Balance and Mobility in Community‐Dwelling Older Adults: Effect of Daytime Sleepiness

Tyagi, Shachi; Perera, Subashan; Brach, Jennifer S.

doi:10.1111/jgs.14735

Cited by 21 publications

(13 citation statements)

References 63 publications

(109 reference statements)

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“…In our study almost one quarter of participants often or always had sleeping problems and almost half sometimes experienced such problems. A recent study has shown that poor sleep plus daytime sleepiness is related to walking speed and self-reported balance [ 53 , 54 ]. Sleep disorders are common among older people [ 27 ], related to mobility problems and falls [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Mental Well-Being of Older People in Finland during the First Year in Senior Housing and Its Association with Physical Performance

Lotvonen

Kyngäs

Koistinen

et al. 2018

IJERPH

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Growing numbers of older people relocate to senior housing, when their physical or mental performance declines. The relocation is known to be one of the most stressful events in the life of older people and affect their mental and physical well-being. More information about the relationships between mental and physical parameters is required. We examined self-reported mental well-being of 81 older people (aged 59–93, living in northern Finland), and changes in it 3 and 12 months after relocation to senior housing. The first measurement was 3 months and the second measurement 12 months after relocation. Most participants were female (70%). Their physical performance was also measured, and associations between these two were analyzed. After 12 months, mental capability was very good or quite good in 38% of participants, however 22% of participants felt depressive symptoms daily or weekly. Moreover, 39% of participants reported daily or weekly loneliness. After 12 months participants reported a significant increase in forgetting appointments, losing items and difficulties in learn new things. They felt that opportunities to make decisions concerning their own life significantly decreased. Furthermore, their instrumental activities of daily living (IADL), dominant hand’s grip strength and walking speed decreased significantly. Opportunities to make decisions concerning their life, feeling safe, loneliness, sleeping problems, negative thoughts as well as fear of falling or having an accident outdoors were associated with these physical parameters. In addition to assessing physical performance and regular exercise, the various components of mental well-being and their interactions with physical performance should be considered during adjustment to senior housing.

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Section: Discussionmentioning

confidence: 99%

Mental Well-Being of Older People in Finland during the First Year in Senior Housing and Its Association with Physical Performance

Lotvonen

Kyngäs

Koistinen

et al. 2018

IJERPH

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“…Older adults who report daytime sleepiness from sleep disorders have slower gait speed and decreased confidence in balance when walking (Tyagi et al, 2017), which can contribute to fear of falling (Chang, Chen, & Chou, 2016). Falls are also a risk in patients who complain of poor sleep quality or sleep disturbance (Stone et al, 2014), particularly when taking sleep medicine (Min, Kirkwood, Mays, & Slattum, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Functional domain: Sleep disorders and poor sleep are associated with impaired functional status (Loh et al, 2017;Song, Dzierzewski, et al, 2015), poor gait, lack of confidence in balance (Tyagi, Perera, & Brach, 2017), and poor grip strength (Jeong et al, 2017). Sleep disorders affect muscle mass and functioning, which can translate into poor physical performance (Auyeung et al, 2015).…”

Section: Problems Associated With Sleepmentioning

confidence: 99%

“…In individuals diagnosed with chronic obstructive pulmonary disease, sleep disturbance affects muscle strength and functional ability (Vardar-Yagli et al, 2015). Functional status, measured by grip strength, balance, and ambulation observation, can provide insight on the extent to which sleep disorders interfere with the ability of an older adult to maintain independence (Tyagi et al, 2017).…”

Section: Problems Associated With Sleepmentioning

confidence: 99%

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Factors Associated With Poor Sleep in Older Women Diagnosed With Breast Cancer

Overcash

Tan

Patel

et al. 2018

ONF

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“…Myotonic dystrophy type 1 and 2 (DM1/DM2) are genetic multisystem disorders with varying symptoms, including muscle weakness, myotonia, cardiac arrhythmias and brain dysfunction [1][2][3][4][5] . Recognized risk factors for falling in DM1 include distal and/or proximal muscle weakness, myotonia, cognitive impairment and daytime sleepiness [6][7][8][9][10][11][12][13] . We recently performed a randomized clinical trial to test the effect of cognitive behavioral therapy including a physical training module on fatigue in DM1, and found that falling incidence, circumstances and consequences of falls in a large cohort of adult patients with DM1 and DM2 compared to healthy controls.…”

Section: Introductionmentioning

confidence: 99%

High incidence of falls in patients with myotonic dystrophy type 1 and 2: A prospective study

Berends

Tieleman

Horlings

et al. 2019

Neuromuscular Disorders

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We aimed to examine the incidence as well as the circumstances and the consequences of falling in adult patients with myotonic dystrophy type 1 and 2 (DM1/DM2). We performed a prospective cohort study in 209 subjects, of which 102 had DM1, 42 had DM2 and 65 healthy controls. An assessment of their falls was carried out during 100 consecutive days. In addition, falls during the previous year were reported. The primary outcome measure was the number of self-reported falls per participant during these 100 days. The secondary outcome measures included self-reported causes, circumstances and consequences of the falls. Mean (SD) falls per participant in 100 days was seven-to eightfold higher in patients with DM1 (0.74 (0.14)) and DM2 (0.62 (0.20)) compared to the controls (0.09 (0.04); p < 0.001)). Sixteen percent of DM1 and 17% of DM2 patients fell at least twice. Two-thirds of the falls occurred inside. Fifty percent of falls resulted in an injury, including a head trauma in four patients. Compared to non-fallers, those patients who fell were older (DM1/DM2), had a lower DM1-Activ score (DM1), had more muscle weakness (DM1), and reported less confidence in balance (DM1). This study demonstrates a high incidence and clinical relevance of falling in patients with DM1 and DM2. Fall prevention strategies in both DM1 and DM2 should focus on adaptations of the home environment and the patient's interaction in this environment.

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Balance and Mobility in Community‐Dwelling Older Adults: Effect of Daytime Sleepiness

Cited by 21 publications

References 63 publications

Mental Well-Being of Older People in Finland during the First Year in Senior Housing and Its Association with Physical Performance

Mental Well-Being of Older People in Finland during the First Year in Senior Housing and Its Association with Physical Performance

Factors Associated With Poor Sleep in Older Women Diagnosed With Breast Cancer

High incidence of falls in patients with myotonic dystrophy type 1 and 2: A prospective study

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