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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
Main Authors: Song, P., Zhao, Yinjiao, Chen, X., Zhang, H., Han, P., Xie, Fandi, Guo, Qi
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container_title The Journal of nutrition, health & aging
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Zhao, Yinjiao
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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
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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 &gt;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 (&gt; 10h) and mild cognitive impairment in general population and metabolic syndrome population (p&lt;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&lt;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 &amp; 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 &amp; 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 &amp; 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 &gt;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 (&gt; 10h) and mild cognitive impairment in general population and metabolic syndrome population (p&lt;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&lt;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. 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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 &gt;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 (&gt; 10h) and mild cognitive impairment in general population and metabolic syndrome population (p&lt;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&lt;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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