Excessive Sleep and Lack of Sleep Are Associated With Slips and Falls in the Adult Korean Population

Kim, So Young; Kim, Sung-Gyun; Sim, Songyong; Park, Bumjung; Choi, Hyo Geun

doi:10.1097/md.0000000000002397

Cited by 24 publications

(48 citation statements)

References 29 publications

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“…One primary risk factor that has been shown to be associated with falls is sleep duration; however, the evidence in literature is mixed with some agreeing an association between shorter sleep duration (≤ 5 h) and falls [ 22 – 25 ] exists and others suggesting an association between longer sleep duration (> 8 h) and falls [ 23 , 25 , 26 ]. Ascertaining the importance of good sleep (e.g.…”

Section: Introductionmentioning

confidence: 99%

Sleep duration and sleep disturbances in association with falls among the middle-aged and older adults in China: a population-based nationwide study

et al. 2018

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BackgroundFalls pose major health problems to the middle-aged and older adults and may potentially lead to various levels of injuries. Sleep duration and disturbances have been shown to be associated with falls in literature; however, studies of the joint and distinct effects of those sleep problems are still sparse. To fill this gap, we aimed to determine the association between sleep duration, sleep disturbances and falls among middle-aged and older adults in China controlling for psychosocial, lifestyle, socio-demographical factors and comorbidity.MethodsData were derived from the China Health and Retirement Longitudinal Study (CHARLS) based on multi-stage sampling designs, with respondents aged 50 and older. Associations were evaluated by using multiple logistic regression adjusting for confounders and complex survey design. To further determine if the association of sleep duration/disturbance and falls depends on age groups, the study data were divided into two samples (age 50–64 vs. age 65+) and comparison was made between the two age groups.ResultsOf the 12,759 respondents, 2172 (17%) had falls within the last 2 years. Our findings indicated that the participants who had nighttime sleep duration ≤5 were more likely to report falls than those who had nighttime sleep duration ≥6 h; whereas no association between nighttime sleep duration > 8 h and falls. Participants having sleep disturbances 1–2 days, or 3–4 days, and 5–7 days per week were also more likely to report falls than those who had no sleep disturbance. The nap sleep duration was not significantly associated with falls. Although the combined sample found both sleep duration and sleep disturbance to be strongly associated with falls after adjusting for various confounders, sleep disturbance was not significantly related to falls among participants aged 65 + .ConclusionsOur study suggested that there is an independent association between falls and short sleep duration and disturbed sleep among middle-aged and older adults in China. Findings underscore the need for evidence-based prevention and interventions targeting sleep duration and disturbance among this study population.

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Section: Introductionmentioning

confidence: 99%

Sleep duration and sleep disturbances in association with falls among the middle-aged and older adults in China: a population-based nationwide study

et al. 2018

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“…It is theorized that sleep is restorative, protective, instinctive, conservative, and necessary for a good quality of life, both physically and psychologically [ 8 ]. As individuals grow older, sleep duration decreases while waking frequency increases [ 9 , 10 ]. An individual's sex and health status are two major factors that may account for the variation in sleep patterns observed in studies involving sleep and age [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…An individual's sex and health status are two major factors that may account for the variation in sleep patterns observed in studies involving sleep and age [ 10 ]. In general, sleep duration for healthy adults is approximately 7-9 hours [ 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…For older adults, researchers of a study of 1,026 older adult participants in Paris [ 12 ], as well as a study of 66,478 adult participants in Korea [ 9 ], indicated a median night-time sleep duration of 7 hours. Researchers using the Behavioral Risk Factor Surveillance System, 2014, reported that more than a third of US adults were sleeping fewer than 7 hours each night [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Sex Differences in Sleep Duration among Older Adults with Self-Reported Diagnosis of Arthritis: National Health and Nutrition Examination Survey, 2009-2012

2018

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Objective Sleep is restorative, essential, and beneficial to health. Prevalences of some diseases have been associated with sleep duration. There are few studies in the literature on the relationship of sleep duration and arthritis stratified by sex in older adults. The purpose of this research is to investigate sleep duration among older adults in the United States who have self-reported diagnosis of arthritis. Methods A cross-sectional study design was used. The data source was the National Health and Nutrition Examination 2009-2010 and 2011-2012. Self-reported diagnosis of arthritis and sleep duration were the variables of interest. Results There were 4,888 participants, aged 50 years and above, of whom 41.6% self-reported having a diagnosis of arthritis, and 60.6% were female. Of the people who had a self-reported diagnosis of arthritis, 15.2% reported sleeping 2-5 hours as compared with 10.9% of the people who did not have a self-reported diagnosis of arthritis (P = .0004). In bivariate analysis of self-reported diagnosis of arthritis and sleep stratified by sex, there were significantly more people with self-reported diagnosis of arthritis who slept 2-5 hours for both women (P = 0.0192) and men (P = 0.0231). The overall relationship remained significant in adjusted overall logistic regression comparing for self-reported diagnosis of arthritis for 2-5 hours of sleep (with 6-7 hours of sleep as the reference) (odds ratio: 1.35 [95% CI: 1.08, 1.70; P = 0.0103]); however, when the data were stratified by sex, the association failed to reach significance. Conclusion In this analysis of noninstitutionalized older adults in the United States, the prevalence of a self-reported diagnosis of arthritis was associated with shorter sleep duration in the overall analyses, but the association failed to reach significance when stratified by sex.

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“…These are only some of the examples of modifiable fall factors [7–10]. In our previous studies, inadequate sleep and an obese or underweight body mass index (BMI) were also linked to falls [11]. In contrast, the intrinsic functional and physical health status generally reflects the individual’s age, and muscle weakening, cognitive abilities, visual problems, and medical comorbidities are hard to improve [12].…”

Section: Introductionmentioning

confidence: 99%

Nocturia Is Associated with Slipping and Falling

et al. 2017

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Several reports have demonstrated associations between falls and nocturia in the elderly. However, little information is available regarding other age groups. This study evaluated the relationship between the frequency of nocturia and falls in men using a large, population-based survey in Korea, and the results were adjusted for various confounding factors. Data from a 2011 Korean community health survey (KCHS) were retrieved for 92,660 men aged 19 to 103 years. Information regarding the history of slips or falls in the past year was collected. The frequency of nocturia was classified as 0, 1, 2, 3, 4, and ≥ 5 instances a night. Walking during the day, education, income, body mass index (BMI), smoking, alcohol consumption, sleep time, stress level and medical histories of hypertension, diabetes mellitus, hyperlipidemia, cerebral stroke, angina or myocardial infarction, arthritis, and osteoporosis were adjusted using multiple logistic regression analysis with complex sampling. A subgroup analysis was conducted for young (19–30 years), middle-aged (31–60 years), and elderly individuals (61+ years). Approximately 14.6% of the men had a history of falls. Their mean age was 42.9 years, which was significantly higher than that of the non-faller group (P < 0.001). An increased frequency of nocturia was associated with increased adjusted odds ratio (AOR) for falls (AOR for 1 instance of nocturia/night = 1.41 [95% confidence interval, 1.33–1.50]; AOR for 2 instances = 1.41 [1.33–1.50]; AOR for 3 instances = 2.00 [1.75–2.28]; AOR for 4 instances = 2.12 [1.73–2.61]; AOR for ≥ 5 instances = 2.02 [1.74–2.36], P < 0.001). In the subgroup analysis, the AORs for falls significantly increased in all age groups as the frequency of nocturia increased.

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Excessive Sleep and Lack of Sleep Are Associated With Slips and Falls in the Adult Korean Population

Abstract: Supplemental Digital Content is available in the text

Cited by 24 publications

References 29 publications

Sleep duration and sleep disturbances in association with falls among the middle-aged and older adults in China: a population-based nationwide study

Sleep duration and sleep disturbances in association with falls among the middle-aged and older adults in China: a population-based nationwide study

Sex Differences in Sleep Duration among Older Adults with Self-Reported Diagnosis of Arthritis: National Health and Nutrition Examination Survey, 2009-2012

Nocturia Is Associated with Slipping and Falling

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