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

1.	国家统计局. 我国60岁及以上老年人口2.4亿人达17.3%老龄化程度加深. Available at: https://www.sohu.com/a/219932736_99906413.
2.	刘海娟, 陈长香, 郝习君. 老年人睡眠障碍及其影响因素. 中国老年学杂志, 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.	曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
6.	刘连启, 刘贤臣, 刘兆玺, 等. 山东省城市老年人睡眠障碍患病率的现况调查. 中华精神科杂志, 2002, 35(3): 180-183.
7.	张敬悬, 卢传华, 唐济生, 等. 山东省老年人群睡眠质量的流行病学研究. 中华行为医学与脑科学杂志, 2008, 17(1): 41-44.
8.	潘健源, 张敏, 王敏, 等. 安徽省部分地区农村老年人孤独与睡眠状况及其影响因素. 中华疾病控制杂志, 2010, 14(4): 335-337.
9.	孙洁. 湖南省长沙市老年人睡眠质量及相关因素的调查分析. 长沙: 中南大学, 2011: 6-12.
10.	贾改珍, 张晴晴, 林林, 等. 农村老年人睡眠障碍与生活质量的现况调查. 中国老年学杂志, 2012, 32(13): 2824-2827.
11.	王群, 李小妹. 西安市社区老年人睡眠质量及其影响因素研究. 护理研究, 2012, 26(7): 591-594.
12.	徐红丽, 张代之. 聊城市老年人睡眠质量与应付方式及人格特征相关性研究. 精神医学杂志, 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, 王华丽, 于鲁璐, 等. 河北省城市社区老年人睡眠障碍的现况调查. 中国心理卫生杂志, 2013, 27(5): 369-373.
16.	刘竟芳, 陈哲, 何新平, 等. 长沙市社区老年人睡眠质量及影响因素. 中国老年学, 2014, 34(13): 3731-3733.
17.	谢慧清, 谢建飞, 贺斯祺, 等. 农村留守老人睡眠质量及其影响因素的研究. 中国医师杂志, 2015, 17(12): 1896-1898.
18.	宋锐. 上海某社区老年人睡眠质量及其影响因素. 苏州: 苏州大学, 2015: 7-18.
19.	刘华. 新疆克拉玛依市老年人睡眠障碍调查. 中国公共卫生, 2015, 30(5): 586-589.
20.	操银环, 胡茜琪, 陈圆静, 等. 安徽省池州市农村老年人睡眠质量状况及相关因素分析. 华南预防医学, 2016, 42(5): 417-420.
21.	李格, 潘学威. 平阳县社区老年人睡眠状况及影响因素分析. 中国公共卫生管理, 2016, 32(3): 409-411.
22.	李奕瑾, 冯玉如. 躯体健康状况对城乡老年人睡眠障碍的影响. 职业与健康, 2016, 32(7): 928-931.
23.	周孟孟, 胡明军, 杨雨薇, 等. 安徽省农村地区老年人睡眠质量现状及影响因素分析. 中国卫生事业管理, 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, 张均田, 等. 褪黑素对老年人睡眠障碍的调节作用. 中国临床药理学杂志, 2010, 26(1): 9-12.
27.	吴炜炜, 姜小鹰, 张旋, 等. 福州市养老机构老年人睡眠质量及影响因素分析. 中华护理杂志, 2016, 51(3): 352-355.

1. 国家统计局. 我国60岁及以上老年人口2.4亿人达17.3%老龄化程度加深. Available at: https://www.sohu.com/a/219932736_99906413.
2. 刘海娟, 陈长香, 郝习君. 老年人睡眠障碍及其影响因素. 中国老年学杂志, 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. 曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
6. 刘连启, 刘贤臣, 刘兆玺, 等. 山东省城市老年人睡眠障碍患病率的现况调查. 中华精神科杂志, 2002, 35(3): 180-183.
7. 张敬悬, 卢传华, 唐济生, 等. 山东省老年人群睡眠质量的流行病学研究. 中华行为医学与脑科学杂志, 2008, 17(1): 41-44.
8. 潘健源, 张敏, 王敏, 等. 安徽省部分地区农村老年人孤独与睡眠状况及其影响因素. 中华疾病控制杂志, 2010, 14(4): 335-337.
9. 孙洁. 湖南省长沙市老年人睡眠质量及相关因素的调查分析. 长沙: 中南大学, 2011: 6-12.
10. 贾改珍, 张晴晴, 林林, 等. 农村老年人睡眠障碍与生活质量的现况调查. 中国老年学杂志, 2012, 32(13): 2824-2827.
11. 王群, 李小妹. 西安市社区老年人睡眠质量及其影响因素研究. 护理研究, 2012, 26(7): 591-594.
12. 徐红丽, 张代之. 聊城市老年人睡眠质量与应付方式及人格特征相关性研究. 精神医学杂志, 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, 王华丽, 于鲁璐, 等. 河北省城市社区老年人睡眠障碍的现况调查. 中国心理卫生杂志, 2013, 27(5): 369-373.
16. 刘竟芳, 陈哲, 何新平, 等. 长沙市社区老年人睡眠质量及影响因素. 中国老年学, 2014, 34(13): 3731-3733.
17. 谢慧清, 谢建飞, 贺斯祺, 等. 农村留守老人睡眠质量及其影响因素的研究. 中国医师杂志, 2015, 17(12): 1896-1898.
18. 宋锐. 上海某社区老年人睡眠质量及其影响因素. 苏州: 苏州大学, 2015: 7-18.
19. 刘华. 新疆克拉玛依市老年人睡眠障碍调查. 中国公共卫生, 2015, 30(5): 586-589.
20. 操银环, 胡茜琪, 陈圆静, 等. 安徽省池州市农村老年人睡眠质量状况及相关因素分析. 华南预防医学, 2016, 42(5): 417-420.
21. 李格, 潘学威. 平阳县社区老年人睡眠状况及影响因素分析. 中国公共卫生管理, 2016, 32(3): 409-411.
22. 李奕瑾, 冯玉如. 躯体健康状况对城乡老年人睡眠障碍的影响. 职业与健康, 2016, 32(7): 928-931.
23. 周孟孟, 胡明军, 杨雨薇, 等. 安徽省农村地区老年人睡眠质量现状及影响因素分析. 中国卫生事业管理, 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, 张均田, 等. 褪黑素对老年人睡眠障碍的调节作用. 中国临床药理学杂志, 2010, 26(1): 9-12.
27. 吴炜炜, 姜小鹰, 张旋, 等. 福州市养老机构老年人睡眠质量及影响因素分析. 中华护理杂志, 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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