A cohort study of the effect of sleep duration on possible sarcopenia in rural middle-aged and elderly people in China

LIANG Bo; WEI Yue; PEI Lijun

doi:10.16462/j.cnki.zhjbkz.2024.03.007

Volume 28 Issue 3

Mar. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2024 > 28(3): 290-297

LIANG Bo, WEI Yue, PEI Lijun. A cohort study of the effect of sleep duration on possible sarcopenia in rural middle-aged and elderly people in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(3): 290-297. doi: 10.16462/j.cnki.zhjbkz.2024.03.007

Citation:

LIANG Bo, WEI Yue, PEI Lijun. A cohort study of the effect of sleep duration on possible sarcopenia in rural middle-aged and elderly people in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(3): 290-297. doi: 10.16462/j.cnki.zhjbkz.2024.03.007

Citation:

PDF( 1243 KB)

A cohort study of the effect of sleep duration on possible sarcopenia in rural middle-aged and elderly people in China

doi: 10.16462/j.cnki.zhjbkz.2024.03.007

Institute of Population Research, Peking University, Beijing 100871, China

Funds:

National Natural Science Foundation of China 41871360

National Key Research and Development Program of China 2018YFC1004303

Danone Institute China Diet Nutrition Research and Communication Grant DIC2015-05

More Information

Corresponding author: PEI Lijun, E-mail: peilj@pku.edu.cn
Received Date: 2023-09-12
Rev Recd Date: 2024-01-05

Available Online: 2024-04-08

Publish Date: 2024-03-10

Abstract

Abstract

Objective To explore the effect of sleep duration on the risk of possible sarcopenia in rural middle-aged and elderly adults (≥45 years) in order to reduce the incidence of possible sarcopenia. Methods The cohort study was conducted base on the Chinese health and retirement longitudinal study (CHARLS). Possible sarcopenia was identified by measuring grip strength and five repetitions of sitting-up time. A total of 7 075 participants of middle-aged and elderly adults aged ≥45 years without possible sarcopenia in 2011 and 2013 were used as baseline data, and were followed up until 2015. Cox proportional risk model was used to explore the association between sleep duration and the risk of possible sarcopenia in rural middle-aged and elderly people. Results Compared to rural middle-aged and elderly adults with sleep duration of 8- < 9 hours, those with sleep duration less than 6 hours, 6- < 7 hours, 7- < 8 hours and more than 9 hours had an increased risk of possible sarcopenia by 22% (HR=1.22, 95% CI: 1.07-1.39, P=0.003), 17% (HR=1.17, 95% CI: 1.01-1.35, P=0.037), 18% (HR=1.18, 95% CI: 1.02-1.35, P=0.022) and 16% (HR=1.16, 95% CI: 1.02-1.33, P=0.028) respectively. Trend test showed that the risk of possible sarcopenia increased with the shortening of sleep time (< 9 h), and there was a dose-response relationship (P < 0.001). Among participants aged 45- < 60 years, compared with sleep duration of 8- < 9 hours, the risk of possible sarcopenia with sleep duration less than 6 hours, 6- < 7 hours and 7- < 8 hours was increased by 21% (HR=1.21, 95% CI: 1.01-1.46, P=0.041), 23% (HR=1.23, 95% CI: 1.02-1.48, P=0.033) and 30% (HR=1.30, 95% CI: 1.08-1.56, P=0.005), respectively. Compared with sleep duration of 8- < 9 hours, short sleep duration (< 6 h) was associated with a 27% increased risk of possible sarcopenia in females (HR=1.27, 95% CI: 1.06-1.52, P=0.010), and long sleep duration (≥9 h) was associated with a 21% increased risk of possible sarcopenia in males (HR=1.21, 95% CI: 1.01-1.46, P=0.045). Conclusions The shorter and longer sleep duration among rural middle-aged and elderly were associated with an increased risk of possible sarcopenia, and there existed age differences. Optimizing sleep duration may prevent the occurrence and development of sarcopenia.
- Possible sarcopenia,
- Sleep duration,
- Cohort study,
- Middle-aged and elderly adults,
- Rural

FullText(HTML)

References(20)

References

[1]	崔王殊, 魏玥, 梁博, 等. 中国中老年人慢性共患病对肌少症发生风险的影响[J]. 中华骨质疏松和骨矿盐疾病杂志, 2022, 15(6): 629-637. DOI: 10.3969/j.issn.1674-2591.2022.06.003. Cui WS, Wei Y, Liang B, et al. Effects of chronic disease comorbidity on the risk of possible sarcopenia among Chinese middle-aged and older adults[J]. Chin J Osteoporos Bone Miner Res, 2022, 15(6): 629-637. DOI: 10.3969/j.issn.1674-2591.2022.06.003.
[2]	Pourmotabbed A, Ghaedi E, Babaei A, et al. Sleep duration and sarcopenia risk: a systematic review and dose-response meta-analysis[J]. Sleep Breath, 2020, 24(4): 1267-1278. DOI: 10.1007/s11325-019-01965-6.
[3]	Han PP, Hou L, Liang ZW, et al. Both short and long sleep durations are risk factors for sarcopenia in suburban-dwelling older Chinese individuals: a 3-year longitudinal study[J]. Nat Sci Sleep, 2022, 14: 1089-1096. DOI: 10.2147/NSS.S361925.
[4]	Shibuki T, Iida M, Harada S, et al. The association between sleep parameters and sarcopenia in Japanese community-dwelling older adults[J]. Arch Gerontol Geriatr, 2023, 109: 104948. DOI: 10.1016/j.archger.2023.104948.
[5]	Hu XY, Jiang JJ, Wang HZ, et al. Association between sleep duration and sarcopenia among community-dwelling older adults: a cross-sectional study[J]. Medicine(Baltimore), 2017, 96(10): e6268. DOI: 10.1097/MD.0000000000006268.
[6]	Smith L, Shin JI, Veronese N, et al. Sleep duration and sarcopenia in adults aged ≥65 years from low and middle-income countries[J]. Aging Clin Exp Res, 2022, 34(7): 1573-1581. DOI: 10.1007/s40520-022-02074-3.
[7]	Nakakubo S, DoiT, Tsutsumimoto K, et al. Sleep duration and progression to sarcopenia in Japanese community-dwelling older adults: a 4 year longitudinal study[J]. J Cachexia Sarcopenia Muscle, 2021, 12(4): 1034-1041. DOI: 10.1002/jcsm.12735.
[8]	Chen LK, Woo J, Assantachai P, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment[J]. J Am Med Dir Assoc, 2020, 21(3): 300-307. e2. DOI: 10.1016/j.jamda.2019.12.012.
[9]	Zhao YH, Hu YS, Smith JP, et al. Cohort profile: the China health and retirement longitudinal study (CHARLS)[J]. Int J Epidemiol, 2014, 43(1): 61-68. DOI: 10.1093/ije/dys203.
[10]	Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary[J]. Sleep Health, 2015, 1(1): 40-43. DOI: 10.1016/j.sleh.2014.12.010.
[11]	Kwon YJ, Jang SY, Park EC, et al. Long sleep duration is associated with sarcopenia in Korean adults based on data from the 2008-2011 KNHANES[J]. J Clin Sleep Med, 2017, 13(9): 1097-1104. DOI: 10.5664/jcsm.6732.
[12]	Huang WC, Lin CY, Togo F, et al. Nonlinear associations between sleep patterns and sarcopenia risks in older adults[J]. J Clin Sleep Med, 2022, 18(3): 731-738. DOI: 10.5664/jcsm.9698.
[13]	Lee H, Kim S, Kim BS, et al. Sexual difference in effect of long sleep duration on incident Sarcopenia after two years in community-dwelling older adults[J]. Ann Geriatric Med Res, 2022, 26(3): 264-274. DOI: 10.4235/agmr.22.0093.
[14]	刘洲, 汪海伟, 张晓丹. 老年女性肌少症与睡眠质量的关联性[J]. 中华骨质疏松和骨矿盐疾病杂志, 2020, 13(5): 432-439. DOI: 10.3969/j.issn.1674-2591.2020.05.006. Liu Z, Wang HW, Zhang XD. Relationship between sarcopenia and sleep quality in elderly women[J]. Chin J Osteoporos Bone Miner Res, 2020, 13(5): 432-439. DOI: 10.3969/j.issn.1674-2591.2020.05.006.
[15]	Ferrucci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty[J]. Nat Rev Cardiol, 2018, 15(9): 505-522. DOI: 10.1038/s41569-018-0064-2.
[16]	Piovezan RD, Abucham J, Dos Santos RVT, et al. The impact of sleep on age-related sarcopenia: possible connections and clinical implications[J]. Ageing Res Rev, 2015, 23(Pt B): 210-220. DOI: 10.1016/j.arr.2015.07.003.
[17]	Pyykkönen AJ, Isomaa B, Pesonen AK, et al. Sleep duration and insulin resistance in individuals without type 2 diabetes: the PPP-Botnia study[J]. Ann Med, 2014, 46(5): 324-329. DOI: 10.3109/07853890.2014.902226.
[18]	Anderson LJ, Liu HM, Garcia JM. Sex differences in muscle wasting[J]. Adv Exp Med Biol, 2017, 1043: 153-197. DOI: 10.1007/978-3-319-70178-3_9.
[19]	Gheller BJF, Riddle ES, Lem MR, et al. Understanding age-related changes in skeletal muscle metabolism: differences between females and males[J]. Annu Rev Nutr, 2016, 36: 129-156. DOI: 10.1146/annurev-nutr-071715-050901.
[20]	Lauderdale DS, Knutson KL, Yan LL, et al. Self-reported and measured sleep duration: how similar are they?[J]. Epidemiology, 2008, 19(6): 838-845. DOI: 10.1097/EDE.0b013e318187a7b0.