Associations of sleep quality and sleep duration with frailty and pre-frailty in an elderly population Rugao longevity and ageing study

Sun, Xuying; Ma, Teng; Yao, Shuochao; Chen, Ze-Kun; Xu, Wendong; Jiang, Xiaoyan; Wang, Xiaofeng

doi:10.1186/s12877-019-1407-5

Cited by 76 publications

(90 citation statements)

References 33 publications

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“…The female gender has the greatest risk of experiencing symptoms of mental health disorders. These results support a study previously conducted on 2,091 and 285 adults in China after several weeks related to Covid19 infection in Wuhan, proclaimed the PTSD prevalence of 4.6% and 7%, respectively, often linked to female sex and bad sleep quality (20)(21).…”

Section: A S E -C O N T R O L Studysupporting

confidence: 90%

Literature Review: Quarantine and Lockdown During Covid19 Outbreak Impact on Mental Health Problem

Gracia

Rubetta

2020

JKL

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Introduction: COVID-19 is a unique disease that was first confirmed in Wuhan, Wubei, China in late 2019 and within 6 months the virus spread rapidly throughout the world. The obscurity in overcoming this virus is the background of the interventions applied. Several interventions conducted, such as nationwide lockdowns, quarantine and isolation. In addition to avoid the virus transmission, these interventions also have psychological impacts that affect the mental health. Methods: We did a review of the mental health outcomes referring to several interventions amid COVID-19 outbreak using two databases. Out of 302 papers found by the search engine, 5 articles were counted in this review. Discussion: Most reviewed researches proclaimed adverse mental health problems, along with anxiety, stress, and post-traumatic stress disorder. Stressors consist of infection fears, grieves, boredom, stigma, faulty information, short sleep duration, and minimum social activities. Several researchers have proposed abiding effects. Conclusion: Social interventions which are imposed limit the process of meeting the needs of human life. It is crucial to point out the mental health of the population and take charge to diminish its adverse effects for the time being. Therefore, the Government needs to implement a strict and fair policy, especially on the issue of community survival. Public health protocol socialization needs to be done, especially in controlling the transmission of viruses in public places, such as malls, public transportations, schools, workplaces, and many other.

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Section: A S E -C O N T R O L Studysupporting

confidence: 90%

Literature Review: Quarantine and Lockdown During Covid19 Outbreak Impact on Mental Health Problem

Gracia

Rubetta

2020

JKL

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“…In China, around 37.75% of the older adults living in urban areas are suffering from poor sleep quality, such as sleep disorder, sleep disturbance, and insomnia [ 16 , 17 ]. A cross-sectional study performed in urban China report similar results that poor sleep quality and long sleep duration increased the prevalence of pre-frailty and frailty [ 18 ]. Given the concerning relationship between poor sleep quality and frailty, questions still remain unanswered regarding the underlying pathways between sleep quality and frailty among older adults in rural China.…”

Section: Introductionmentioning

confidence: 94%

Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

Zhou

Meng

2020

IJERPH

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Frailty affects the elderly and leads to adverse health outcomes. Preliminary evaluations have suggested that sleep quality and psychological distress are predictors of frailty among older adults. However, the mechanisms by which sleep quality affect frailty had not been fully addressed in the previous research. This study aimed to explore the mediation effect of psychological distress on the association between sleep quality and frailty among the elderly with chronic diseases in rural China. A total of 2346 old adults were included in the analysis. Frailty status was measured by Fried Phenotype criteria. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), and psychological distress was examined by Kessler Psychological Distress Scale (K10). Ordinal logistic regressions were performed to assess the relationships between sleep quality and frailty. Mediation test was also conducted by bootstrap method. The prevalence rate of frailty among the elderly with chronic diseases was 21% in rural China. Compared with the elder of robust status, respondents identified as having frailty have lower SES, less vigorous physical activity, and worse self-reported health status. Poor sleep quality was a significant predictor of frailty with mediators (OR = 1.44, 95% CI = 1.19–1.76). Mediation analysis suggested that psychological distress mediated 41.81% of total effect between sleep quality and frailty. This study indicated that poor sleep quality was significantly related to frailty, and psychological was a mediator of this association. However, we could not investigate causal relationships between variables since this was one cross-sectional study. These findings suggested that an early detection of sleep problems and also psychological disorders should be taken to prevent frailty among the rural older adults in China.

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“…Therefore, it is plausible that certain sleep characteristics, like hours of sleep or sleeping disorders, could be related to incident frailty [ 4 ]. In fact, recent studies have linked sleep to frailty, including sleep complaints [ 5 ], sleeping less than the number of recommended hours [ 6 – 8 ] and/or sleeping too much [ 7 – 12 ], insomnia [ 6 ], or low quality of sleep [ 9 , 12 , 13 ]. Nonetheless, most studies are cross sectional and until now, the results have not been conclusive.…”

Section: Introductionmentioning

confidence: 99%

Sleep duration and incident frailty: The Rural Frailty Study

et al. 2021

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Background The association between sleep duration and frailty remains unconclusive since most of the studies have been cross-sectional. Therefore, this study aimed to analyze the association between sleep duration, sleep complaints, and incident frailty. Methods A community-based cohort study from rural areas in Mexico with 309 older adults aged 70 and over. Data from waves two and three of the Rural Frailty Study were used. We operationalized the Fried frailty phenotype to describe prevalent and incident frailty at two consecutive waves. Sleep duration was classified as: ≤ 5 h, 6 h, 7–8 h, and ≥ 9 h; and the self-reported sleep complaints as a dichotomous variable. Analyses were performed using Poison regression models. Results The average age was 76.2 years and 55.3% were women; the incidence of frailty was 30.4%; 13.3% slept ≤5 h, and 38.5% ≥ 9 h. Compared with the group that slept 7–8 h, the risk of frailty at 4.4 years of follow-up was significantly higher among those who slept ≤5 h (adjusted RR 1.80, 95% CI: 1.04–3.11) and among those who slept ≥9 h (adjusted RR 1.69, 95% CI: 1.10–2.58). Sleep complaints were not associated with incident frailty (adjusted RR 1.41, 95% CI: 0.94–2.12). Conclusions Our results show that short and long sleep duration are associated with the incidence of frailty. Studies that objectively evaluate sleep duration are needed to clarify whether meeting the recommended hours of sleep decreases frailty incidence.

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Associations of sleep quality and sleep duration with frailty and pre-frailty in an elderly population Rugao longevity and ageing study

Cited by 76 publications

References 33 publications

Literature Review: Quarantine and Lockdown During Covid19 Outbreak Impact on Mental Health Problem

Literature Review: Quarantine and Lockdown During Covid19 Outbreak Impact on Mental Health Problem

Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

Sleep duration and incident frailty: The Rural Frailty Study

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