Ming Chiao Tung Univ, Aging & Hlth Res Ctr, Yangming Campus
    Natl Yang Ming Chiao Tung Univ, Sch Med, Dept Geriatr Med, Yangming Campus
    Kaohsiung Vet Gen Hosp, Dept Psychiat
    Meiho Univ, Dept Hlth Business Adm
    Taipei Vet Gen Hosp, Ctr Geriatr & Gerontol
    Taipei Municipal Gan Dau Hosp
    Tajen Univ, Dept Pharm
    關鍵字: Insomnia
    Metabolic syndrome
    Sleep disturbance
    Older adults
    Gender
    日期: 2021
    上傳時間: 2023-11-11 11:49:09 (UTC+8)
    出版者: SPRINGER
    摘要: Purpose The aim of this study is to investigate the relationships between insomnia and metabolic syndrome among Taiwanese older adults. Methods This cross-sectional study enrolled participants aged over 60 years from outpatient clinics between July and September 2018. Demographic characteristics of all participants and questionnaire data for sleep duration, use of hypnotic agents, baseline activities of daily living, 5 items of the geriatric depression scale, comorbidities, medications, and risk of obstructive sleep apnea were obtained. Insomnia was defined by scores of questionnaires of the Chinese version of the Athens Insomnia Scale higher or equal to 6 points. Metabolic syndrome was diagnosed according to criteria of the National Cholesterol Education Program Adult Treatment Panel III. Multivariable forward stepwise logistic regression analysis was applied to investigate independent associations between insomnia and metabolic syndrome before and after stratifying by gender. Results Among the 336 participants (mean age 74.9 +/- 8.5 years, female 49.1%), 63.1% participants had metabolic syndrome, with significantly higher prevalence among females than males (males 56.7%; females 69.7%). Participants with metabolic syndrome had higher rates of insomnia (34.0% vs. 21.8%, P = 0.018). The significant associations between insomnia and metabolic syndrome disappeared after adjusting for all covariates. However, insomnia was independently associated with metabolic syndrome in older females (adjusted OR 2.614, 95% CI 1.011-6.763, P = 0.048) after adjusting for all covariates. Conclusions Insomnia is significantly associated with metabolic syndrome among older female adults. These findings suggest that gender may play a role in the pathogenesis of insomnia and metabolic syndrome in older adults. Key summary pointsAim To investigate the relationships between insomnia and metabolic syndrome among Taiwanese older adults. Findings Participants with metabolic syndrome had higher rates of insomnia. The significant associations between insomnia and metabolic syndrome disappeared after adjusting for all covariates. However, insomnia was independently associated with metabolic syndrome in older females after adjusting for all covariates. Message Older adult participants with metabolic syndrome have higher prevalence of insomnia. Insomnia has higher independent odds for metabolic syndrome in older females, but not in older males.
    關聯: EUR GERIATR MED, v.13, n.1, pp.203-212
    Appears in Collections:[高齡福祉養生管理系] 期刊論文

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