Age and gender effects on the prevalence of poor sleep quality in the adult population

Madrid‐Valero, Juan J.; Martínez-Selva, José M.; Couto, Bruno Ribeiro Do; Sánchez-Romera, Juan F.; Ordoñana, Juan R.

doi:10.1016/j.gaceta.2016.05.013

Cited by 264 publications

(226 citation statements)

References 26 publications

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“…In the present study, we found that female gender was associated with an increased likelihood of poor sleep quality, which is in line with the current view that women are more prone than men to experiencing sleep disorders [32][33][34]. The epidemiologic studies have indeed frequently indicated that female gender is an independent risk factor for sleep disorders [35,36].…”

Section: Discussionsupporting

confidence: 92%

Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study

et al. 2019

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Objective To investigate the prevalence and associated factors of poor sleep quality among community-dwelling elderly population in a rural area of Northern China. Methods We conducted a cross-sectional survey in August-December 2014 and recruited 2195 participants who were aged 65 years or older and living in Yanlou Town of Yanggu County in western Shandong Province, China. Data on demographics, health-related behaviors, and clinical conditions were collected through structured interviews. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep quality and patterns. Poor sleep quality was defined as a PSQI score > 7. We employed multiple logistic models to relate poor sleep quality to various factors. Results The overall prevalence rates of poor sleep quality were 33.8% in the total sample, 39.2% in women and 26.3% in men (P < 0.01). The most common abnormal sleep domains were prolonged sleep latency (39.7%), decreased sleep duration (31.0%), and reduced habitual sleep efficiency (28.8%). Multiple logistic regression analyses revealed that poor sleep quality was significantly associated with female sex (OR = 1.76, 95% CI 1.46-2.12) and clinical comorbidities such as hypertension (OR = 1.28, 95% CI 1.06-1.54), coronary heart disease (OR = 1.60, 95% CI 1.27-2.00), and chronic obstructive pulmonary disease (OR = 1.82, 95% CI 1.34-2.49). Conclusions The sleep disorders were highly prevalent among the elderly in rural China. Modifiable risk factors such as cardiometabolic risk factors and disorders were associated with poor sleep quality, which might be potential targets for interventions to improve sleep quality in elderly population.

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Section: Discussionsupporting

confidence: 92%

Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study

et al. 2019

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“…These are higher scores than reported in general population and non-clinical samples [57–59], suggesting more and worse sleep problems, as might be expected in this group. These scores should suggest a sample ranging from those with multiple and severe problems, to good sleepers, although it is noted that those obtaining relatively low scores often described severe problems in interview.…”

Section: Resultscontrasting

confidence: 38%

Experiences, perspectives and priorities of people with schizophrenia spectrum disorders regarding sleep disturbance and its treatment: a qualitative study

Faulkner

Bee

2017

BMC Psychiatry

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BackgroundSleep problems are very common in people with schizophrenia spectrum disorders, and impact negatively on functioning and wellbeing. Research regarding interventions to improve sleep in this population has been lacking. Little is known regarding these patient’s perspectives on sleep problems and their treatment, providing very little foundation on which to develop acceptable and patient-centred treatments.MethodsThis study aims to explore perspectives and priorities of participants with schizophrenia spectrum disorders regarding sleep and sleep disturbance, and their perspectives on existing treatments. An Interpretive Phenomenological Analysis (IPA) study was conducted; data were gathered through in depth interviews with 15 people with schizophrenia spectrum disorders and varying degrees of self-reported sleep disturbance, each case was analysed individually before cross-case comparisons were made.ResultsSleep maintenance and sleep quality were universally valued. Changes to sleep were interpreted as part of a perceived loss of normality relating to diagnosis. Participants differed in the extent of any hopes that sleep would improve. Sleep disturbances were linked to a reduced ability or opportunity to participate in valued activities, and were entangled with self-image due to a wish to be perceived as alert and in control. During difficult times, sleep could be seen as an escape. Concerns were expressed regarding the negative effects of using hypnotics or anti-psychotics to aid sleep, although typically antipsychotics were deemed more acceptable than hypnotics. Concerns regarding barriers to adherence and effectiveness of self-help approaches were common. Non-pharmacological interventions were noted to require a personalised whole-lifestyle approach.ConclusionsThis is the first study to explore sleep perspectives in participants with established schizophrenia spectrum disorders, recruited from a population receiving usual care. Findings re-enforce the importance of considering sleep within recovery focused practice. In developing and adapting interventions routine-based approaches should be considered. Approaches should attempt to make gradual changes more easily perceptible, should support motivation for behaviour change, and should consider the impact of regular psychotropic medications.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1329-8) contains supplementary material, which is available to authorized users.

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“…Problems with sleep may severely impact our cognitive functioning (Alhola and Polo-Kantola, 2007) and health (Garbarino et al, 2016;Kecklund and Axelsson, 2016). More than one third of the adult population suffers from insufficient sleep or impaired sleep quality (Liu, 2016;Madrid-Valero et al, 2017), with significant consequences for our economy (Hafner et al, 2017). Current therapies for sleep problems include pharmacological (Wilson and Nutt, 2010) and psychological or behavioral therapies, including relaxation strategies (Edinger et al, 2017;Morin et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effect of Rocking Movements on Afternoon Sleep

et al. 2020

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Study Objectives: Gentle rocking movements provided by a moving bed have been proposed as a promising non-pharmacological way to promote sleep. In rodents the sleep promoting effect of rocking movements depended on the peak acceleration (named "stimulation intensity") perceived by the vestibular system. We set out to verify previous reports on the sleep promoting effect of rocking movements and to investigate the importance of stimulation intensity in this process. Methods: Side-to-side rocking movements along a pendulum trajectory with different peak accelerations (control: 0 m/s 2 , low intensity: 0.15 m/s 2 , medium intensity: 0.25 m/s 2 , high intensity: 0.35 m/s 2) were provided for 45 min during an afternoon nap opportunity. Participants were assigned to a low intensity group (n = 10) experiencing control, low and medium intensity stimulation or a high intensity group (n = 12) experiencing control, medium and high intensity stimulation. Sleep and sleep-related memory performance were assessed using polysomnography and a word-pair memory task, respectively. Results: Participants transitioned faster into deep sleep under the influence of medium intensity rocking as was evident by a faster buildup of delta power compared to the control condition (n = 22). The faster buildup did not affect sleep architecture, since e.g., the proportion of the nap spent in deep sleep or latencies did not change. Previously reported effects like a shorter latency to stage N2 and a higher density of sleep spindles were not observed. Sleep quality during control naps of the low intensity group was worse than in the high intensity group. In the low intensity group, we also observed a significant increase in delta power throughout the nap, as well as a higher density of slow oscillations both under the influence of low and medium intensity vestibular stimulation. No such effects were observed in the high intensity group. Conclusion: Rocking movements may promote nap sleep in young adults. Due to a difference in sleep quality during control naps between the low and high intensity group no conclusion regarding the influence of stimulation intensity were possible. Thus, optimal stimulation settings in humans need further investigation.

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Age and gender effects on the prevalence of poor sleep quality in the adult population

Abstract: The prevalence of poor sleep quality is high among adults, especially women. There is a direct relationship between age and deterioration in the quality of sleep. This relationship also appears to be more consistent in women.

Cited by 264 publications

References 26 publications

Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study

Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study

Experiences, perspectives and priorities of people with schizophrenia spectrum disorders regarding sleep disturbance and its treatment: a qualitative study

Effect of Rocking Movements on Afternoon Sleep

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