Evaluation of the correlation between frailty and sleep quality among elderly patients with osteoporosis: a cross-sectional study

Xu, Xiaobin; Zhou, Xiaoping; Liu, Wenjing; Qian, Ma; Deng, Xuexue; Fang, Ronghua

doi:10.1186/s12877-022-03285-z

Cited by 15 publications

(5 citation statements)

References 42 publications

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“…In this sense, poor sleep quality, defined by a PSQI above 5, was associated with increased odds for both frailty (OR = 1.78, 95% CI 1.19–2.66) and pre-frailty (OR = 1.51, 95% CI 1.20–1.90) [ 35 ]. Another study showed that a PSQI above 7 was associated with 2.68-fold increased odds of frailty (OR 2.68, 95% CI 1.04-6.91) [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Nocturia and frailty in older adults: a scoping review

Komleva,

Gollasch,

König

2024

BMC Geriatr

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Background More than one in two older people wake up several times a night to urinate. Far from being a minor inconvenience, nocturia is associated with poor health outcomes. Given the importance of sleep as a foundation for resilience and healthy ageing, nocturia may promote the development of frailty, which is inextricably linked to physical decline, disability, and mortality. The aim of this scoping review was to collate published evidence on the relationship between nocturia and frailty, using the methodological framework of Arksey and O'Malley, together with the Joanna Briggs Institute methodology as guidance (OSF registration: osf.io/d5ct7). Methods Relevant publications were retrieved via PubMed, Embase, the Cochrane Library and Google Scholar. The Rayyan tool was used to facilitate the screening process. Data were extracted by two independent reviewers. 250 publications were initially identified, of which 87 met the eligibility criteria. Results Most of the evidence came from cross-sectional studies, most of which had been published within the last 5 years. The researchers were diverse, with 27% having a geriatric background. Only few publications established a clear association between nocturia and frailty. Other topics included: the association between nocturia and poor sleep quality and duration; the association between sleep and frailty; the association between frailty, multimorbidity, and age-related changes in the lower urinary tract. Conclusion The findings emphasize the increasing interest and interdisciplinary nature of research into the relationship between frailty, nocturia, lower urinary tract symptoms, and sleep disturbances. Further research is required to enhance understanding, establish causality, and identify potential therapeutic approaches.

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Section: Resultsmentioning

confidence: 99%

Nocturia and frailty in older adults: a scoping review

Komleva,

Gollasch,

König

2024

BMC Geriatr

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“…Previous research has shown that factors such as dietary structure, physical activity, smoking, and sleep quality are related to OP risk. For instance, a balanced diet [29] , adequate physical activity [25] , smoking cessation [30] , maintaining normal sleep [31] , and a normal BMI [28] are considered protective against OP and effective in reducing its risk.Our study adds to the existing literature by integrating these risk factors and exploring the relationship between LE8 and BMD. The results demonstrate a signi cant positive correlation between LE8 scores and BMD, especially notable in the high CVH group, emphasizing the importance of LE8 scores in monitoring BMD and highlighting the potential positive impact of modi able factors on BMD.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle and Bone Health: Analyzing the Association Between LE8 Scores and BMD

Cui¹,

Xu¹,

Cui¹

et al. 2024

Preprint

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Purpose This study aims to investigate the association between Life's Essential 8 scores(LE8) and bone mineral density(BMD) in adults aged 20–59 years.Methods This cross-sectional study utilized nationally representative data from NHANES 2011–2018. Weighted multiple linear regression models were used to explore the relationship between LE8 scores and different levels of cardiovascular health(CVH) with BMD. Additionally, subgroup analyses were conducted to examine the differences in the impact of LE8 scores on BMD across different age groups, genders, races, socioeconomic statuses, and BMI.Results A total of 2,159 participants were included in the study. After adjusting for all covariates, LE8 scores were significantly and positively linearly associated with lumbar spine BMD, thoracic spine BMD, trunk BMD, and total BMD (P < 0.05). Compared to the low CVH group, individuals in the medium and high CVH groups had higher BMD (P < 0.05). Subgroup analyses revealed that this relationship was more pronounced in the 20–35 age group and within the normal BMI range (P < 0.05). In females, thoracic spine BMD was more sensitive to changes in LE8 scores (P < 0.05).Conclusion This study reveals a positive linear relationship between LE8 and BMD. Higher LE8 scores are associated with greater BMD in adults aged 20–59 years, suggesting that lifestyle interventions can effectively prevent and treat OP.

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“…Also, insufficient sleep or sleep deprivation may affect the central nervous system of the elderly through controlling of insulin metabolism and facilitation of insulin resistance (Jennings et al., 2007). Besides, the association for sleep problems and physical frailty is biologically plausible, and may be mediated by multiple factors, such as cardiovascular disease, depressive symptoms, lower testosterone levels, renal insufficiency, and higher levels of proinflammatory cytokines (Xu et al., 2022), whereas sleepiness and fatigue symptoms may be associated with premature brain atrophy and amyloid accumulation. Therefore, it would suggest programs, such as exercise or decompression activities (Kaur et al., 2019), to improve the quality of sleep and preventing cognitive decline in the elderly with sleep problems.…”

Section: Discussionmentioning

confidence: 99%

Modifiable risk factors of cognitive frailty in community‐dwelling older adults: A systematic review and meta‐analysis

Chen

Zhang

2023

Int J of Nursing Knowl

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PurposeTo perform a meta‐analysis identifying the modifiable risk factors of cognitive frailty in the elderly.MethodsWe systematically searched databases including PubMed, EMBASE, China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Data Knowledge Service Platform from January 01, 2017 to March 26, 2022. Quantitative, original research reporting associated factors were included.Findings7,854 records in total were identified, of which 14 articles (1 prospective, 13 cross‐sectional) with 36 factors were included. Studies on cognitive frailty included 20,390 community‐dwellers (≥60 years) from three countries. Meta‐analysis indicated that depression [OR = 3.60, 95%CI (2.25,5.78), p < 0.01] and sleep problems [OR = 2.36, 95%CI (1.62,3.43), p < 0.01] were associated with cognitive frailty.ConclusionsEffective interventions targeting depression and sleep problems may lower the risk of cognitive frailty in the community seniors but need further study in high‐quality, prospective studies.Implications for Nursing PracticeBuilding on previous work, the objectives of this systematic review and meta‐analysis were to explore potential modifiable risk factors for cognitive frailty in community‐dwelling older adults, which is expected to throw light on the prevention of cognitive frailty.

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Evaluation of the correlation between frailty and sleep quality among elderly patients with osteoporosis: a cross-sectional study

Cited by 15 publications

References 42 publications

Nocturia and frailty in older adults: a scoping review

Nocturia and frailty in older adults: a scoping review

Lifestyle and Bone Health: Analyzing the Association Between LE8 Scores and BMD

Modifiable risk factors of cognitive frailty in community‐dwelling older adults: A systematic review and meta‐analysis

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