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Association between Sleep Duration and Mild Cognitive Impairment at Different Levels of Metabolic Disease in Community-Dwelling Older Chinese Adults
Objectives The purpose of this study was to investigate the relationship between metabolic syndrome (MetS), sleep duration and mild cognitive impairment (MCI) in community-dwelling older Chinese adults. Methods The study comprised of 1367 community-dwelling Chinese participants (563 men; mean age: 7...
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Published in: | The Journal of nutrition, health & aging health & aging, 2022-02, Vol.26 (2), p.139-146 |
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creator | Song, P. Zhao, Yinjiao Chen, X. Zhang, H. Han, P. Xie, Fandi Guo, Qi |
description | Objectives
The purpose of this study was to investigate the relationship between metabolic syndrome (MetS), sleep duration and mild cognitive impairment (MCI) in community-dwelling older Chinese adults.
Methods
The study comprised of 1367 community-dwelling Chinese participants (563 men; mean age: 71.0 years) recruited from Tianjin and Shanghai, China who were invited to participate in a comprehensive geriatric assessment. The International Diabetes Federation metabolic syndrome guidelines were used to define MetS. The Mini-Mental State Examination (MMSE) and the Instrumental Activities of Daily Living (IADL) scale were used for the initial classification of patients with MCI. We divided sleep duration into five groups (≤6 h, 6–8 h which was used as the reference, 8–9 h, 9–10 h, and >10 h). Nutritional status was assessed by Mini Nutrition Assessment Short Form.
Results
The overall incidence of metabolic syndrome was 46.7%, the overall incidence of mild cognitive impairment was 17.4%. In logistic regression analysis model, after adjusting for multiple confounding factors such as nutritional status and physical activity level, there was a significant positive association between long sleep duration (> 10h) and mild cognitive impairment in general population and metabolic syndrome population (p |
doi_str_mv | 10.1007/s12603-022-1734-7 |
format | article |
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The purpose of this study was to investigate the relationship between metabolic syndrome (MetS), sleep duration and mild cognitive impairment (MCI) in community-dwelling older Chinese adults.
Methods
The study comprised of 1367 community-dwelling Chinese participants (563 men; mean age: 71.0 years) recruited from Tianjin and Shanghai, China who were invited to participate in a comprehensive geriatric assessment. The International Diabetes Federation metabolic syndrome guidelines were used to define MetS. The Mini-Mental State Examination (MMSE) and the Instrumental Activities of Daily Living (IADL) scale were used for the initial classification of patients with MCI. We divided sleep duration into five groups (≤6 h, 6–8 h which was used as the reference, 8–9 h, 9–10 h, and >10 h). Nutritional status was assessed by Mini Nutrition Assessment Short Form.
Results
The overall incidence of metabolic syndrome was 46.7%, the overall incidence of mild cognitive impairment was 17.4%. In logistic regression analysis model, after adjusting for multiple confounding factors such as nutritional status and physical activity level, there was a significant positive association between long sleep duration (> 10h) and mild cognitive impairment in general population and metabolic syndrome population (p<0.05), but the association was not significant in non-metabolic syndrome group. In addition, in the long sleep duration group, the components of metabolic syndrome, elevated blood glucose were significantly associated with mild cognitive impairment (p<0.05).
Conclusions
Long sleep duration was significantly associated with increased risk of MCI in older adults with MetS, but not in those without MetS. The prevention of MCI may be more effective in the population of MetS with long sleep duration.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-022-1734-7</identifier><identifier>PMID: 35166305</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of Daily Living ; Aged ; Aging ; China - epidemiology ; Cognitive ability ; Cognitive Dysfunction - etiology ; Geriatrics/Gerontology ; Humans ; Independent Living ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Metabolic syndrome ; Middle Aged ; Neurosciences ; Nutrition ; Nutritional status ; Older people ; Original Research ; Primary Care Medicine ; Quality of Life Research ; Sleep</subject><ispartof>The Journal of nutrition, health & aging, 2022-02, Vol.26 (2), p.139-146</ispartof><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2022</rights><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-c24773df450611e5c8e4a0e1fc2d7959f41866caa6d8bd1358f725baf309ba423</citedby><cites>FETCH-LOGICAL-c415t-c24773df450611e5c8e4a0e1fc2d7959f41866caa6d8bd1358f725baf309ba423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35166305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, P.</creatorcontrib><creatorcontrib>Zhao, Yinjiao</creatorcontrib><creatorcontrib>Chen, X.</creatorcontrib><creatorcontrib>Zhang, H.</creatorcontrib><creatorcontrib>Han, P.</creatorcontrib><creatorcontrib>Xie, Fandi</creatorcontrib><creatorcontrib>Guo, Qi</creatorcontrib><title>Association between Sleep Duration and Mild Cognitive Impairment at Different Levels of Metabolic Disease in Community-Dwelling Older Chinese Adults</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives
The purpose of this study was to investigate the relationship between metabolic syndrome (MetS), sleep duration and mild cognitive impairment (MCI) in community-dwelling older Chinese adults.
Methods
The study comprised of 1367 community-dwelling Chinese participants (563 men; mean age: 71.0 years) recruited from Tianjin and Shanghai, China who were invited to participate in a comprehensive geriatric assessment. The International Diabetes Federation metabolic syndrome guidelines were used to define MetS. The Mini-Mental State Examination (MMSE) and the Instrumental Activities of Daily Living (IADL) scale were used for the initial classification of patients with MCI. We divided sleep duration into five groups (≤6 h, 6–8 h which was used as the reference, 8–9 h, 9–10 h, and >10 h). Nutritional status was assessed by Mini Nutrition Assessment Short Form.
Results
The overall incidence of metabolic syndrome was 46.7%, the overall incidence of mild cognitive impairment was 17.4%. In logistic regression analysis model, after adjusting for multiple confounding factors such as nutritional status and physical activity level, there was a significant positive association between long sleep duration (> 10h) and mild cognitive impairment in general population and metabolic syndrome population (p<0.05), but the association was not significant in non-metabolic syndrome group. In addition, in the long sleep duration group, the components of metabolic syndrome, elevated blood glucose were significantly associated with mild cognitive impairment (p<0.05).
Conclusions
Long sleep duration was significantly associated with increased risk of MCI in older adults with MetS, but not in those without MetS. The prevention of MCI may be more effective in the population of MetS with long sleep duration.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aging</subject><subject>China - epidemiology</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Metabolic syndrome</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Older people</subject><subject>Original Research</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><subject>Sleep</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kctu1DAUhi0EoqXwAGyQJTZsArbjW5ajmQKVpuoCWFtOfDy4cpzBTlr1PXhgPEoBCYmVL-c7_znSh9BrSt5TQtSHQpkkbUMYa6hqeaOeoHOqJGm40vppvTPVNUoRdYZelHJLCBedls_RWSuolC0R5-jnppRpCHYOU8I9zPcACX-JAEe8W_L6bZPD1yE6vJ0OKczhDvDVeLQhj5BmbGe8C95DPj32cAex4Mnja5htP8Uw1GoBWwCHVAPGcakRD83uHmIM6YBvooOMt99Dgsps3BLn8hI98zYWePV4XqBvHy-_bj83-5tPV9vNvhk4FXMzMK5U6zwXRFIKYtDALQHqB-ZUJzrPqZZysFY63TvaCu0VE731Lel6y1l7gd6tucc8_VigzGYMZaiL2QTTUgyTrCOik0JX9O0_6O205FS3O1GaE0kYqRRdqSFPpWTw5pjDaPODocSclJlVmanKzEmZUbXnzWPy0o_g_nT8dlQBtgKlltIB8t_R_0_9BeV1olU</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Song, P.</creator><creator>Zhao, Yinjiao</creator><creator>Chen, X.</creator><creator>Zhang, H.</creator><creator>Han, P.</creator><creator>Xie, Fandi</creator><creator>Guo, Qi</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20220201</creationdate><title>Association between Sleep Duration and Mild Cognitive Impairment at Different Levels of Metabolic Disease in Community-Dwelling Older Chinese Adults</title><author>Song, P. ; Zhao, Yinjiao ; Chen, X. ; Zhang, H. ; Han, P. ; Xie, Fandi ; Guo, Qi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-c24773df450611e5c8e4a0e1fc2d7959f41866caa6d8bd1358f725baf309ba423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aging</topic><topic>China - epidemiology</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction - etiology</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Metabolic syndrome</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Older people</topic><topic>Original Research</topic><topic>Primary Care Medicine</topic><topic>Quality of Life Research</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, P.</creatorcontrib><creatorcontrib>Zhao, Yinjiao</creatorcontrib><creatorcontrib>Chen, X.</creatorcontrib><creatorcontrib>Zhang, H.</creatorcontrib><creatorcontrib>Han, P.</creatorcontrib><creatorcontrib>Xie, Fandi</creatorcontrib><creatorcontrib>Guo, Qi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, P.</au><au>Zhao, Yinjiao</au><au>Chen, X.</au><au>Zhang, H.</au><au>Han, P.</au><au>Xie, Fandi</au><au>Guo, Qi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between Sleep Duration and Mild Cognitive Impairment at Different Levels of Metabolic Disease in Community-Dwelling Older Chinese Adults</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>26</volume><issue>2</issue><spage>139</spage><epage>146</epage><pages>139-146</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives
The purpose of this study was to investigate the relationship between metabolic syndrome (MetS), sleep duration and mild cognitive impairment (MCI) in community-dwelling older Chinese adults.
Methods
The study comprised of 1367 community-dwelling Chinese participants (563 men; mean age: 71.0 years) recruited from Tianjin and Shanghai, China who were invited to participate in a comprehensive geriatric assessment. The International Diabetes Federation metabolic syndrome guidelines were used to define MetS. The Mini-Mental State Examination (MMSE) and the Instrumental Activities of Daily Living (IADL) scale were used for the initial classification of patients with MCI. We divided sleep duration into five groups (≤6 h, 6–8 h which was used as the reference, 8–9 h, 9–10 h, and >10 h). Nutritional status was assessed by Mini Nutrition Assessment Short Form.
Results
The overall incidence of metabolic syndrome was 46.7%, the overall incidence of mild cognitive impairment was 17.4%. In logistic regression analysis model, after adjusting for multiple confounding factors such as nutritional status and physical activity level, there was a significant positive association between long sleep duration (> 10h) and mild cognitive impairment in general population and metabolic syndrome population (p<0.05), but the association was not significant in non-metabolic syndrome group. In addition, in the long sleep duration group, the components of metabolic syndrome, elevated blood glucose were significantly associated with mild cognitive impairment (p<0.05).
Conclusions
Long sleep duration was significantly associated with increased risk of MCI in older adults with MetS, but not in those without MetS. The prevention of MCI may be more effective in the population of MetS with long sleep duration.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>35166305</pmid><doi>10.1007/s12603-022-1734-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Activities of Daily Living Aged Aging China - epidemiology Cognitive ability Cognitive Dysfunction - etiology Geriatrics/Gerontology Humans Independent Living Male Medicine Medicine & Public Health Metabolic Diseases Metabolic syndrome Middle Aged Neurosciences Nutrition Nutritional status Older people Original Research Primary Care Medicine Quality of Life Research Sleep |
title | Association between Sleep Duration and Mild Cognitive Impairment at Different Levels of Metabolic Disease in Community-Dwelling Older Chinese Adults |
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