The Course of Subjective Sleep Quality in Middle and Old Adulthood and its Relation to Physical Health

Lemola, Sakari; Richter, David

doi:10.2139/ssrn.2182559

Cited by 7 publications

(8 citation statements)

References 41 publications

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“…We found that the prevalence of sleep disturbance increased with age and physical co‐morbidity. Older age was more often associated with sleep disturbance compared with young adults, which is in line with previous studies that report that sleep disturbance increases across the adult life span until age 60 years (Ohayon, Carskadon, Guilleminault, & Vitiello, ; Lemola & Richter, ). Participants with co‐morbidity may experience more physical and psychological burdens depending on the condition they suffer from, and therefore, their sleep quality may be disturbed.…”

Section: Discussionsupporting

confidence: 91%

Associations of Perceived Stress, Resilience and Social Support with Sleep Disturbance Among Community-dwelling Adults

Liu

Tian

et al. 2015

Stress Health

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Sleep disturbance is often described as sleeping poorly, difficulty falling asleep and maintaining sleep, and waking early. Currently, most studies examining sleep disturbance have focused on negative psychological variables; however, few studies have combined both negative and positive psychosocial factors to assess sleep. The aim of this study was to investigate the prevalence of sleep disturbance and psychosocial correlates in Chinese community-dwelling adults. A total of 1471 adults, between 18 and 60 years old, from eight selected community settings in Jinan, China, were surveyed using the Pittsburgh Sleep Quality Index, Perceived Stress Scale, 10-item Connor-Davidson Resilience Scale and Multidimensional Scale of Perceived Social Support and provided sociodemographic information. We found that the prevalence of sleep disturbance was 33.9%. After adjusting for age, employment status and physical co-morbidity, perceived stress was significantly associated with sleep disturbance [odds ratio (OR) = 1.14, p < 0.001], while resilience and social support were associated with a low likelihood of sleep disturbance (OR = 0.90, p < 0.001; OR = 0.97, p < 0.001). Furthermore, regression analysis showed that the interaction between perceived stress and resilience was significant (p < 0.05). Resilience buffered the negative impact of perceived stress on sleep disturbance. Given the close relationship between sleep disturbance and psychosocial correlates, the development of effective intervention programmes to improve sleep quality in this population should be considered. Copyright © 2015 John Wiley & Sons, Ltd.

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Section: Discussionsupporting

confidence: 91%

Associations of Perceived Stress, Resilience and Social Support with Sleep Disturbance Among Community-dwelling Adults

Liu

Tian

et al. 2015

Stress Health

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“…Among these thirteen studies, insomnia was heterogeneously defined, although most studies considered insomnia to be simply the presence of difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS), or early morning awakening (EMA). One study defined insomnia symptoms by asking if participants had “trouble” sleeping 19 , while two asked if participants had “problems” sleeping 20, 21 , and another asked “how satisfied are you with your sleep?” 22 . One study also examined hypersomnia (sleeping too much) in addition to DIS/DMS complaints 23 .…”

Section: Resultsmentioning

confidence: 99%

“…Measures of physical health status varied considerably, and included self-reported health status 22, 27, 34, 35 , number of medical conditions/composite variables 19, 21, 23, 24 and/or specific chronic diseases 26, 28, 29 . Studies examining number of medical conditions showed a 70-277% increase in risk for incident insomnia symptoms in participants with 2+ physical disorders 23, 24 , or 4.3 times the odds for those below the median in a physical health status scale 21 .…”

Section: Resultsmentioning

confidence: 99%

Risk factors for sleep disturbances in older adults: Evidence from prospective studies

Smagula

Stone

Fabio

et al. 2016

Sleep Medicine Reviews

268

172

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Summary No systematic review of epidemiological evidence has examined risk factors for sleep disturbances among older adults. We searched the PUBMED database combining search terms targeting the following domains (1) prospective, (2) sleep, and (3) aging, and identified 21 relevant population-based studies with prospective sleep outcome data. Only two studies utilized objective measures of sleep disturbance, while six used the Pittsburgh Sleep Quality Index (PSQI) and thirteen used insomnia symptoms or other sleep complaints as the outcome measure. Female gender, depressed mood, and physical illness were most consistently identified as risks for future sleep disturbances. Less robust evidence implicated the following as potentially relevant predictors: lower physical activity levels, African-American race, lower economic status, previous manual occupation, widowhood, marital quality, loneliness and perceived stress, preclinical dementia, long-term benzodiazepine and sedative use, low testosterone levels, and inflammatory markers. Chronological age was not identified as a consistent, independent predictor of future sleep disturbances. In conclusion, prospective studies have identified female gender, depressed mood, and physical illness as general risk factors for future sleep disturbances in later life, although specific physiological pathways have not yet been established. Research is needed to determine the precise mechanisms through which these factors influence sleep over time.

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“…After 4 weeks, these patients were invited to have an esophagogastroduodenoscopy (EGD) examination to detect PUD recurrence and a RUT, together with a histological examination to detect H. pylori reinfection at 6‐month intervals for up to 36 months, regardless of the presence or absence of PUD symptoms. A previous study identified an effect size of 0.21 between sleep quality and physical health of older adults . We, therefore, adopted a similar effect size of 0.20 that required a minimum sample size of 1054 to achieve a statistical power of 0.9 at a probability level of 0.05.…”

Section: Methodsmentioning

confidence: 99%

Effect of Subjective and Objective Sleep Quality on Subsequent Peptic Ulcer Recurrence in Older Adults

Fang¹,

Liu²,

Yang

et al. 2019

J American Geriatrics Society

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OBJECTIVE To examine the effect of subjective and objective sleep quality on subsequent recurrence of peptic ulcer disease (PUD) among older patients after Helicobacter pylori eradication. SETTING Eight grade A hospitals in China. PARTICIPANTS Of 1689 older Chinese with H. pylori–infected PUD recruited between January 2011 and October 2014, H. pylori were eradicated and PUD was cleared in 1538 patients by the end of 2014; 1420 of these patients were followed up for up to 36 months. MEASUREMENTS Using multiple measures at 6‐month intervals, PUD recurrence was determined with esophagogastroduodenoscopy. Subjective sleep quality was measured using the Pittsburgh Sleep Quality Index. Objective sleep quality domains were measured using an accelerometer, including sleep onset latency, sleep efficiency, total sleep time, and number of awakenings. RESULTS This study documented a 36‐month cumulative PUD recurrence of 8.3% (annual rate = 2.8%). Multivariate analyses showed that participants who reported poorer sleep quality were more likely to experience PUD recurrence during the 36‐month follow‐up period (hazard ratio [HR] = 1.895; 95% confidence interval [CI] = 1.008‐3.327). Regarding objective sleep quality domains, longer sleep onset latency (HR = 1.558; 95% CI = 1.156‐2.278) and more nighttime awakenings (HR = 1.697; 95% CI = 1.168‐2.665) increased the risk of PUD recurrence. However, a longer total sleeping time protected against PUD recurrence (HR = 0.768; 95% CI = 0.699‐0.885). CONCLUSIONS Poor sleep quality predicts a greater risk of PUD recurrence. Accurate diagnosis and effective treatments should, therefore, be provided for older adults afflicted with poor sleep, particularly for those who previously had PUD. It is equally important to include sleep assessment as an integral part while dealing with these patients.

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The Course of Subjective Sleep Quality in Middle and Old Adulthood and its Relation to Physical Health

Cited by 7 publications

References 41 publications

Associations of Perceived Stress, Resilience and Social Support with Sleep Disturbance Among Community-dwelling Adults

Associations of Perceived Stress, Resilience and Social Support with Sleep Disturbance Among Community-dwelling Adults

Risk factors for sleep disturbances in older adults: Evidence from prospective studies

Effect of Subjective and Objective Sleep Quality on Subsequent Peptic Ulcer Recurrence in Older Adults

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