Insomnia in an 80‐year‐old population: Relationship to medical, psychological and social factors

Jensen, Elmo; Dehlin, Ove; Hagberg, Bo; Samuelsson, Gillis; Svensson, Torbjörn

doi:10.1046/j.1365-2869.1998.00118.x

Cited by 58 publications

(31 citation statements)

References 2 publications

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“…Among older adults, insomnia severity was directly related to use of CV drugs, general fatigue, exhaustion, angina pectoris, cardiac insufficiency, worsened objective and subjective health, presence of negative T-waves on ECG and lower survival rates [11]. In another study, investigators observed that a combination of three sleep complaints (difficulty initiating sleep, difficulty maintaining sleep, and awakening tired and fatigued) predicted risk of CV disease [12].…”

Section: Discussionmentioning

confidence: 99%

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Anxiety and Cardiovascular Symptoms: The Modulating Role of Insomnia

Olafiranye

Jean-Louis²,

Magai³

et al. 2009

Cardiology

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Background: Anxiety and insomnia are associated with cardiovascular (CV) symptoms. We assessed whether the relation between anxiety and CV symptoms is modulated by insomnia. Methods: Independently living women (n = 1,440; mean age = 59.36 ± 6.53 years) were recruited by cluster sampling technique. We obtained data on demographic characteristics, health beliefs, access to health care, CV symptoms, sleep, stress and anxiety levels. Results: Overall, 56% of the sample reported insomnia; 46% reported CV symptoms, and 54% were highly anxious. There was a greater likelihood for highly anxious women and those experiencing insomnia to report CV symptoms (r_s = 0.31* and r_s = 0.32*, respectively). In logistic regression analysis, the adjusted odds ratios for reporting CV symptoms were 1.39 for patients with insomnia and 2.79 for those with anxiety. With control for insomnia, we observed a 3-fold reduction in the magnitude of the association between anxiety and CV symptoms (r_p = 0.09*). Stepwise adjustments for sociodemographic factors, CV risk markers, and factors anchoring health beliefs and access to health care showed lesser impact on the relationships. With simultaneous control for those covariates, the correlation was r_p = 0.13*; * p < 0.01. Conclusion: The association of CV symptoms with anxiety is partly accounted for by insomnia.

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Section: Discussionmentioning

confidence: 99%

“…Evidence from several prospective studies suggests that insomnia may account for some of the risk not accounted for by anxiety in the association of anxiety with CV symptoms [10,11,12,13]. In addition, pathophysiological processes potentially important in generating CV events have been associated with insomnia [14].…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Cardiovascular Symptoms: The Modulating Role of Insomnia

Olafiranye

Jean-Louis²,

Magai³

et al. 2009

Cardiology

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“…Previously, studies have suggested that 'activity' is related to improvements in sleep quality. These activities range from exercise participation 14) (which suggest physiological mechanisms connecting exercise with increased sleep need) 15) to recreational 16) and social 17) activities. Our findings support the notion that social leisure activities, that are not necessarily associated with increased physical activity, are related to improvements in sleep quality.…”

Section: Discussionmentioning

confidence: 99%

Association of Sleep Quality and Free Time Leisure Activities in Japanese and British Civil Servants

Nasermoaddeli¹,

Sekine²,

Chandola³

et al. 2005

Journal of Occupational Health

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Association of Sleep Quality and FreeTime Leisure Activities in Japanese and British Civil Servants: Ali NASERMOADDELI, et al. Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University-Sleep disturbance as a pervasive health problem can directly affect the physical and psychological well-being of individuals. Factors that positively relate to sleep quality can therefore improve healthy functioning. We examined whether leisure time activities are associated with sleep quality in two culturally different samples of civil servants. In this cross-sectional study we evaluated 1,682 Japanese, in Toyama prefecture (T) city, and 6,914 British civil servants from the Whitehall II study undertaken in London. The Japanese version of Pittsburgh sleep quality index (PSQI-J) was used in T city and Jenkins' sleep problem scale was used in the Whitehall II study. Setting a validated cut-off point of 5.5 for the PSQI-J global score and the upper tertile point for the Jenkins' sleep problem scale, we conducted logistic regression analysis to assess the association between leisure time activities and sleep quality. In both populations, those who participated in voluntary activities in clubs or organizations were significantly less likely to have poor sleep quality with Odds ratios (OR) and 95% confidence intervals (95%CI) of 0.73 (95%CI; 0.56-0.97) and 0.85 (95%CI; 0.76-0.95) in Japanese and British civil servants, respectively. Similar findings were apparent for visiting friends and relatives (ORs 0.60 (95%CI; 0.46-0.80) and 0.71 (95%CI; 0.56-0.90) for Japanese and British subjects, respectively). Our findings suggest that engagement in social leisure activities is associated with better sleep quality and consequently better general well-being. (J Occup Health 2005; 47: 384-390)

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“…A longitudinal study also found older adults, who felt subjectively lonely in the past, complained of more severe insomnia [13] . On the other hand, a crosssectional study found that a group of people with higher social interaction had shorter sleep latency [14] .…”

Section: Social Isolation and Sleep Disturbancementioning

confidence: 93%

Impact of social isolation on behavioral health in elderly: Systematic review

Choi

Irwin

Cho

2015

WJP

114

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AIM:To examine and compare the effects of subjective and objective social isolation on behavioral health in elderly adults. METHODS:A systematic search of PubMed was performed for original research articles from peerreviewed journals examining one of the following topics: "Social isolation and sleep disturbance", "social isolation and depression", or "social isolation and fatigue in older adults". Studies were selected following the criteria established based on the aim of this review. Data were extracted from the articles by two independent reviewers. Due to the heterogeneity in study designs and outcome measures of the included studies, qualitative and narrative analyses were conducted. RESULTS:The set criteria were used to select a total of 16 studies for the review. Of the 16, 13 were crosssectional studies. The characteristics of study populations were identified as follows. A total of 12 studies randomly selected subjects irrespective of pre-existing health conditions. Consequently, an unspecified number of the study subjects had chronic diseases in the studies compared. In addition, cultural and ethnic backgrounds of studies in this review were diverse, and included subjects living in North America, South America, Asia, Europe, and Oceania. Both subjective and objective types of social isolation increased behavioral symptoms, such as sleep disturbance, depressive symptoms, and fatigue in older adults. Furthermore, a few recent studies reported stronger effects of subjective social isolation than objective social isolation on sleep disturbance and depressive symptoms. CONCLUSION: Social isolation affects behavioral SYSTEMATIC REVIEWS 432December 22, 2015|Volume 5|Issue 4|

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Insomnia in an 80‐year‐old population: Relationship to medical, psychological and social factors

Cited by 58 publications

References 2 publications

Anxiety and Cardiovascular Symptoms: The Modulating Role of Insomnia

Anxiety and Cardiovascular Symptoms: The Modulating Role of Insomnia

Association of Sleep Quality and Free Time Leisure Activities in Japanese and British Civil Servants

Impact of social isolation on behavioral health in elderly: Systematic review

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