Association between sleep disturbances and falls among the elderly: results from the German Cooperative Health Research in the Region of Augsburg-Age study

Helbig, A.; Döring, Angela; Heier, Margit; Emeny, Rebecca T.; Zimmermann, Anja-Kerstin; Autenrieth, Christine S.; Ladwig, Karl‐Heinz; Grill, Eva; Meisinger, Christa

doi:10.1016/j.sleep.2013.09.004

Cited by 58 publications

(80 citation statements)

References 49 publications

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“…Selain meningkatkan risiko penyakit generatif seperti Hipertensi dan Jantung, depresi dan stres ternyata juga merupakan manifestasi gangguan tidur ini (Ghaddafi , 2010). Insomnia juga meningkatkan risiko terjatuh pada lansia (Helbig et al, 2013) serta keinginan bunuh diri dan penyalahgunaan obat (Nadorff et al, 2013).…”

Section: Pendahuluanunclassified

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Risk Analysis of Depression, Sleep Hygiene Level and Chronic Disease with Insomnia in Elderly

Sayekti

Hendrati²

2015

JBE

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ABSTRAKPesatnya kemajuan pembangunan di Indonesia berdampak pada meningkatnya usia harapan hidup sehingga meningkatkan jumlah lansia. Lansia merupakan tahap akhir kehidupan sehingga seringkali mengalami berbagai perubahan dan gangguan, salah satunya adalah gangguan tidur atau Insomnia. Prevalensi Insomnia pada lansia cukup tinggi, yaitu lebih dari 60% namun munculnya gangguan ini seringkali diabaikan. Penelitian ini dilakukan secara observasional analitik dengan desain penelitian case control. Lokasi penelitian di Pelayanan Sosial Lanjut Usia Jombang dan dilakukan pada 40 orang lansia. Populasi penelitian dibagi menjadi 2, yaitu 20 orang populasi kasus dan 20 orang populasi kontrol. Variabel yang diteliti adalah depresi, penyakit kronis, sleep hygiene dan Insomnia. Sebagian besar lansia mengidap Insomnia awal dengan gejala Diffi culty Initiating Sleep yang berat. Early Morning Awakening merupakan gejala yang paling sedikit dialami lansia. Depresi (OR = 22,667), penyakit kronis (OR = 6,926) dan sleep hygiene (OR = 11,000) menunjukkan adanya hubungan yang bermakna dengan Insomnia. Kesimpulan yang dapat ditarik adalah faktor perpetuating (penyakit kronis) dan precipitating (sleep hygiene) berperan dalam munculnya Insomnia pada lansia. Saran yang diberikan adalah melakukan tindakan untuk mengontrol penyakit kronis dan perhatian yang lebih pada gangguan tidur yang dialami lansia. Selain itu perlu adanya tindakan untuk memperbaiki dan meningkatkan sleep hygiene. PENDAHULUANMeningkatnya usia harapan hidup Indonesia tentu berdampak pada bertambahnya jumlah penduduk tua di negeri ini. Hal ini menuntut pemerintah untuk memberikan perhatian lebih pada kaum lansia terutama yang berkaitan dengan masalah kesehatan. Lansia didefi nisikan sebagai masa di mana seseorang mencapai kematangan ukuran dan fungsi sel hingga menimbulkan kemunduran dari waktu ke waktu (Rosita, 2012).WHO mengkategorikan lansia menjadi 3 yaitu Usia lanjut (60-74 tahun), Usia lanjut tua (75-90 tahun) dan Usia sangat tua (> 90 tahun). Lansia di Indonesia cenderung memiliki tingkat kesejahteraan dan kesehatan yang rendah. Tingkat kesejahteraan yang rendah ini tidak sebanding

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Section: Pendahuluanunclassified

“…Hasilnya, ditemukan adanya hubungan antara kesulitan mempertahankan tidur dengan kasus terjatuh pada lansia yang berumur lebih dari 75 tahun. selain itu, kesulitan mempertahankan tidur saat malam hari dan tidur berlebih di siang hari meningkatkan risiko terjatuh pada lansia (Helbig et al, 2013).…”

Section: Pendahuluanunclassified

Risk Analysis of Depression, Sleep Hygiene Level and Chronic Disease with Insomnia in Elderly

Sayekti

Hendrati²

2015

JBE

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“…Between 30.0% and 60.0% of older adults are said to be affected (Bilgili, Kitis, & Ayaz, ; Kaya et al, ; Min, Nadpara, & Slattum, ; Olgun et al, ). The risk of falls was found to be higher among older adults who had poor sleep quality or insomnia, who used medications for sleeping, and who had reduced sleep efficiency and excessive daytime sleepiness (Helbig et al, ; Mesas, López‐García, & Rodríguez‐Artalejo, ). Studies indicate a relationship between insomnia and falls (Helbig et al, ; Ma et al, ; Min et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…The risk of falls was found to be higher among older adults who had poor sleep quality or insomnia, who used medications for sleeping, and who had reduced sleep efficiency and excessive daytime sleepiness (Helbig et al, ; Mesas, López‐García, & Rodríguez‐Artalejo, ). Studies indicate a relationship between insomnia and falls (Helbig et al, ; Ma et al, ; Min et al, ). As sleep quality may be a modifiable risk factor, establishing an association between insomnia and falls among older adults has important clinical implications (Helbig et al, ; Ma et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Studies indicate a relationship between insomnia and falls (Helbig et al, ; Ma et al, ; Min et al, ). As sleep quality may be a modifiable risk factor, establishing an association between insomnia and falls among older adults has important clinical implications (Helbig et al, ; Ma et al, ). Therefore, the sleep quality of older adults should also be evaluated when falls prevention is planned (Mesas et al, ; Min et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Incidence of falls among community‐dwelling older adults in Turkey and its relationship with pain and insomnia

Altintaş

Aslan

2019

Int J of Nursing Practice

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Aim The aim of this study was to determine the incidence of falls among community‐dwelling older adults and the impact of pain and insomnia on falls. Methods This cross‐sectional study recruited 659 older adults. Pain was assessed by the Geriatric Pain Measure, and insomnia was assessed by the Insomnia Severity Index. The history of falls was assessed within the last 12 months. Risk factors for falls were determined using logistic regression analysis. Results The incidence of falls within the last year was 37.2%. Based on the analyses, pain and insomnia were found to be risk factors for falls. Conclusion In this study, falls were observed as a common problem among community‐dwelling older adults, and pain and insomnia were determined as risk factors for falls. Therefore, pain and insomnia should be addressed when prevention of falls among community‐dwelling older adults are planned by health care professionals including nurses.

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Pharmacological Treatment of Insomnia

Schweitzer

Feren

2016

Clinical Handbook of Insomnia

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Association between sleep disturbances and falls among the elderly: results from the German Cooperative Health Research in the Region of Augsburg-Age study

Cited by 58 publications

References 49 publications

Risk Analysis of Depression, Sleep Hygiene Level and Chronic Disease with Insomnia in Elderly

Risk Analysis of Depression, Sleep Hygiene Level and Chronic Disease with Insomnia in Elderly

Incidence of falls among community‐dwelling older adults in Turkey and its relationship with pain and insomnia

Pharmacological Treatment of Insomnia

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