中国全科医学2025，Vol.28Issue(20)：2491-2500,10.DOI:10.12114/j.issn.1007-9572.2024.0474
中老年人糖尿病与抑郁状态共病:睡眠和运动及社交活动的影响研究
Comorbidity of Diabetes and Depression in Middle-aged and Elderly People:the Impact of Sleep,Exercise,and Social Activities
摘要
Abstract
Background Diabetes and depression are global public health issues.There is a significant correlation between diabetes and depression.Therefore,monitoring and intervening in diabetes,depression,and their comorbidity among middle-aged and elderly people is crucial.Objective To explores the prevalence of diabetes and depression,as well as their comorbidity,among the elderly population,and the impact of sleep,exercise,and social activities on these conditions.Methods Based on the 2018 China Health and Retirement Longitudinal Study,11 177 participants who met the research criteria were included as subjects.A multifactorial Logistic regression analysis model was employed to investigate the association between sleep,exercise,and social activities with the comorbidity of diabetes and depression.Subsequently,the product of nap duration and nighttime sleep duration was incorporated into the regression model for interaction analysis.Results A total of 11 177 subjects were included in the study,with a prevalence of diabetes of 13.95%(1 559/11 177),a prevalence of depressive status of 24.85%(2 777/11 177),and a comorbidity prevalence of both diabetes and depressive status of 14.64%(1 636/11 177).The results of the multinomial Logistic regression analysis indicated that a nighttime sleep duration of 7 to 9 hours(OR=0.337,95%CI=0.296-0.384),a nighttime sleep duration greater than 9 hours(OR=0.509,95%CI=0.374-0.692),and a nap duration greater than 90 minutes(OR=0.792,95%CI=0.666-0.941)were all protective factors for the comorbidity of diabetes and depressive status.High levels of social interaction were also found to reduce the risk of comorbidity(OR=0.778,95%CI=0.686-0.882,P<0.05).The interaction analysis results showed that maintaining a nighttime sleep duration of 7 to 9 hours,regardless of nap duration,was effective in preventing the comorbidity of diabetes and depressive status(P<0.001).If the nighttime sleep duration is less than 7 hours,a nap duration of 60 to 90 minutes can also reduce the risk of comorbidity(OR=0.740,95%CI=0.577-0.950,P<0.05).In the case of a nighttime sleep duration greater than 9 hours,not taking a nap(OR=0.270,95%CI=0.125-0.581)or maintaining a nap duration of 60 to 90 minutes(OR=0.165,95%CI=0.040-0.674)can also reduce the risk of comorbidity.Conclusion The comorbidity prevalence of diabetes and depressive status among middle-aged and elderly people in China is relatively high(14.64%).Nighttime sleep duration of more than 7 hours,nap duration of more than 90 minutes,and a high level of social interaction can all effectively reduce the risk of comorbidity of diabetes and depressive status.Moderate levels of physical activity can reduce the risks of diabetes and depressive status respectively.Napping serves as a compensatory mechanism,helping to make up for insufficient nighttime sleep.If nighttime sleep is less than 7 hours,controlling the nap duration to 60 to 90 minutes can also reduce the risk of comorbidity of diabetes and depressive status.关键词
糖尿病/抑郁/慢性病共病/睡眠/体力活动/社交活动/健康管理Key words
Diabetes mellitus/Depression/Multiple chronic conditions/Sleep/Physical exertion/Social activity/Health management分类
医药卫生引用本文复制引用
扶蓉,石磊,何飞英..中老年人糖尿病与抑郁状态共病:睡眠和运动及社交活动的影响研究[J].中国全科医学,2025,28(20):2491-2500,10.基金项目
国家自然科学基金资助项目(72104098) （72104098）
广东省哲学社会科学"十三五"规划项目(GD20XGL42) （GD20XGL42）
《佛山市促进高校科技成果服务产业发展扶持办法》创新研究项目(2024SWYY01) （2024SWYY01）
