Analysing the role of sleep quality, functional limitation and depressive symptoms in determining life satisfaction among the older Population in India: a moderated mediation approach

Background The life satisfaction of the elderly in nursing home is the focus of social concern.The purpose of this study was to evaluate the effects of family function and sleep quality on life satisfaction among elderly individuals in nursing homes and examine the mediating effect of sleep quality between family function and life satisfaction. Methods A cross-sectional observational study was conducted .A total of 127 older adults who completed the Life Satisfaction Index A (LSI-A), the Family APGAR Index and the Pittsburgh Sleep Quality Index (PSQI) were recruited from four nursing homes in Chongqing, China. Results Life satisfaction was positively correlated with family function (r=0.434, p<0.01) and negatively correlated with PSQI (r = -0.514, p<0.01). PSQI was found to be negatively associated with family function (r=-0.387, p<0.01).Family function had a significant effect on PSQI (path a: β=-0.8459, 95% CI=-1.2029, -0.4889), and PSQI had a significant effect on life satisfaction (path b: β=-0.3916, 95% CI=-0.5407, -0.2425). The total effect (path c) and direct effect (path c') of family function on life satisfaction were significant (β=0.8931, 95% CI=0.5626, 1.2235 and β=0.56181, 95% CI=0.2358, 0.8879, respectively). The coefficient for the indirect effect of family function on life satisfaction through PSQI was statistically significant (β=0.3312, 95% CI=0.1628, 0.5588). PSQI played a partial mediating role between family function and life satisfaction, and PSQI mediated 32.58% of the total effect of family function on life satisfaction. Conclusions Family function and sleep quality were significant predictors of elderly people's life satisfaction in nursing homes. Sleep quality partially mediated the relationship between family function and life satisfaction.The interventions focused on promoting family function and improving sleep quality may be more helpful in improving elderly people's life satisfaction in nursing homes.

Section: Discussionsupporting

confidence: 91%

Sleep quality as a mediator between family function and life satisfaction among Chinese older adults in nursing home

Zhu,

Wang,

Tang

et al. 2024

“…In the present study, we considered depression status as a psychometric factor. LASI embraced the definition of depression as the experience of low mood and no pleasure in performing an activity that was earlier interesting for an extended period, i.e., at least for two weeks [ 48 ]. For the assessment of depression status, the Centre for Epidemiologic Studies Depression (CES-D) scale was used [ 49 ].…”

Section: Methodsmentioning

confidence: 99%

Active and productive ageing in India: evidence from the time use pattern of ageing adults

Irshad,

Lekha,

Azeez

et al. 2023

Background With the increasing proportion of older adults in India, it becomes essential to get an insight into the various influencing factors of successful ageing. However, the literature on successful ageing is minuscule in the Indian context. The present study attempted to understand successful ageing in terms of active and productive ageing by exploring their determining factors. Methods The data were extracted from the Longitudinal Ageing Study in India (LASI) Wave–1 (2017–2018). We utilized self-reported time use information from the experimental module of the LASI. A total of 7837 ageing adults were included in the study. We employed descriptive statistics, bivariate analysis and a multinominal logistic regression model to examine the prevalence and the determinants of active and productive ageing. Results The prevalence of inactive ageing was higher among the Indian ageing population (57.47%), followed by active ageing (29.59%) and productive ageing (12.94%). Poor sleep quality and the prevalence of morbidity and disability limited the ageing population from attaining active and productive ageing. Engagement in physical activity was significantly associated with active and productive ageing (β = 0.83, 99% CI: -0.72–0.94 and β = 0.82, 99% CI: 0.66–0.98), respectively. Rural ageing adults were more likely to attain active ageing and less likely to attain productive ageing. Conclusion Engagement in physical activities among the ageing population shall be promoted to attain active and productive ageing. Since the rural ageing population were less likely to attain productive ageing than their urban counterparts, opportunities to participate in more formal economic activities in rural areas could be promoted for the wellbeing of the second demographic dividend.

“…Studies hint that older adults become more susceptible to sleep disorders, which is independently and strongly associated with the deterioration of subjective wellbeing [ 33 ]. In general, various studies concerning the relationship between sleep quality and wellbeing/happiness have shown that low sleep quality is associated with worse health and wellbeing [ 30 ] and the same association is found among the older adults population [ 10 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several demographic variables are found to have confound with the relationships between subjective health, mental feelings, sleep duration and quality, and happiness. These factors include age [ 33 ], gender [ 10 , 35 , 36 ], marital status [ 37 , 38 ], and education [ 34 ]. In general, most of the applied research yielded similar results on the influence of those bio-variables on older adults.…”

Section: Introductionmentioning

confidence: 99%

“Wrinkles will only go where the smiles have been”: a path analysis of the associations between happiness and health, sleep, physical activities for older people in Abu Dhabi

Badri,

Alkhaili,

Aldhaheri

et al. 2023

Background The study aimed to identify the associations of happiness and factors related to physical and mental health, leisure, and sports activities amongst older adults in Abu Dhabi. The sample comprised 1,004 participants in the third Abu Dhabi Quality of Life survey administered in 2019–2020. Methods The analysis used path analysis to develop a model incorporating the specified variables. The path model highlighted all direct and indirect associations between the variables. We also used variance analysis to test the differences in gender, marital status, and education attainment with happiness. Results Results show that sleep quality is most associated with happiness and subjective health. In addition, sleeping hours did not show any association with subjective health; but were associated with happiness. The result also confirms that mental health is negatively associated with happiness and subjective health. How often an elderly gets involved in sport and activities for at least 30 min significantly affects subjective health and happiness. Conclusions Happiness of older adults is best understood when we look at both direct and indirect effects using a path model. Their happiness is significantly associated with their subjective health, mental health, participation in sport and activities and sleep quality, Implications of the study were highlighted, along with future research directions.