ABSTRACT
Objective To evaluate the health status of Hainan centenarians and compare the gender disparity,and to determine whether the‘ male-female health-survival paradox’is present among them.Methods A cross-sectional study was conducted on the health status and gender disparity of individuals aged 100 and over in Hainan province from June 2014 to December 2016.Data of sociodemographics,lifestyles as well as health-related parameters were collected.The multi dimensional health assessment of centenarians was conducted based on the recognition of standard on Chinese healthy elderly in 2013.Results A total of 940 centenarians(men 18.6％,women 81.4％)were included.The prevalences of hypertension,diabetes and dyslipidemia were 66.1％,9.8％,and 21.2％,respectively,while no significant gender difference was found.Male centenarians were more independent in activity of daily living than did female centenarians(41.1％ vs.25.9 ％,P ＜0.001).The prevalences of dementia(7.7％ vs.4.0％)and depression(33.6％ vs.18.9％)were more dominant in females than in males.Multivariate logistic regression showed that the proportions of functional disability,depression and sleep disorders were higher in female centenarians than in male centenarians (P＜0.05)after adjusting for general demographic characteristics,lifestyle and other health indicators.Conclusions Although the female proportion dominates the centenarian population,female general health states are worse than male centenarians.More attentions on physical and mental health should be paid to the female centenarians.
ABSTRACT
Objective@#To evaluate the health status of Hainan centenarians and compare the gender disparity, and to determine whether the'male-female health-survival paradox’is present among them.@*Methods@#A cross-sectional study was conducted on the health status and gender disparity of individuals aged 100 and over in Hainan province from June 2014 to December 2016.Data of sociodemographics, lifestyles as well as health-related parameters were collected.The multi-dimensional health assessment of centenarians was conducted based on the recognition of standard on Chinese healthy elderly in 2013.@*Results@#A total of 940 centenarians(men 18.6%, women 81.4%)were included.The prevalences of hypertension, diabetes and dyslipidemia were 66.1%, 9.8%, and 21.2%, respectively, while no significant gender difference was found.Male centenarians were more independent in activity of daily living than did female centenarians(41.1% vs.25.9%, P<0.001). The prevalences of dementia(7.7% vs.4.0%)and depression(33.6% vs.18.9%)were more dominant in females than in males.Multivariate logistic regression showed that the proportions of functional disability, depression and sleep disorders were higher in female centenarians than in male centenarians(P<0.05)after adjusting for general demographic characteristics, lifestyle and other health indicators.@*Conclusions@#Although the female proportion dominates the centenarian population, female general health states are worse than male centenarians.More attentions on physical and mental health should be paid to the female centenarians.
ABSTRACT
Objective To explore the effects of sleep situation on circadian rhythm of blood pressure in elderly hypertension patients.Methods Two hundred and thirty patients (aged ≥ 60 years) with hypertension treated in the Department of Geriatric Cardiology of PLA General Hospital were enrolled in the study from October 2016 to December 2016.After admission,the clinical and laboratory tests data and examinations of the patients were collected and analyzed.The patients' sleep was investigated by Pittsburgh sleep quality index (PSQI).The ambulatory blood pressure rhythm was divided into three groups:reverse-dipper group (n=110),non-dipper group (n=86),and dipper group (n=34).The clinical data and sleep situation of different blood pressure rhythm groups were compared,and the effects of sleep situation on different blood pressure rhythm were analyzed.Results The total PSQI score with six domains[P＜0.01,except hypnotic drug (P＞0.05)]was significantly lower in dipper group than in reverse-and non-dipper group.The sleep situation was significantly better in dipper group than in reverse-and non-dipper group (P＜0.05).Multiple linear regression analysis showed a significant negative correlation between total PSQI score and nocturnal blood pressure drop after adjusting for risk factors of hypertension (β =-0.651,P ＜0.01).Furthermore,after further adjusting for the seven domains of the PSQI score,the negative correlation remained between the sleep time score and the nocturnal blood pressure drop (β=-1.926,P =0.031).The elderly hypertension patients with shorter sleep duration had a lower rate of nocturnal blood pressure decline,and were prone to present the reverse-dipper and non-dipper blood pressure rhythm.Conclusions The elderly hypertension patients with poor sleep quality,especially with short sleep duration,are prone to present the reverse-dipper and non-dipper blood pressure rhythm.Short sleep duration can be used as a predictor for abnormal blood pressure rhythm.