Scholarlink

Background <p>Sleep is a fundamental biological process that regulates immunity and metabolism and sustains healthy mood. This study aims to identify distinct sleep pattern phenotypes among older adults with chronic diseases in China and investigate their associations with physical and mental health.</p> Methods <p>We conducted a nationally representative survey of 6,559 Chinese patients aged ≥ 60 years with chronic diseases. Using finite normal mixture modeling, we identified sleep patterns from sleep duration, sleep quality, supplementary sleep, and sleep rhythm. Frailty, depression, anxiety, loneliness, and self-rated health were measured using validated scales. Multiple linear regression and subgroup analysis were performed to explore the associations between sleep patterns and health outcomes.</p> Results <p>Four sleep pattern phenotypes were identified, namely the relatively balanced (3627, 55.3%), supplementary sleep (815, 12.4%), rhythm disorder (548, 8.4%), and low-quality, short-duration (1569, 23.9%) phenotypes. Compared to the relatively balanced type, the supplementary sleep type was associated with frailty (β = 0.19, 95% CI: 0.12 to 0.26, <i>P</i> &lt; 0.001), depression (β = 0.22, 95% CI: 0.16 to 0.29, <i>P</i> &lt; 0.001), anxiety (β = 0.09, 95% CI: 0.02 to 0.17, <i>P</i> &lt; 0.01), and loneliness (β = 0.12, 95% CI: 0.05 to 0.19, <i>P</i> &lt; 0.001). The rhythm disorder type exhibited associations with frailty (β = 0.42, 95% CI: 0.33 to 0.51, <i>P</i> &lt; 0.001), depression (β = 0.28, 95% CI: 0.19 to 0.36, <i>P</i> &lt; 0.001), and loneliness (β = 0.16, 95% CI: 0.07 to 0.24, <i>P</i> &lt; 0.001). The low-quality, short-duration type correlated with frailty (β = 0.25, 95% CI: 0.19 to 0.31, <i>P</i> &lt; 0.001), depression (β = 0.71, 95% CI: 0.65 to 0.77, <i>P</i> &lt; 0.001), anxiety (β = 0.62, 95% CI: 0.56 to 0.69, <i>P</i> &lt; 0.001), loneliness (β = 0.56, 95% CI: 0.50 to 0.63, <i>P</i> &lt; 0.001), and poorer self-rated health (β = -0.24, 95% CI: -0.30 to -0.18, <i>P</i> &lt; 0.001). The associations between distinct sleep patterns and health outcomes varied by multimorbidity and polypharmacy status.</p> Conclusions <p>The phenotypes of supplementary sleep, circadian rhythm disruption, and poor-quality, short-duration sleep are associated with adverse health outcomes among patients with chronic diseases in China, with variations observed across subgroups. These findings provide crucial insights for developing targeted prevention and intervention strategies to improve health outcomes in older adults with chronic diseases.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Association of sleep pattern phenotypes with health outcomes in Chinese older chronic patients

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月2日

查看全文
  • Kangkang Zhang,
  • Chunying Wang,
  • Jia Song,
  • Yilin Wei,
  • Yangzhen Huang,
  • Heng Dong,
  • Hang Fu,
  • Shangfeng Tang,
  • Min Zhang

摘要

Background

Sleep is a fundamental biological process that regulates immunity and metabolism and sustains healthy mood. This study aims to identify distinct sleep pattern phenotypes among older adults with chronic diseases in China and investigate their associations with physical and mental health.

Methods

We conducted a nationally representative survey of 6,559 Chinese patients aged ≥ 60 years with chronic diseases. Using finite normal mixture modeling, we identified sleep patterns from sleep duration, sleep quality, supplementary sleep, and sleep rhythm. Frailty, depression, anxiety, loneliness, and self-rated health were measured using validated scales. Multiple linear regression and subgroup analysis were performed to explore the associations between sleep patterns and health outcomes.

Results

Four sleep pattern phenotypes were identified, namely the relatively balanced (3627, 55.3%), supplementary sleep (815, 12.4%), rhythm disorder (548, 8.4%), and low-quality, short-duration (1569, 23.9%) phenotypes. Compared to the relatively balanced type, the supplementary sleep type was associated with frailty (β = 0.19, 95% CI: 0.12 to 0.26, P < 0.001), depression (β = 0.22, 95% CI: 0.16 to 0.29, P < 0.001), anxiety (β = 0.09, 95% CI: 0.02 to 0.17, P < 0.01), and loneliness (β = 0.12, 95% CI: 0.05 to 0.19, P < 0.001). The rhythm disorder type exhibited associations with frailty (β = 0.42, 95% CI: 0.33 to 0.51, P < 0.001), depression (β = 0.28, 95% CI: 0.19 to 0.36, P < 0.001), and loneliness (β = 0.16, 95% CI: 0.07 to 0.24, P < 0.001). The low-quality, short-duration type correlated with frailty (β = 0.25, 95% CI: 0.19 to 0.31, P < 0.001), depression (β = 0.71, 95% CI: 0.65 to 0.77, P < 0.001), anxiety (β = 0.62, 95% CI: 0.56 to 0.69, P < 0.001), loneliness (β = 0.56, 95% CI: 0.50 to 0.63, P < 0.001), and poorer self-rated health (β = -0.24, 95% CI: -0.30 to -0.18, P < 0.001). The associations between distinct sleep patterns and health outcomes varied by multimorbidity and polypharmacy status.

Conclusions

The phenotypes of supplementary sleep, circadian rhythm disruption, and poor-quality, short-duration sleep are associated with adverse health outcomes among patients with chronic diseases in China, with variations observed across subgroups. These findings provide crucial insights for developing targeted prevention and intervention strategies to improve health outcomes in older adults with chronic diseases.