Prevalence of excessive daytime sleepiness in Brazilian community-dwelling older adults with very low levels of schooling, and its association with sociodemographic characteristics and lifestyle: the Bambuí Health and Ageing Study (BHAS)

Abstract

OBJECTIVE: Population-based studies on excessive daytime sleepiness (EDS) in older adults living in less developed countries are scarce. The purpose of this paper was to estimate the prevalence of EDS and its association with sociodemographic characteristics and lifestyle factors in Brazilian community-dwelling older adults. METHODS: The study was carried out in Bambuí, a city in the state of Minas Gerais, Brazil. EDS was defined as the presence of sleepiness in the last month occurring three or more times per week, with any interference in usual activities. The exploratory variables were: gender, age, skin color, marital status, schooling level, current employment status, religion, recent migration, smoking, binge drinking and physical activities during leisure time. RESULTS: Of 1,742 residents aged > 60 years, 1,514 (86.9%) participated. The prevalence of EDS was 13%. After adjustment for confounders, female gender and low schooling level remained positively and independently associated with EDS. CONCLUSIONS: The prevalence of EDS in the study population was within the range observed in studies carried out in developed countries. The most impressive finding was the association of EDS with schooling, indicating that even in a population with low levels of schooling, this was an important factor to explain the distribution of EDS.

Insomnia Subtypes and Their Relationship to Excessive Daytime Sleepiness in Brazilian Community-Dwelling Older Adults

“…The study had a number of strengths including the large sample size, the high response rate, the use of standardized and validated procedures and instruments, the intensive training of the field and laboratory teams, the set of strict and well-defined clinical diagnostic criteria for chronic diseases, psychological distress (anxiety, depression, and somatization symptoms) and cognitive impairment, and the use of EDS and insomnia definitions in accordance with International Classification of Sleep Disorders criteria considering the presence, frequency, and distress in usual activities. [16][17][18]30 However the study has limitations. First, we did not have objective data regarding sleep-wake patterns.…”

Sleep quality features and their association with mood symptoms and cognitive factors in a non‐clinical sample of older Brazilian adults

“…27 In Brazil, the prevalence was estimated to be 13%. 28 Several factors such as depression, falls, medication, and chronic conditions are closely correlated with EDS in this population. 29 Therefore, it is possible that EDS is the first or most noticeable sign of an undiagnosed sleep, neurologic, or psychiatric disorder.…”

“…A previous study showed that up to 30% of older adults experienced EDS . In Brazil, the prevalence was estimated to be 13% . Several factors such as depression, falls, medication, and chronic conditions are closely correlated with EDS in this population .…”

Fatores Influentes No Estilo De Vida E Na Saúde Dos Idosos Brasileiros: Uma Revisão Integrativa

“…Estilo de vida é considerado o modo de se viver, estando atrelado a aspectos culturais, sociais, econômicos, psicológicos e biológicos (BORGES;SEIDL, 2012;RIBEIRO et al, 2009). Pode-se afirmar que atividade física, tabagismo, manejo do estresse, consumo de álcool, hábitos alimentares, contato interpessoal, práticas religiosas, condições socioeconômicas e presença/ausência de DCNT são fatores que influenciam o estilo de vida da população idosa (BORGES;SEIDL, 2012;HARA et al, 2008;PAGOTTO;NAKATANI;SILVEIRA, 2011;PIMENTA et al, 2008;SILVA et al, 2014;ZAITUNE et al, 2007). No que diz respeito aos fatores de risco relacionados ao estilo de vida que influenciam negativamente a saúde do idoso, pode-se afirmar que inatividade física, tabagismo, presença de DCNT, alimentação inadequada, dislipidemia, consumo excessivo de álcool, obesidade, hipercolesterolemia, alterações na glicemia, resistência à insulina e o avanço da idade foram destacados (BORGES;SEIDL, 2012;COSTA et al, 2014;FERREIRA et al, 2010;HARA et al, 2008;OLIVEIRA et al, 2010;PAGOTTO;NAKATANI;SILVEIRA, 2011;PIMENTA et al, 2008;SIMÕES;LEITE, 2007;SILVA et al, 2014;VITOI et al, 2015;VIEIRA;PEIXOTO;SILVEIRA, 2014;ZAITUNE, 2007).…”