时间标签：数据日期 2026-11-05 · 生成时间 2026-11-05 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 ｜ 情报发生日期 2026-11-05
研究问题
Conventional post hoc power analysis was not performed because the study objective was prediction rather than null-hypothesis testing.；It focuses on middle-aged and older adults with abdominal obesity, a metabolically relevant yet understudied population with a substantial burden of poor sleep quality, and integrates psychological and objective physical fitness measures within one risk-identification framework.；Larger multicenter prospective studies should evaluate external calibration, discrimination, and potential use with objective sleep measures and more comprehensive health information.6ConclusionThis study developed and internally validated a nomogram that integrates psychological and physical fitness indicators to estimate the probability of current poor sleep quality among community-dwelling middle-aged and older adults with abdominal obesity.
方法
However, the selected predictors vary substantially, and most studies have focused on general older populations or patients with specific chronic diseases.；Models have also been developed in patients with inflammatory bowel disease and systemic lupus erythematosus (14, 15).；Inclusion criteria were: age ≥ 45 years; meeting the criteria for abdominal obesity, i.e., waist circumference ≥ 90 cm for men and ≥ 85 cm for women (20); and the ability to complete the questionnaire assessments and primary physical fitness tests required for the study.
核心结论
These findings provide a plausible endocrine–metabolic context for the close relationship between disturbed sleep and abdominal obesity.；These findings support the need for a simple community-based tool that integrates psychological status and physical function to identify current poor sleep quality in middle-aged and older adults with abdominal obesity.From a public health perspective, abdominal obesity, psychological symptoms, reduced physical function, and poor sleep may coexist in community aging populations but are often assessed separately.；The Chinese-language version has demonstrated acceptable psychometric properties in a Chinese clinical population (26).
局限
Middle-aged and older adults with poor sleep quality are more likely to have concurrent depression, anxiety, functional limitations, reduced quality of life, and a greater burden of chronic disease (2–5).；However, the selected predictors vary substantially, and most studies have focused on general older populations or patients with specific chronic diseases.；Zhang et al. developed a sleep disturbance model for older adults with hypertension using variables including depressive symptoms, education, asthma, overweight status, arthritis, and work limitations (13).
对本项目的价值
中等价值：属「衰弱 / 肌少症功能结局」方向；肌肉骨骼 / 衰弱 / 肌少症栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.6/5（★★★☆☆）
全文来源
PubMed PMC JATS（正文 46,797 字符，题名指纹 1.0，已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验）
原文题录
- 中文题名：基于心理与体适能指标的社区腹型肥胖中老年人群睡眠质量低下识别
- 英文标题：Community-based identification of poor sleep quality in middle-aged and older adults with abdominal obesity using psychological and physical fitness indicators.
- 期刊与标识：Frontiers in public health · PMID 42979658 · DOI 10.3389/fpubh.2026.1964356 · PMC PMC13730819