Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study
Objective: To assess the interaction of dynapenic abdominal obesity (DAO) and sleep duration on the risk of functional disability among middle-aged and older Chinese individuals. Methods: Data were extracted from the China Health and Retirement Longitudinal Study conducted in 2011, 2013, 2015, 2018,...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-04-01
|
| Series: | The Journal of Nutrition, Health and Aging |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1279770725000338 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850064197946179584 |
|---|---|
| author | Wenjin Han Tianmeng Wang Zhiqiang He Yaping Wang Caihua Wang Shuangyan Lei Xiaoqin Wang Ronghua Wang |
| author_facet | Wenjin Han Tianmeng Wang Zhiqiang He Yaping Wang Caihua Wang Shuangyan Lei Xiaoqin Wang Ronghua Wang |
| author_sort | Wenjin Han |
| collection | DOAJ |
| description | Objective: To assess the interaction of dynapenic abdominal obesity (DAO) and sleep duration on the risk of functional disability among middle-aged and older Chinese individuals. Methods: Data were extracted from the China Health and Retirement Longitudinal Study conducted in 2011, 2013, 2015, 2018, and 2020. A total of 6,343 participants were enrolled in this retrospective cohort study. Sleep duration was obtained through face-to-face interviews. Dynapenia (D) and abdominal obesity (AO) were defined by handgrip strength and waist circumference, respectively. Functional disability was assessed according to activities of daily living scales. Cox proportional hazard models analyzed the interactions of DAO and sleep duration on functional disability. Results: Over a mean follow-up of 10 years, 3,879 (61.2%) participants reported functional disability. Individuals with short sleep duration and D/AO (appropriate but short: RR = 1.42, 95% CI = 1.10–1.82, too short sleep: RR = 1.54, 95% CI = 1.16–2.06), long sleep duration and D/AO (appropriate but long: RR = 1.61, 95% CI = 1.11–2.33; too long: RR = 1.63, 95% CI = 1.15–2.32), were more likely to develop functional disability than those with normal sleep duration and ND/NAO in the fully adjusted model. The multiplicative interaction between the short sleep group and D/NAO or ND/AO were both significant. Middle-aged individuals and females were more susceptible to the effects of short sleep and DAO, while elderly individuals and males were more susceptible to the effects of long sleep and DAO. Conclusions: Short and long sleep durations combined with DAO increase the risk of functional disability. Managing waist circumference and improving grip strength in middle-aged and older adults with abnormal sleep durations may help prevent functional disability. |
| format | Article |
| id | doaj-art-a97dde100ed746e5915b7fdcc49e6c3a |
| institution | DOAJ |
| issn | 1760-4788 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Journal of Nutrition, Health and Aging |
| spelling | doaj-art-a97dde100ed746e5915b7fdcc49e6c3a2025-08-20T02:49:22ZengElsevierThe Journal of Nutrition, Health and Aging1760-47882025-04-0129410051010.1016/j.jnha.2025.100510Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal studyWenjin Han0Tianmeng Wang1Zhiqiang He2Yaping Wang3Caihua Wang4Shuangyan Lei5Xiaoqin Wang6Ronghua Wang7Department of Pediatrics, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China; School of Nursing, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Nursing, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Nursing, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Nursing, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaXi’an Peihua University, Xi’an, ChinaDepartment of Radiotherapy, Shaanxi Provincial Cancer Hospital, Xi’an, ChinaDepartment of Pediatrics, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China; School of Nursing, Xi’an Jiaotong University Health Science Center, Xi’an, China; Corresponding authors.Department of Pediatrics, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China; Corresponding authors.Objective: To assess the interaction of dynapenic abdominal obesity (DAO) and sleep duration on the risk of functional disability among middle-aged and older Chinese individuals. Methods: Data were extracted from the China Health and Retirement Longitudinal Study conducted in 2011, 2013, 2015, 2018, and 2020. A total of 6,343 participants were enrolled in this retrospective cohort study. Sleep duration was obtained through face-to-face interviews. Dynapenia (D) and abdominal obesity (AO) were defined by handgrip strength and waist circumference, respectively. Functional disability was assessed according to activities of daily living scales. Cox proportional hazard models analyzed the interactions of DAO and sleep duration on functional disability. Results: Over a mean follow-up of 10 years, 3,879 (61.2%) participants reported functional disability. Individuals with short sleep duration and D/AO (appropriate but short: RR = 1.42, 95% CI = 1.10–1.82, too short sleep: RR = 1.54, 95% CI = 1.16–2.06), long sleep duration and D/AO (appropriate but long: RR = 1.61, 95% CI = 1.11–2.33; too long: RR = 1.63, 95% CI = 1.15–2.32), were more likely to develop functional disability than those with normal sleep duration and ND/NAO in the fully adjusted model. The multiplicative interaction between the short sleep group and D/NAO or ND/AO were both significant. Middle-aged individuals and females were more susceptible to the effects of short sleep and DAO, while elderly individuals and males were more susceptible to the effects of long sleep and DAO. Conclusions: Short and long sleep durations combined with DAO increase the risk of functional disability. Managing waist circumference and improving grip strength in middle-aged and older adults with abnormal sleep durations may help prevent functional disability.http://www.sciencedirect.com/science/article/pii/S1279770725000338Dynapenic abdominal obesitySleep durationFunctional disabilityCohort study |
| spellingShingle | Wenjin Han Tianmeng Wang Zhiqiang He Yaping Wang Caihua Wang Shuangyan Lei Xiaoqin Wang Ronghua Wang Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study The Journal of Nutrition, Health and Aging Dynapenic abdominal obesity Sleep duration Functional disability Cohort study |
| title | Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study |
| title_full | Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study |
| title_fullStr | Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study |
| title_full_unstemmed | Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study |
| title_short | Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study |
| title_sort | interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability a longitudinal study |
| topic | Dynapenic abdominal obesity Sleep duration Functional disability Cohort study |
| url | http://www.sciencedirect.com/science/article/pii/S1279770725000338 |
| work_keys_str_mv | AT wenjinhan interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT tianmengwang interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT zhiqianghe interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT yapingwang interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT caihuawang interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT shuangyanlei interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT xiaoqinwang interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy AT ronghuawang interactioneffectbetweensleepdurationanddynapenicabdominalobesityforpredictingfunctionaldisabilityalongitudinalstudy |