中国耳鼻咽喉头颈外科2026，Vol.33Issue(1)：27-31,5.DOI:10.16066/j.1672-7002.2026.01.006
中国健康与养老追踪调查中睡眠时长轨迹与听力损失关联研究
Association between sleep duration trajectories and hearing loss in the China health and retirement longitudinal study
廖红明 1何本超 1操金华 1秦马力1
作者信息
- 1. 天门市第一人民医院(武汉科技大学附属天门医院)耳鼻咽喉头颈外科,湖北 天门 431700
- 折叠
摘要
Abstract
OBJECTIVE To investigate the association between sleep duration trajectories and hearing loss among community-dwelling adults using data from the China Health and Retirement Longitudinal Study(CHARLS).METHODS Data were derived from four waves(2011-2018)of the CHARLS.Group-based trajectory modeling(GBTM)was employed to identify distinct sleep duration trajectories over time.Multivariable logistic regression analyses were then performed to evaluate the associations between different sleep duration trajectory groups and hearing loss,adjusting for demographic characteristics and metabolic-related confounding factors.RESULTS Model fit indices decreased with an increasing number of trajectory groups;however,the five-group model showed an average posterior probability(APP)<0.7.Based on overall model performance,a three-trajectory model was selected.Sleep duration patterns were classified as healthy increas sleep trajectory(n=583),persistent short sleep(n=1,175),and fluctuating insufficient sleep(n=1,403).Significant differences in demographic and metabolic characteristics were observed among the three groups.After adjustment for cardiometabolic factors,persistent short sleep was significantly associated with an increased risk of hearing loss(OR=1.321,P<0.05).The association was more pronounced in participants aged≥59 years(OR=1.491,P=0.018),whereas no significant association was observed in those aged<59 years.CONCLUSION Persistent short sleep trajectory is significantly associated with hearing loss,particularly among older adults.Chronic sleep deprivation may represent an important risk factor for age-related hearing loss.关键词
睡眠/听力损失/纵向研究/危险因素Key words
Sleep/Hearing Loss/Longitudinal Studies/Risk Factors引用本文复制引用
廖红明,何本超,操金华,秦马力..中国健康与养老追踪调查中睡眠时长轨迹与听力损失关联研究[J].中国耳鼻咽喉头颈外科,2026,33(1):27-31,5.
