Cargando…
Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data
BACKGROUND: Sleep quality and exercise frequency are closely associated with coronary heart disease (CHD). Few studies focused on the joint effect of initiating sleep, sleep disorders, and exercise frequency on the risk of CHD in the elderly. We used a secondary data analysis based on Boshan Elderly...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631020/ https://www.ncbi.nlm.nih.gov/pubmed/37940903 http://dx.doi.org/10.1186/s12889-023-17077-6 |
_version_ | 1785132278830071808 |
---|---|
author | Lin, Jiujing Yao, Huichen Li, Jia Tian, Shoufeng Li, Xiaoliang Hou, Qingzhi |
author_facet | Lin, Jiujing Yao, Huichen Li, Jia Tian, Shoufeng Li, Xiaoliang Hou, Qingzhi |
author_sort | Lin, Jiujing |
collection | PubMed |
description | BACKGROUND: Sleep quality and exercise frequency are closely associated with coronary heart disease (CHD). Few studies focused on the joint effect of initiating sleep, sleep disorders, and exercise frequency on the risk of CHD in the elderly. We used a secondary data analysis based on Boshan Elderly cross-sectional study. We explored the sleep quality, exercise frequency, and their joint effects on the risk of CHD. METHODS: We collected 678 participants whose age ≥ 60 years old from Boshan District Hospital. We used the Pittsburgh Sleep Quality Index to evaluate the sleep quality and obtained physical examination information from the hospital. RESULTS: Compared with the non-CHD group, patients with CHD spent more time in initiating sleep (time ≥ 60 min, 34.59% vs. 22.93%, P = 0.025) and less time exercising (exercise frequency < 1 times/week, 23.90% vs. 17.15%, P = 0.024). In multiple logistic regression analysis, sleep latency ≥ 60 min was associated with CHD risk (adjusted OR = 1.83; 95% CI: 1.11, 2.99; P-trend = 0.008). The adjusted OR (95% CI) of CHD was 2.24 (1.16, 4.34) for sleep duration < 5 h versus 5–9 h. Compared with exercise frequency < 1 times/week, the adjusted OR for exercise frequency ≥ 1 times/week was 0.46 (95% CI: 0.26, 0.83; P = 0.010). In addition, the joint effects of long sleep latency (≥ 60 min) and sleep disorders were associated with CHD (adjusted OR = 3.36; 95% CI: 1.41, 8.02). The joint effect of exercise frequency ≥ 1 times/week and sleep onset latency within normal limits (< 30 min) was also associated with CHD, and the adjusted OR (95% CI) was 0.42 (0.21, 0.87). CONCLUSIONS: Long sleep latency, high frequency of initiating sleep difficulty, sleep disorders, and short sleep duration were positively associated with CHD. In addition, the joint effects of long sleep latency and sleep disorders were positively correlated with CHD incidence. However, the joint effects of exercise frequency ≥ 1 times/week and normal sleep onset latency were negatively associated CHD. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-17077-6. |
format | Online Article Text |
id | pubmed-10631020 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106310202023-11-07 Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data Lin, Jiujing Yao, Huichen Li, Jia Tian, Shoufeng Li, Xiaoliang Hou, Qingzhi BMC Public Health Research BACKGROUND: Sleep quality and exercise frequency are closely associated with coronary heart disease (CHD). Few studies focused on the joint effect of initiating sleep, sleep disorders, and exercise frequency on the risk of CHD in the elderly. We used a secondary data analysis based on Boshan Elderly cross-sectional study. We explored the sleep quality, exercise frequency, and their joint effects on the risk of CHD. METHODS: We collected 678 participants whose age ≥ 60 years old from Boshan District Hospital. We used the Pittsburgh Sleep Quality Index to evaluate the sleep quality and obtained physical examination information from the hospital. RESULTS: Compared with the non-CHD group, patients with CHD spent more time in initiating sleep (time ≥ 60 min, 34.59% vs. 22.93%, P = 0.025) and less time exercising (exercise frequency < 1 times/week, 23.90% vs. 17.15%, P = 0.024). In multiple logistic regression analysis, sleep latency ≥ 60 min was associated with CHD risk (adjusted OR = 1.83; 95% CI: 1.11, 2.99; P-trend = 0.008). The adjusted OR (95% CI) of CHD was 2.24 (1.16, 4.34) for sleep duration < 5 h versus 5–9 h. Compared with exercise frequency < 1 times/week, the adjusted OR for exercise frequency ≥ 1 times/week was 0.46 (95% CI: 0.26, 0.83; P = 0.010). In addition, the joint effects of long sleep latency (≥ 60 min) and sleep disorders were associated with CHD (adjusted OR = 3.36; 95% CI: 1.41, 8.02). The joint effect of exercise frequency ≥ 1 times/week and sleep onset latency within normal limits (< 30 min) was also associated with CHD, and the adjusted OR (95% CI) was 0.42 (0.21, 0.87). CONCLUSIONS: Long sleep latency, high frequency of initiating sleep difficulty, sleep disorders, and short sleep duration were positively associated with CHD. In addition, the joint effects of long sleep latency and sleep disorders were positively correlated with CHD incidence. However, the joint effects of exercise frequency ≥ 1 times/week and normal sleep onset latency were negatively associated CHD. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-17077-6. BioMed Central 2023-11-08 /pmc/articles/PMC10631020/ /pubmed/37940903 http://dx.doi.org/10.1186/s12889-023-17077-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Lin, Jiujing Yao, Huichen Li, Jia Tian, Shoufeng Li, Xiaoliang Hou, Qingzhi Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data |
title | Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data |
title_full | Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data |
title_fullStr | Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data |
title_full_unstemmed | Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data |
title_short | Associations of sleep quality and exercise frequency and the risk of coronary heart disease in Chinese urban elderly: a secondary analysis of cross-sectional data |
title_sort | associations of sleep quality and exercise frequency and the risk of coronary heart disease in chinese urban elderly: a secondary analysis of cross-sectional data |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631020/ https://www.ncbi.nlm.nih.gov/pubmed/37940903 http://dx.doi.org/10.1186/s12889-023-17077-6 |
work_keys_str_mv | AT linjiujing associationsofsleepqualityandexercisefrequencyandtheriskofcoronaryheartdiseaseinchineseurbanelderlyasecondaryanalysisofcrosssectionaldata AT yaohuichen associationsofsleepqualityandexercisefrequencyandtheriskofcoronaryheartdiseaseinchineseurbanelderlyasecondaryanalysisofcrosssectionaldata AT lijia associationsofsleepqualityandexercisefrequencyandtheriskofcoronaryheartdiseaseinchineseurbanelderlyasecondaryanalysisofcrosssectionaldata AT tianshoufeng associationsofsleepqualityandexercisefrequencyandtheriskofcoronaryheartdiseaseinchineseurbanelderlyasecondaryanalysisofcrosssectionaldata AT lixiaoliang associationsofsleepqualityandexercisefrequencyandtheriskofcoronaryheartdiseaseinchineseurbanelderlyasecondaryanalysisofcrosssectionaldata AT houqingzhi associationsofsleepqualityandexercisefrequencyandtheriskofcoronaryheartdiseaseinchineseurbanelderlyasecondaryanalysisofcrosssectionaldata |