Age-related changes in initiation and maintenance of sleep: A meta-analysis

Floyd, Judith A.; Medler, S. Marshall; Jw, Ager; Janisse, JJ

doi:10.1002/(sici)1098-240x(200004)23:2<106::aid-nur3>3.0.co;2-a

Cited by 106 publications

(89 citation statements)

References 55 publications

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“…As a result, older adults' sleep is more fragmented, with frequent and longer awakenings [3], [8], [9]. Likewise, the ability to initiate and maintain sleep declines [3], [10], along with a significant reduction in total sleep time [3], [11][12][13].…”

Section: Insomnia In Older Adultsmentioning

confidence: 99%

Cognitive training improves sleep quality and cognitive function among older adults with insomnia

Haimov

Shatil

2013

Sleep Medicine

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Study Objectives: To investigate the effect of an eight-week, home-based, personalized, computerized cognitive training program on sleep quality and cognitive performance among older adults with insomnia.Design: Participants (n = 51) were randomly allocated to a cognitive training group (n = 34) or to an active control group (n = 17). The participants in the cognitive training group completed an eight-week, home-based, personalized, computerized cognitive training program, while the participants in the active control group completed an eight-week, home-based program involving computerized tasks that do not engage high-level cognitive functioning. Before and after training, all participants' sleep was monitored for one week by an actigraph and their cognitive performance was evaluated.Setting: Community setting: residential sleep/performance testing facility.Participants: Fifty-one older adults with insomnia (aged 65-85).Interventions: Eight weeks of computerized cognitive training for older adults with insomnia.Results: Mixed models for repeated measures analysis showed between-group improvements for the cognitive training group on both sleep quality (sleep onset latency and sleep efficiency) and cognitive performance (avoiding distractions, working memory, visual memory, general memory and naming). Hierarchical linear regressions analysis in the cognitive training group indicated that improved visual scanning is associated with earlier advent of sleep, while improved naming is associated with the reduction in wake after sleep onset and with the reduction in number of awakenings. Likewise the results indicate that improved ''avoiding distractions'' is associated with an increase in the duration of sleep. Moreover, the results indicate that in the active control group cognitive decline observed in working memory is associated with an increase in the time required to fall asleep.Conclusions: New learning is instrumental in promoting initiation and maintenance of sleep in older adults with insomnia. Lasting and personalized cognitive training is particularly indicated to generate the type of learning necessary for combined cognitive and sleep enhancements in this population.

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Section: Insomnia In Older Adultsmentioning

confidence: 99%

Cognitive training improves sleep quality and cognitive function among older adults with insomnia

Haimov

Shatil

2013

Sleep Medicine

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“…Older adults are particularly susceptible to sleep problems, and studies indicate that 40 % suffer from insomnia [8,9]. Specifically, the amount of time required for falling asleep (sleep onset latency) and the time spent awake during the night increase with age [10,11].…”

Section: Introductionmentioning

confidence: 99%

Effects of Aquatic Exercise on Sleep in Older Adults with Mild Sleep Impairment: a Randomized Controlled Trial

Chen

Fox

et al. 2015

Int.J. Behav. Med.

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“…Strategies at the individual level include practicing good sleep hygiene; taking naps to decrease the number of consecutive hours awake; and avoiding extended workshifts, excessive consecutive workdays, and shifts that interfere with circadian sleep cycles (eg, 3 AM to 3 PM) and the ability to recover between workshifts. Because sleep complaints are more common in middle-aged and older adults, particularly women, [44][45][46][47][48] than in younger adults and children, proactive intervention is required to ensure that critical care nurses are fit for duty and can make decisions that are critical for patients' safety.…”

mentioning

confidence: 99%

Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses

Scott

Arslanian‐Engoren

Engoren

2014

American Journal of Critical Care

106

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Background The effects of inadequate sleep on clinical decisions may be important for patients in critical care units, who are often more vulnerable than patients in other units. Fatigued nurses are more likely than well-rested nurses to make faulty decisions that lead to decision regret, a negative cognitive emotion that occurs when the actual outcome differs from the desired or expected outcome. Objectives To examine the association between selected sleep variables, impairment due to fatigue, and clinical-decision self-efficacy and regret among critical care nurses. Decision regret was the primary outcome variable. Methods A nonexperimental, descriptive design and extant measures were used to obtain data from a random sample of full-time nurses. Binary logistic regression models were used to examine the association between sleep variables, fatigue, and clinical-decision self-efficacy and regret. The discrimination of the models was compared with the C statistic, the area under the receiver operating characteristic curve. Results A total of 605 nurses returned the questionnaires (17% response rate). Among these, decision regret was reported by 157 of 546 (29%). Nurses with decision regret reported more fatigue, more daytime sleepiness, less intershift recovery, and worse sleep quality than did nurses without decision regret. Being male, working a 12-hour shift, and clinical-decision satisfaction were significantly associated with decision regret (C statistic, 0.719; SE, 0.024). Conclusion Nurses who experience impairments due to fatigue, loss of sleep, and inability to recover between shifts are more likely than unimpaired nurses to report decision regret.

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Age-related changes in initiation and maintenance of sleep: A meta-analysis

Cited by 106 publications

References 55 publications

Cognitive training improves sleep quality and cognitive function among older adults with insomnia

Cognitive training improves sleep quality and cognitive function among older adults with insomnia

Effects of Aquatic Exercise on Sleep in Older Adults with Mild Sleep Impairment: a Randomized Controlled Trial

Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses

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