探究睡眠时长与社区老年2型糖尿病病人血糖管理效果之间的关联性

doi:10.3969/j.issn.1003-9198.2025.04.017

实用老年医学 ›› 2025, Vol. 39 ›› Issue (4): 406-410.doi: 10.3969/j.issn.1003-9198.2025.04.017

探究睡眠时长与社区老年2型糖尿病病人血糖管理效果之间的关联性

卢昆, 张艳, 彭香红, 洪镭, 叶青, 董广强

211500 江苏省南京市, 南京江北新区公共卫生服务中心(卢昆, 彭香红, 洪镭, 董广强); 211500 江苏省南京市, 南京江北新区山潘社区卫生服务中心(张艳); 210008 江苏省南京市, 南京市疾病预防控制中心(叶青)

收稿日期:2024-05-28 出版日期:2025-04-20 发布日期:2025-04-22
通讯作者: 董广强,Email:dgq120@qq.com

Association between sleep duration and glycemic control among community elderly patients with type 2 diabetes mellitus

LU Kun, ZHANG Yan, PENG Xianghong, HONG Lei, YE Qing, DONG Guangqiang

Nanjing Jiangbei New Area Public Health Service Center, Nanjing 211500, China(LU Kun, PENG Xianghong, HONG Lei, DONG Guangqiang); Nanjing Jiangbei New Area SHANPAN Community Health Service Center, Nanjing 211500, China(ZHANG Yan); Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210008, China(YE Qing)

Received:2024-05-28 Online:2025-04-20 Published:2025-04-22
Contact: DONG Guangqiang,Email:dgq120@qq.com

摘要/Abstract

摘要： 目的探讨社区老年2型糖尿病病人睡眠时长与血糖控制状况的关系。方法 2021年6—11月,采用多阶段分层整群抽样方法,随机抽取688例≥60岁社区2型糖尿病病人作为调查对象,采用多因素logistic回归分析睡眠时长对糖尿病病人血糖控制的影响。结果老年糖尿病病人中,327例(47.5%)睡眠正常,136例(19.8%)睡眠不足,225例(32.7%)睡眠时间过长。调整年龄、性别、受教育水平、高血压、吸烟、饮酒、BMI、体力活动、糖尿病家族史和规律服药后,睡眠时间过长的老年糖尿病病人HbA1c控制率是睡眠正常病人的0.7倍(95%CI:0.49～0.97, P=0.036)。睡眠时间过长病人FPG控制率是睡眠正常病人的0.72倍(95%CI:0.49～0.95, P<0.001)。结论睡眠时间过长会影响社区老年糖尿病病人的血糖水平,降低其血糖控制率。

关键词: 睡眠时间, 血糖控制, 社区老年人, 2型糖尿病

Abstract: Objective To investigate the association between sleep duration with glycemic control among community elderly patients with type 2 diabetes mellitus(T2DM). Methods A total of 688 elderly patients with T2DM were randomly selected from communities with multi-stage stratified cluster random sampling method.Multivariable logistic regression models were used to analyze the association of sleep duration with glycemic control. Results Of the elderly patients with T2DM,327(47.5%) cases presented with normal sleep, 136(19.8%) presenting with short sleep, and 225(32.7%) presenting with long sleep, respectively.After adjustment for potential confounders, long sleep duration was an independent influencing factor of glycemic under control(OR=0.70, 95%CI: 0.49-0.97 for glycated hemoglobin; OR=0.72, 95%CI: 0.49-0.95 for fasting plasma glucose). Conclusions Long duration of sleep could influence the glucose metabolism in the community elderly patients with T2DM, and decrease the rate of glycemic control.

Key words: sleep duration, glycemic control, community elderly, type 2 diabetes mellitus

中图分类号:

R 587.1

卢昆, 张艳, 彭香红, 洪镭, 叶青, 董广强. 探究睡眠时长与社区老年2型糖尿病病人血糖管理效果之间的关联性[J]. 实用老年医学, 2025, 39(4): 406-410.

LU Kun, ZHANG Yan, PENG Xianghong, HONG Lei, YE Qing, DONG Guangqiang. Association between sleep duration and glycemic control among community elderly patients with type 2 diabetes mellitus[J]. Practical Geriatrics, 2025, 39(4): 406-410.

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探究睡眠时长与社区老年2型糖尿病病人血糖管理效果之间的关联性

Association between sleep duration and glycemic control among community elderly patients with type 2 diabetes mellitus

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