Sleep: A Marker of Physical and Mental Health in the Elderly

Reid, Kathryn J.; Martinovich, Zoran; Finkel, Sanford I.; Statsinger, Judy; Golden, Robyn; Harter, Kathryne; Zee, Phyllis C.

doi:10.1097/01.jgp.0000206164.56404.ba

Cited by 236 publications

(160 citation statements)

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“…Arlener D. Turner, PhD 1,4 ; Andrew S. Lim, MD 2 ; Sue E. Leurgans, PhD 1,3 ; David A. Bennett, MD 1,3 ; Aron S. Buchman, MD 1,3 ; Lisa L. Barnes, PhD 1,3,4 Objective: Assess the relationship of selfreported sleep quality and possible sleep disorders with disability in a racially diverse sample of community-dwelling older adults.…”

Section: Self-reported Sleep In Older African Americans and White Amementioning

confidence: 99%

“…Almost 40% suffer from a sleep disorder such as sleep apnea, and 32%-45% report difficulties falling or staying asleep. 1,2,3 The hallmark sleep complaint in old age is insomnia, with prevalence rates ranging from 15%-65%. 4,5 Empirical studies support that aging is associated with shorter sleep times, decreased time in deep sleep, increased arousals, and diminished sleep efficiency.…”

Section: Introductionmentioning

confidence: 99%

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Self-Reported Sleep in Older African Americans and White Americans

et al. 2016

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Objective: Assess the relationship of self-reported sleep quality and possible sleep disorders with disability in a racially diverse sample of community-dwelling older adults.Methods: Participants included 943 non-demented older African Americans (n=452) and Whites (n=491) from two cohort studies, the Minority Aging Research Study (MARS) and the Rush Memory and Aging Project (MAP). Participants completed a 32-item questionnaire assessing sleep quality and the possible presence of three sleep disorders (sleep apnea, restless leg syndrome [RLS] and REM behavior disorder [RBD]). Disability was assessed with scales that quantified the ability to perform instrumental activities of daily living (IADL), basic activities of daily living (ADL), and physical mobility activities.Results: More than half of the participants reported impaired sleep quality (51%), or the possible presence of at least one sleep disorder (57%; sleep apnea 44%, RLS 25% and RBD 7%). Sleep quality was rated poorer in African Americans, those with advancing age and fewer years of education (all P<.05). Only sleep apnea risk was associated with age (P<.02). In logistic regression models adjusted for age, sex, years of education, and race, both sleep quality and disorders were associated with disability (sleep quality with mobility disability (P<.001), sleep apnea risk with mobility disability and IADL disability (all P<.001) and RLS symptoms with mobility disability (P<.01).Conclusions: Results indicate that self-assessed impaired sleep is common in old age and is associated with disability. Ethn Dis.2016;26(4):521-528; doi:10.18865/ ed.26.4.521

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Section: Self-reported Sleep In Older African Americans and White Amementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-Reported Sleep in Older African Americans and White Americans

et al. 2016

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“…[1][2][3] There is increasing evidence that too little or too much sleep is associated with adverse health outcomes including mortality and morbidity. [4][5][6][7][8][9][10] Many studies report a U-shaped association between sleep duration and increased health risks.…”

Section: Introductionmentioning

confidence: 99%

Association between Sleep Duration and Self-Reported Health Status: Findings from the Bhutan's Gross National Happiness Study

Sithey

Wen

Kelly

2017

Journal of Clinical Sleep Medicine

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Study Objectives: Short and long sleep durations have been found to be associated with chronic conditions like diabetes mellitus, hypertension and cardiovascular disease. However, most studies were conducted in developed countries and the results were inconsistent. The aim of this study is to investigate the association between sleep duration and self-reported health status in a developing country setting. Methods: We conducted secondary data analysis of the 2010 Gross National Happiness study of Bhutan, which was a nationwide cross sectional study with representative samples from rural and urban areas. The study included 6476 participants aged 15-98 y. The main outcome variable of interest was selfreported health status. Sleep duration was categorized as ≤ 6 h, 7 h, 8 h, 9 h, 10 h, and ≥ 11 h. Multiple logistic regressions were conducted to investigate the association between sleep duration and self-reported health status. Results: The mean sleep duration was 8.5 (± 1.65) h. Only 9% of the respondents slept for 7 h; 6% were short sleepers (≤ 6 h) and 84% were long sleepers (21%, 8 h; 28%, 9 h; 22%, 10 h; 13%, ≥ 11 h). We found that both short (≤ 6 h) and long sleep duration (≥ 11 h) were independently associated with poor selfreported health status. Conclusions: This study found that people with shorter and longer sleep durations were more likely to report poorer health status.

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“…Sleep is one of the components of humans'lives that undergoes some changes in terms of its quality and structure due to aging (7). The changes result in sleep disorder and related frequent complaints (8,9). The results of studies indicate that poor sleep quality ranks third in older people's problems following headache and digestive disorder, and is a reason for visiting physicians (10).…”

Section: Introductionmentioning

confidence: 87%

“…According to a study, over 57% of older people reported sleep disorder, while only 12% reported no sleep problem (7). In some studies, this rate was reported to be up to 70% (8,11). Immobilization is also a common problem in the elderly that affects health and sleep quality.Maintaining physical function is a key factor in successful aging (12).…”

Section: Introductionmentioning

confidence: 99%

Quality of Sleep and Daily Activity of the Elderly in Zanjan

Pakpour¹,

Moqaddam²,

Hosseiny³

et al. 2016

jgbfnm

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Background: Poor quality of sleep and daily activity in elderly people are associated with many physical and psychological problems that increase disability and need to use health services. The aim of this study was to determine the relationship between daily activities and quality of sleep in the elderly people. Methods: This Study was a correlational-descriptivestudy on390 elderly people in Zanjan in 2013. The sampling was done using a cluster and multistage method. Data were collected via face-to-face interview, using Pittsburgh Sleep Quality Index (PSQI) and a questionnaire on "activities of daily living(ADL)" and "instrumental activities of daily living (IADL)". Data analysis was performed using descriptive statistic including number, percentage, mean, standard deviation, and inferential statistical tests including Spearman's rank correlation coefficient, independent t-test and one-way analysis of variance. Results: The mean score of ADLand IADL was 11.58±0.81 (score range 0-14) and 11.23±2.93 (score range 0-18), respectively. In addition, 85.7%of the subjects in the study had poor sleep quality and only 14.3% had good sleep quality. The results also indicated no significant relationship between the daily activities and quality of sleep in the elderly, while instrumental activities had a weak positive and significant correlation with their sleep quality (P≥ 0.05). Conclusion: Although the elderlyin this study have poor sleep quality, they are independent inperforming ADL and IADL. Furthermore, there is a weak and direct correlation between sleep quality and instrumental activities of the old people. Improvement of activity in the elderly can improve their quality of sleep.

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Sleep: A Marker of Physical and Mental Health in the Elderly

Cited by 236 publications

References 21 publications

Self-Reported Sleep in Older African Americans and White Americans

Self-Reported Sleep in Older African Americans and White Americans

Association between Sleep Duration and Self-Reported Health Status: Findings from the Bhutan's Gross National Happiness Study

Quality of Sleep and Daily Activity of the Elderly in Zanjan

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