Sleep Disorders and Aging in Women

Akberzie, Wahida; Kataria, Lynn

doi:10.1016/j.cger.2021.05.011

Cited by 9 publications

(5 citation statements)

References 84 publications

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“…In addition, for older adults aged 65 and over, the risk increased to 73%. Hormonal changes such as estrogen and progesterone levels after menopause play an important role in the sleep of older females [ 35 ]. Females are also likely to suffer from pain-related physical conditions such as osteoporosis, back problems, and fracture, and psychiatric problems such as depression and anxiety [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with insomnia in older adult outpatients vary by gender: a cross-sectional study

et al. 2021

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Background Insomnia is a common sleep disturbance in older adults and is associated with many poor health outcomes. This study aimed to explore factors associated with insomnia in older adult outpatient clinics, and to further analyze the influence of gender on factors associated with insomnia. Methods This cross-sectional study was conducted in the outpatient clinics of a tertiary hospital in Southern Taiwan from July to September 2018. A total of 400 consecutive subjects aged 60 years or older were recruited. Insomnia was defined as a score of ≥6 points on the Athens Insomnia Scale (AIS). Socio-demographics, health behaviors and clinical data were collected by face-to-face interview. Multivariable logistic regression was adopted for statistical analysis of the entire sample and stratified by gender. Results Participants’ mean age was 74.74 ± 8.54 years, and the majority (93%) had more than one chronic disease. The prevalence of insomnia accounted for 30% (120/400) of all subjects, with males 22.9% (46/201) and females 37.2% (74/199). Gender, appetite, exercise, depressive symptoms, and sleep-related conditions such as short sleep duration, sleeping pills usage, medium-high risk of obstructive sleep apnea (OSA) and restless leg syndrome (RLS) were factors associated with insomnia in older adults. Exercise, sleeping pills usage, and RLS were independently associated with insomnia only in men, while appetite and medium-high risk of OSA were associated with insomnia in women only. In addition, after further adjusting for covariates, prevalence of the insomnia-related symptoms such as sleep induction, total sleep duration, sleep quality and sleepiness during the day was significantly higher in females than in males. Conclusions Insomnia symptoms are highly prevalent among older adults, predominantly females. Significant differences are found between genders in factors associated with insomnia and insomnia-related symptoms. Understanding gender differences may help clinicians to modify associated factors when managing older adults with insomnia.

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Section: Discussionmentioning

confidence: 99%

Factors associated with insomnia in older adult outpatients vary by gender: a cross-sectional study

et al. 2021

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“…In addition, lifestyle habits, such as smoking and alcoholism [ 47 ] also affect sleep. Precipitating factors include stressful life events or medical conditions that can disrupt sleep [ 48 ], such as respiratory symptoms and physical disability [ 49 ]. Prior research has also shown that patients with depression and generalized anxiety disorder have higher insomnia rates [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Association between sleep problems and functional disability in community-dwelling older adults

Idalino,

Cândido,

Wagner

et al. 2024

BMC Geriatr

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Background Sleep problems are frequently observed in older adults. They can lead to changes in the individual’s physical, occupational, cognitive, and social functioning, compromising the performance of activities of daily living and contributing to the occurrence of functional disability. This study evaluated the association between sleep problems and functional disability in community-dwelling older adults. Methods This was a cross-sectional study with data from 10,507 Brazilian community-dwelling older adults participating in the 2013 National Health Survey. The exposure variable was self-reported sleep problems in the last two weeks. The outcome measure was functional disability assessed from self-reported questionnaires, categorized into basic activities of daily living (BADL) and instrumental activities of daily living (IADL), and defined as not being able to perform or having little or a lot of difficulty in at least one of the activities investigated in the domain of interest. Results Older adults who reported sleep problems had 1.53 (95%CI: 1.34; 1.75) and 1.42 (95%CI: 1.26; 1.59) greater odds of having a disability in BADL and IADL when compared to individuals who reported having no sleep problems. Conclusions Older adults with sleep problems were more likely to have a functional disability, both in BADL and IADL. Thus, it is important to implement strategies to screen for sleep problems in older adults in primary health care as a preventive strategy for functional disability.

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“…In this regard, the highest frequencies of insomnia have been reported in Brazil (79.8%), followed by South Africa (45.3%), Eastern Europe (32%), Asia (28.3%), and Western Europe (23.2%). Likewise, sex (women), age (older adults), place of residence (urban), shift workers (at night), and patients with coexisting medical complaints are the main risk factors for insomnia [9,33]. In this sense, Manjavong et al (2017) reported 60% insomnia in subjects from urban residence, middle class in the preretirement age of 50 years, or older adults who worked for Khon Kaen University (KKU), Khon Kaen, Thailand, and their elderly relatives [34].…”

Section: Discussionmentioning

confidence: 99%

Detection of Insomnia and Its Relationship with Cognitive Impairment, Depression, and Quality of Life in Older Community-Dwelling Mexicans

2023

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Sleep disturbances are one of the most frequent health problems in old age, among which insomnia stands out. It is characterized by difficulty falling asleep, staying asleep, frequent awakenings, or waking up too early and not having restful sleep, which may be a risk factor for cognitive impairment and depression, affecting functionality and quality of life. Insomnia is a very complex multifactorial problem that requires a multi- and interdisciplinary approach. However, it is frequently not diagnosed in older community-dwelling people, increasing the risk of psychological, cognitive, and quality of life alterations. The aim was to detect insomnia and its relationship with cognitive impairment, depression, and quality of life in older community-dwelling Mexicans. An analytical cross-sectional study was carried out in 107 older adults from Mexico City. The following screening instruments were applied: Athens Insomnia Scale, Mini-Mental State Examination, Geriatric Depression Scale, WHO Quality of Life Questionnaire WHOQoL-Bref, Pittsburgh Sleep Quality Inventory. The frequency of insomnia detected was 57% and its relationship with cognitive impairment, depression, and low quality of life was 31% (OR = 2.5, 95% CI, 1.1–6.6. p < 0.05), 41% (OR = 7.3, 95% CI, 2.3–22.9, p < 0.001), and 59% (OR = 2.5, 95% CI, 1.1–5.4, p < 0.05), respectively. Our findings suggest that insomnia is a frequent clinical disorder that is not diagnosed and a significant risk factor for cognitive decline, depression, and poor quality of life.

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Sleep Disorders and Aging in Women

Cited by 9 publications

References 84 publications

Factors associated with insomnia in older adult outpatients vary by gender: a cross-sectional study

Factors associated with insomnia in older adult outpatients vary by gender: a cross-sectional study

Association between sleep problems and functional disability in community-dwelling older adults

Detection of Insomnia and Its Relationship with Cognitive Impairment, Depression, and Quality of Life in Older Community-Dwelling Mexicans

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