Physical performance evaluated by the timed up and go test and its correlation with sleep in the elderly in China
10.3760/cma.j.issn.0254-9026.2024.01.006
- VernacularTitle:应用起立行走计时测试评估中国老年人群运动功能及其与睡眠状况的相关性研究
- Author:
Yu DU
1
;
Xinxin MA
;
Jingjing DUAN
;
Jianhong XIAO
;
Jian LIN
;
Xiong'ang HUANG
;
Chao LIU
;
Binbin WANG
;
Ting DENG
;
Tao CHEN
;
Wen SU
Author Information
1. 北京医院神经内科 国家老年医学中心 中国医学科学院老年医学研究院，中国医学科学院北京协和医学院研究生院，北京 100730
- Keywords:
Movement disorders;
Sleep disorders;
Time up and go(TUG)test
- From:
Chinese Journal of Geriatrics
2024;43(1):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of sleep on physical performance and the correlation between sleep quality and physical performance in the elderly.Methods:In this prospective multicenter case-control study, 472 elderly people aged 60-80 years were recruited from three regions in China, Beijing, Tianjin, and Hainan Province.Basic information of study participants was collected through face-to-face interviews, and physical performance of study participants was assessed by the time up and go(TUG)test on site, with 106 cases(22.5%)in the normal physical performance group and 366 cases(77.5%)in the abnormal group.The Pittsburgh Sleep Quality Index(PSQI)and the Epworth Sleepiness Scale(ESS)were applied to assess sleep quality of study subjects.Correlation analysis was performed to examine factors affecting subjects' physical performance.Results:Age, history of alcohol consumption, BMI, past medical history, the ESS score, daytime sleepiness, and some components of PSQI, such as sleep quality, sleep efficiency, sleep disturbances, use of sleeping drugs and daytime dysfunction, were influencing factors of the TUG score.Two components of PSQI, sleep duration and habitual sleep efficiency, and the ESS score were positively correlated with physical performance.Logistic regression analysis showed that risk factors for decreased physical performance in the elderly included increased age( OR=1.125, 95% CI: 1.083-1.168, P<0.01), history of alcohol consumption( OR=0.482, 95% CI: 0.384-0.605, P<0.001), abnormally high body mass index( OR=1.663, 95% CI: 1.340-2.063, P<0.01), hyperlipemia( OR=0.156, 95% CI: 0.077-0.318, P<0.01), digestive system diseases( OR=0.154, 95% CI: 0.044-0.532, P<0.01), use of sleeping drugs( OR=0.415, 95% CI: 0.202-0.854, P<0.05), daytime sleepiness( OR=4.234, 95% CI: 2.800-6.403, P<0.01), a high habitual sleep efficiency score of PSQI( OR=1.425, 95% CI: 1.214-1.672, P<0.01)and a high sleep disturbances score in PSQI( OR=3.356, 95% CI: 2.337-4.819, P<0.01). Conclusions:The incidence of physical performance decline is high in the elderly.There is a correlation between physical performance and sleep quality.
