Characterization and factors associated with sleep quality among rural elderly in China

Li, Jie; Yao, Yingshui; Dong, Qing; Dong, Yonghai; Liu, Juanjuan; Yang, Linsheng; Huang, Fen

doi:10.1016/j.archger.2012.08.002

Cited by 121 publications

(116 citation statements)

References 30 publications

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“…The present results are in line with a study of sleep quality among rural elderly in China, in which rice as major staple food was a significant predictor of poor sleep quality [24]. Possible mechanisms of the effect may be related to the higher group B vitamins and minerals in wheat products and other staple food than in rice.…”

Section: Discussionsupporting

confidence: 90%

Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank

Shi

et al. 2017

Nutrients

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Limited attention has been paid to the effect of dietary patterns on sleep problems. In the present study, we analyzed the cross-sectional data of 481,242 adults aged 30–79 years from the China Kadoorie Biobank. A laptop-based questionnaire was administered to collect information on food intakes and insomnia symptoms. Logistic regression was used to estimate the odds ratios of each insomnia symptom according to quartiles of each dietary pattern, with adjustment for potential confounders. Two major dietary patterns were derived by factor analysis. The traditional northern dietary pattern was characterized by high intakes of wheat and other staple food, whereas the modern dietary pattern was characterized by high intakes of meat, poultry, fish, eggs, fresh fruit, and dairy products. Both dietary patterns were associated with a decreased prevalence of insomnia symptoms (p for trend < 0.001); after adjustment for potential confounders, individuals who had the highest quartile score of traditional northern dietary pattern were 12%–19% less likely to have insomnia symptoms compared to those in the lowest quartile (odds ratio: 0.81–0.88), and the corresponding values for the modern dietary pattern were 0.89–1.01. Furthermore, interactions of these two dietary patterns on insomnia symptoms were observed. Further prospective studies are needed to elucidate the relationship between diet and insomnia.

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Section: Discussionsupporting

confidence: 90%

Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank

Shi

et al. 2017

Nutrients

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“…Aliasgharpoor et al (26) also reported the same finding, while other studies reported that sleep quality was significantly related to affliction by physical and mental disorders (10,12,13). The insignificant relationship between these two variables in the present study can be attributed to the fact that most of our participants were non-hospitalized elderly people who had better health status compared to other elderly people.…”

Section: Discussioncontrasting

confidence: 48%

“…However, Li et al reported that disturbances in doing daily activities reduce sleep quality (12). It is worthy to note that most of our participants were married and lived with their spouses and children.…”

Section: Discussionmentioning

confidence: 99%

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Sleep Quality and Its Contributing Factors Among Elderly People: A Descriptive-Analytical Study

et al. 2017

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Background: Population aging is a major health issue in most countries. Sleep is one of the significant factors affecting aging and elderly people's quality of life. The present study was done to assess sleep quality and its contributing factors among elderly people. Methods: This cross-sectional descriptive-analytical study was conducted in 2016 on 284 elderly people aged sixty or more. Participants were selected from healthcare centers located in Birjand city, Iran, via the two-stage cluster sampling method. Data collection tools were a demographic questionnaire and the eighteen-item pittsburg sleep quality index. The collected data were entered into SPSS software (v. 16.0) and analyzed using Mann-Whitney U and Kruskal-Wallis tests at the significance level of less than 0.05.

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“…One report use the 36-item Short Form Health Survey (SF-36) to evaluate the QOL in the older Chinese in Zhejiang, and all scale scores of SF-36 in the rural population were significantly lower than those in the urban population, except for the general health domain [10]. The Chinese elderly in rural Anhui were found that 49.7% of them slept poorly; poor physical component summary (PCS) and poor mental component summary (MCS) are two predictors for poor sleep quality [11]. Another research further emphasized this worrisome situation: the over-65 age populations report the highest rate of completed suicide, reaching 44.3 to 200 per 100,000, which is four to five times higher than the general population, and the rural suicide rate is three to five times higher than the urban suicide rate [12].…”

Section: Introductionmentioning

confidence: 99%

Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: An empirical study in three economically developed cities in eastern China

Liang

2014

Health and Quality of Life Outcomes

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BackgroundAlong with rapid economic development, the aging process in China is gradually accelerating. The living conditions of empty-nest rural elderly are worrisome. As a more vulnerable group, empty-nest elderly are facing more urgent health problems. This study explores the health-related quality of life (HRQOL) of empty-nest elderly in rural China and aims to arouse more social concern for their HRQOL.MethodsResearch subjects were empty-nest rural elderly from three cities: Nanjing, Suzhou, and Wenzhou (ages ≥ 60, n = 967). This study used the five-dimensional European quality of health scale (EQ-5D) and the 12-item Short Form Health Survey (SF-12) to measure the HRQOL of the respondents. Spearman correlation coefficient, stereotype logistic regression, ordered probit regression and multinomial logistic regression, and Structural equation model (SEM) methods are employed to study the relationship.Results(1) The Spearman correlation coefficient shows that the correlations of similar domains between the SF-12 and the EQ-5D scales are relatively strong. (2) Men’s scores are higher than that of women’s in general health (GH) and anxiety/depression (AD) models. (3) The scores of physical component summary (PCS), physical functioning (PF), mental health (MH), and usual activities (UA) decline with age. (4) Apart from PCS, vitality (VT), and role-emotional (RE) as dependent variables, the education passes all the significance tests. The higher the education is, the higher the scores of physical or psychological health are. (5) The scores of PCS and bodily pain (BP) of empty-nest elderly are divorced or higher in other marital status. (6) In SEM analysis, the effect of basic information of empty-nest elderly on SF-12 scale is more significant.Conclusions First, the frequency histograms of EQ-5D show that the scores of empty-nest elderly in rural China are generally low. Second, in all SF-12 items, the HRQOL is low. Third, men’s scores are higher than that of women’s. The elderly with higher education reported higher scores than those with lower education. Fourth, the effect of socio-demographic variables of the rural Chinese empty-nest elderly on SF-12 scores is more significant, whereas the effect on EQ-5D scores is less significant.

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Characterization and factors associated with sleep quality among rural elderly in China

Cited by 121 publications

References 30 publications

Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank

Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank

Sleep Quality and Its Contributing Factors Among Elderly People: A Descriptive-Analytical Study

Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: An empirical study in three economically developed cities in eastern China

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