Epidemiological characteristics of sleep disorders in the Chinese elderly: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

XIONG Feng , LAI Yuqing , TU Jiaxin , KUANG Jie , ZHOU Yueping ,  HUANG Helang

Department of Epidemiology Teaching and Research Section, School of Public Health, Nanchang University, Nanchang, 330006, P.R.China;

Corresponding?author：

HUANG Helang, Email: huanghl0821@163.com

Keywords：

Sleep disorder; Chinese elderly; Meta-analysis; Epidemiology

DOI：

10.7507/1672-2531.201808151

Video：

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Objectives To systematically review the prevalence of sleep disorders in Chinese elderly population. Methods CNKI, Wanfang, VIP, PubMed and Web of Science were searched to collect studies on the prevalence of sleep disorders the Chinese elderly from January 2000 to November 2017. Two reviewers independently screened literatures, extracted data and evaluated risk of bias of the included studies, then meta-analysis was performed by Stata 14.0 software. Results A total of 19 cross-sectional studies were included. The results of the meta-analysis showed that, the overall prevalence of sleep disorders was 41.2% (95% CI 36.2% to 46.2%). Male and female prevalence rates were 35.7% and 45.0%, respectively. For individuals aged between 60 to 70, 70 to 80 and above 80, the prevalence rates were 29.9%, 42.0%, 44.2%, respectively. For individuals with primary school education and below, junior/high school education, college degree or above, the prevalence rates were 29.0%, 23.1%, 22.4%, respectively. The prevalence rate of individuals with normal marital status was 31.5%, and those with abnormal marital status (widowed, divorced, single, etc.) was 41.0%. The prevalence rate in individuals with in people with physical illness was 45.7%, and those without physical illness was 32.4%. For the urban population, the prevalence rate was 36.4%, while for the rural population, the prevalence rate was 42%. Conclusions The overall prevalence of sleep disorders in the Chinese elderly is high. The prevalence rate of sleep disorders among gender, age, educational level, marital status, physical illness, and living space is different.

Citation： XIONG Feng, LAI Yuqing, TU Jiaxin, KUANG Jie, ZHOU Yueping, HUANG Helang. Epidemiological characteristics of sleep disorders in the Chinese elderly: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2019, 19(4): 398-403. doi: 10.7507/1672-2531.201808151 Copy

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10.	賈改珍, 張晴晴, 林林, 等. 農村老年人睡眠障礙與生活質量的現況調查. 中國老年學雜志, 2012, 32(13): 2824-2827.
11.	王群, 李小妹. 西安市社區老年人睡眠質量及其影響因素研究. 護理研究, 2012, 26(7): 591-594.
12.	徐紅麗, 張代之. 聊城市老年人睡眠質量與應付方式及人格特征相關性研究. 精神醫學雜志, 2013, 26(5): 373-375.
13.	Li J, Yao YS, Dong Q, et al. Characterization and factors associated with sleep quality among rural elderly in China. Arch Gerontol Geriatr, 2013, 56(1): 237-243.
14.	Luo J, Zhu G, Zhao Q, et al. Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PLoS One, 2013, 8(11): e81261.
15.	胡蕊, 王華麗, 于魯璐, 等. 河北省城市社區老年人睡眠障礙的現況調查. 中國心理衛生雜志, 2013, 27(5): 369-373.
16.	劉竟芳, 陳哲, 何新平, 等. 長沙市社區老年人睡眠質量及影響因素. 中國老年學, 2014, 34(13): 3731-3733.
17.	謝慧清, 謝建飛, 賀斯祺, 等. 農村留守老人睡眠質量及其影響因素的研究. 中國醫師雜志, 2015, 17(12): 1896-1898.
18.	宋銳. 上海某社區老年人睡眠質量及其影響因素. 蘇州: 蘇州大學, 2015: 7-18.
19.	劉華. 新疆克拉瑪依市老年人睡眠障礙調查. 中國公共衛生, 2015, 30(5): 586-589.
20.	操銀環, 胡茜琪, 陳圓靜, 等. 安徽省池州市農村老年人睡眠質量狀況及相關因素分析. 華南預防醫學, 2016, 42(5): 417-420.
21.	李格, 潘學威. 平陽縣社區老年人睡眠狀況及影響因素分析. 中國公共衛生管理, 2016, 32(3): 409-411.
22.	李奕瑾, 馮玉如. 軀體健康狀況對城鄉老年人睡眠障礙的影響. 職業與健康, 2016, 32(7): 928-931.
23.	周孟孟, 胡明軍, 楊雨薇, 等. 安徽省農村地區老年人睡眠質量現狀及影響因素分析. 中國衛生事業管理, 2017, 34(8): 607-610.
24.	Foley D, Ancoli-Israel S, Britz P, et al. Sleep disturbances and chronic disease in older adults : results of the 2003 national sleep foundation sleep in America, survey. J Psychosom Res, 2004, 56(5): 497-502.
25.	Phillips BA, Collop NA, Drake C, et al. Sleep disorders and medical conditions in women. Proceedings of the Women & Sleep Workshop, National Sleep Foundation, Washington, DC, March 5-6, 2007. J Womens Health, 2008, 17(7): 1191.
26.	牛京育, 常蜀英, 張均田, 等. 褪黑素對老年人睡眠障礙的調節作用. 中國臨床藥理學雜志, 2010, 26(1): 9-12.
27.	吳煒煒, 姜小鷹, 張旋, 等. 福州市養老機構老年人睡眠質量及影響因素分析. 中華護理雜志, 2016, 51(3): 352-355.

1. 國家統計局. 我國60歲及以上老年人口2.4億人達17.3%老齡化程度加深. Available at: https://www.sohu.com/a/219932736_99906413.
2. 劉海娟, 陳長香, 郝習君. 老年人睡眠障礙及其影響因素. 中國老年學雜志, 2010, 30(15): 2198-2200.
3. Crowley K. Sleep and sleep disorders in older adults. Neuropsychol Rev, 2011, 21(1): 41-53.
4. Culebras A. Sleep, stroke and poststroke. Neurol Clin, 2012, 30(4): 1275-1284.
5. 曾憲濤, 劉慧, 陳曦, 等. Meta分析系列之四: 觀察性研究的質量評價工具. 中國循證心血管醫學雜志, 2012, 4(4): 297-299.
6. 劉連啟, 劉賢臣, 劉兆璽, 等. 山東省城市老年人睡眠障礙患病率的現況調查. 中華精神科雜志, 2002, 35(3): 180-183.
7. 張敬懸, 盧傳華, 唐濟生, 等. 山東省老年人群睡眠質量的流行病學研究. 中華行為醫學與腦科學雜志, 2008, 17(1): 41-44.
8. 潘健源, 張敏, 王敏, 等. 安徽省部分地區農村老年人孤獨與睡眠狀況及其影響因素. 中華疾病控制雜志, 2010, 14(4): 335-337.
9. 孫潔. 湖南省長沙市老年人睡眠質量及相關因素的調查分析. 長沙: 中南大學, 2011: 6-12.
10. 賈改珍, 張晴晴, 林林, 等. 農村老年人睡眠障礙與生活質量的現況調查. 中國老年學雜志, 2012, 32(13): 2824-2827.
11. 王群, 李小妹. 西安市社區老年人睡眠質量及其影響因素研究. 護理研究, 2012, 26(7): 591-594.
12. 徐紅麗, 張代之. 聊城市老年人睡眠質量與應付方式及人格特征相關性研究. 精神醫學雜志, 2013, 26(5): 373-375.
13. Li J, Yao YS, Dong Q, et al. Characterization and factors associated with sleep quality among rural elderly in China. Arch Gerontol Geriatr, 2013, 56(1): 237-243.
14. Luo J, Zhu G, Zhao Q, et al. Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PLoS One, 2013, 8(11): e81261.
15. 胡蕊, 王華麗, 于魯璐, 等. 河北省城市社區老年人睡眠障礙的現況調查. 中國心理衛生雜志, 2013, 27(5): 369-373.
16. 劉竟芳, 陳哲, 何新平, 等. 長沙市社區老年人睡眠質量及影響因素. 中國老年學, 2014, 34(13): 3731-3733.
17. 謝慧清, 謝建飛, 賀斯祺, 等. 農村留守老人睡眠質量及其影響因素的研究. 中國醫師雜志, 2015, 17(12): 1896-1898.
18. 宋銳. 上海某社區老年人睡眠質量及其影響因素. 蘇州: 蘇州大學, 2015: 7-18.
19. 劉華. 新疆克拉瑪依市老年人睡眠障礙調查. 中國公共衛生, 2015, 30(5): 586-589.
20. 操銀環, 胡茜琪, 陳圓靜, 等. 安徽省池州市農村老年人睡眠質量狀況及相關因素分析. 華南預防醫學, 2016, 42(5): 417-420.
21. 李格, 潘學威. 平陽縣社區老年人睡眠狀況及影響因素分析. 中國公共衛生管理, 2016, 32(3): 409-411.
22. 李奕瑾, 馮玉如. 軀體健康狀況對城鄉老年人睡眠障礙的影響. 職業與健康, 2016, 32(7): 928-931.
23. 周孟孟, 胡明軍, 楊雨薇, 等. 安徽省農村地區老年人睡眠質量現狀及影響因素分析. 中國衛生事業管理, 2017, 34(8): 607-610.
24. Foley D, Ancoli-Israel S, Britz P, et al. Sleep disturbances and chronic disease in older adults : results of the 2003 national sleep foundation sleep in America, survey. J Psychosom Res, 2004, 56(5): 497-502.
25. Phillips BA, Collop NA, Drake C, et al. Sleep disorders and medical conditions in women. Proceedings of the Women & Sleep Workshop, National Sleep Foundation, Washington, DC, March 5-6, 2007. J Womens Health, 2008, 17(7): 1191.
26. 牛京育, 常蜀英, 張均田, 等. 褪黑素對老年人睡眠障礙的調節作用. 中國臨床藥理學雜志, 2010, 26(1): 9-12.
27. 吳煒煒, 姜小鷹, 張旋, 等. 福州市養老機構老年人睡眠質量及影響因素分析. 中華護理雜志, 2016, 51(3): 352-355.

Chinese Journal of Evidence-Based Medicine

Epidemiological characteristics of sleep disorders in the Chinese elderly: a meta-analysis

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