Gender-Specific Association Between Self-reported Sleep Duration and Falls in High-Functioning Older Adults

Kuo, Hsu-Ko; Yang, Cheryl C.H.; Yu, Yau Hua; Tsai, Kang-Ting; Chen, Ching-Yu

doi:10.1093/gerona/glp143

Cited by 41 publications

(51 citation statements)

References 28 publications

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“…Few studies have examined selfreported sleep duration and risk of falls, finding no association with falls 6,10 or an association with falls in women but not men. 5,7 Actigraphic short sleep duration and lower sleep efficiency were also associated with recurrent falls. There were no associations seen between actigraphic napping or long sleep duration and risk of falls.…”

Section: Discussionmentioning

confidence: 98%

Sleep Disturbances and Risk of Falls in Older Community‐Dwelling Men: The Outcomes of Sleep Disorders in Older Men (MrOS Sleep) Study

Stone

Blackwell

Ancoli‐Israel

et al. 2014

J American Geriatrics Society

156

143

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OBJECTIVES To test the hypothesis that subjective and objective sleep disturbances are associated with an increased risk of incident falls in older men. DESIGN The prospective observational MrOS Sleep Study. SETTING 6 sites in the United States. PARTICIPANTS 3101 community-dwelling men ≥ 67 years of age (mean, 76 years). MEASUREMENTS Subjective sleep measurements included daytime sleepiness [Epworth Sleepiness Scale (ESS)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)] and total sleep time (TST). Objective sleep measurements included actigraphic TST and sleep efficiency (an index of fragmentation) and sleep disordered breathing (measured using in-home polysomnography). Fall frequency during the subsequent year was ascertained by tri-annual questionnaires. Recurrent falling was defined as having ≥2 falls in the subsequent year. RESULTS In multivariable-adjusted models, those with excessive daytime sleepiness (ESS > 10) but not poor subjective sleep quality (PSQI > 5) had an elevated odds of experiencing ≥2 falls in the subsequent year (OR=1.52 95% CI 1.14-2.03). Based on actigraphic recordings, the odds of having recurrent falls was elevated for men who slept ≤ 5 hours (OR=1.79; 1.22 – 2.60) relative to the referent group (> 7 to 8 hours). Actigraphically measured sleep efficiency was also associated with increased risk of falls, as was nocturnal hypoxemia (≥ 10% of sleep time with SaO2 < 90% OR=1.62; 1.17-2.24), but not the apnea hypopnea index. CONCLUSION Both subjective and objective sleep disturbances were associated with an increased risk of falls in older men, independent of confounders.

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Section: Discussionmentioning

confidence: 98%

Sleep Disturbances and Risk of Falls in Older Community‐Dwelling Men: The Outcomes of Sleep Disorders in Older Men (MrOS Sleep) Study

Stone

Blackwell

Ancoli‐Israel

et al. 2014

J American Geriatrics Society

156

143

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“…In contrast, in the same database measuring sleep duration with actigraphy, the risk of falls was higher in women who slept £5 h per night than in those who slept from >7 to 8 h; but no higher risk was observed in those who slept >8 h (Stone et al, 2008a). Other authors have also analysed falls according to sleep duration, but the results have been inconsistent (Brassington et al, 2000;Kuo et al, 2010;Latimer Hill et al, 2007;St George et al, 2009). Finally, given that most studies have adjusted the analyses for a limited number of indicators of sleep quality, it is unknown if the association between sleep duration and falls is independent of sleep quality.…”

Section: Introductionmentioning

confidence: 97%

“…Other authors have also analysed falls according to sleep duration, but the results have been inconsistent (Brassington et al. , 2000; Kuo et al ., 2010; Latimer Hill et al. , 2007; St George et al.…”

Section: Introductionmentioning

confidence: 99%

Self‐reported sleep duration and falls in older adults

Mesas

López-Garcı́a

Rodríguez‐Artalejo

2011

Journal of Sleep Research

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SUMMAR Y Whether the association between sleep duration and accidental falls is independent of sleep quality is uncertain. It is also unclear if this association varies with age and sex among older adults. Data were collected through telephone interviews of 1542 community-dwelling individuals aged ‡68 years in Spain. Analyses were performed with logistic regression and adjusted for the main confounders, including lifestyle, health status, comorbidity and sleep quality, as measured by nighttime and daytime sleep complaints. Analyses were also stratified by age and sex. In total, 449 (29.1%) participants fell in the previous year; of these, 57.7% had one fall and 42.3% had recurrent ( ‡2) falls. As compared with those who usually slept 7-8 h, those sleeping ‡11 h were more likely to suffer recurrent falls [odds ratios (OR) 2.75; 95% confidence intervals (CI) 1.32-5.62]. In the stratified analysis, there was no association between sleep duration and falls in those aged £75 years and in men. In contrast, among those aged >75 years, the percentage of individuals with ‡1 falls was higher in those sleeping £5 h (OR 2.15; 95% CI 1.20-3.87) and ‡11 h (OR 2.34; 95% CI 1.17-4.68) than in those sleeping 7-8 h; also, women who slept ‡11 h were more likely to fall ‡1 times (OR 3.89; 95% CI 1. 74-8.69). In conclusion, long sleep duration was associated with higher frequency of falls in older adults, even after adjustment for a wide range of sleep quality indicators. The association is clearer in women and the oldest adults. Assessment of sleep duration can help identify older adults who might benefit from interventions aimed at fall prevention.k e y w o r d s accidental falls, older adults, sleep duration, sleep quality

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“…Cinco estudos foram realizados nos Estados Unidos da América (EUA), [32][33][34][35][36] quatro na Austrália, 37-40 e um em Taiwan. 41 26 Num estudo prospectivo cujo objetivo foi avaliar a prevalência de preditores de queda em uma amostra de idosos da comunidade, com 65 anos ou mais, os distúrbios do sono foram evidenciados como fatores de risco de queda. 2 Semelhantemente, Ribeiro et al 5 encontraram significativa associação entre distúrbios do sono e queda, caracterizando-os como mais um fator intrínseco de risco de queda em idosos.…”

Section: Resultsunclassified

Relação entre problemas do sono, desempenho funcional e ocorrência de quedas em idosos da comunidade

Pereira

Ceolim

2011

Rev. bras. geriatr. gerontol.

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OBJETIVO: Esta revisão objetivou sistematizar estudos que avaliam a relação entre problemas do sono, desempenho funcional e ocorrência de quedas em idosos da comunidade. MÉTODO: Realizou-se revisão bibliográfica entre 21 e 30 de setembro de 2009, no idioma Inglês, com as seguintes palavras-chave: "sleep" AND "falls" AND "functional performance" AND "elderly". Foram utilizadas as bases de dados PubMed, Ageline e Scielo. Foram critérios de inclusão: artigos publicados de janeiro de 2006 a setembro de 2009; artigos completos; estudos transversais, retrospectivos, prospectivos; estudos realizados com idosos da comunidade. RESULTADOS: Foram encontrados 52 estudos, dos quais foram avaliados dez que preencheram os critérios de inclusão. CONCLUSÕES: Os estudos mostraram que os distúrbios do sono podem piorar o desempenho funcional, além de representarem fator de risco independente para quedas em idosos.

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Gender-Specific Association Between Self-reported Sleep Duration and Falls in High-Functioning Older Adults

Abstract: Sleep deprivation is independently associated with falls in women but not in men. Short sleep duration may be an indicator to identify women at risk for falling.

Cited by 41 publications

References 28 publications

Sleep Disturbances and Risk of Falls in Older Community‐Dwelling Men: The Outcomes of Sleep Disorders in Older Men (MrOS Sleep) Study

Sleep Disturbances and Risk of Falls in Older Community‐Dwelling Men: The Outcomes of Sleep Disorders in Older Men (MrOS Sleep) Study

Self‐reported sleep duration and falls in older adults

Relação entre problemas do sono, desempenho funcional e ocorrência de quedas em idosos da comunidade

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