Polysomnographic and Clinical Correlates of Behaviorally Observed Daytime Sleep in Nursing Home Residents

Endeshaw, Yohannes; Ouslander, Joseph G.; Schnelle, Jack F.; Bliwise, Donald L.

doi:10.1093/gerona/62.1.55

Cited by 6 publications

(3 citation statements)

References 44 publications

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“…Although gender was not significantly associated with DS, females were slightly more likely to have DS than males, which was probably due to the higher capacity to perform ADLs in males than in females in the sample. Consistent with findings in other studies conducted in nursing home settings (Ancoli-Israel, Klauber, Jones, & Kripke, 1997; Endeshaw, Ouslander, Schnelle, & Bliwise, 2007), DS was associated with more cognitive impairment, lower functional status (ADLs), and increased numbers of medical comorbidities in this study. No significant association between DS and depression was found in this study, although a positive correlation between frequency and duration of daytime napping and depression was found in a study of community-dwelling elders (Paudel et al, 2008).…”

Section: Discussionsupporting

confidence: 92%

Factors Associated With Daytime Sleep in Nursing Home Residents

Chang

Porock

2014

Res Aging

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A retrospective, cross-sectional study was conducted to describe the occurrence of daytime sleep (DS) and to examine factors associated with DS in nursing home residents. We used the Minimum Data Set 2.0 records of 300 residents in a nursing home from January 2005 to March 2010. Descriptive statistics, independent t-test, chi-square, Pearson correlations, and logistic regression were utilized in analysis. About 71.3% of the residents slept more than 2 hours during the day, and this was significantly associated with residents' comorbidity (t ¼ 2.0, p ¼ .04), cognitive performance (t ¼ 7.3, p ¼ .01), activities of daily living (t ¼ 3.7, p ¼ .01), and social involvement (t ¼ -7.6, p ¼ .01). Cognitive performance and social involvement significantly predicted the occurrence of DS with social involvement being the strongest predictor (odds ratio: .58; 95% confidence interval: [.45, .75

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Section: Discussionsupporting

confidence: 92%

Factors Associated With Daytime Sleep in Nursing Home Residents

Chang

Porock

2014

Res Aging

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“…Current research is conflicting regarding associations were reported between EDS and male gender. 13,49,56 While there is no current evidence for pathophysiological mechanisms underlying age and gender difference in EDS, 57 men, up to age 70, and older adults have a higher incidence of obstructive sleep apnea and nocturia, both of which are risk factors for EDS. 58,59 It is also possible that these findings may be due to the small sample of male participants in the study.…”

Section: Discussionmentioning

confidence: 99%

Association of health related quality of life domains with daytime sleepiness among elderly recipients of long-term services and supports

et al. 2019

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Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments. The aims of this secondary data analysis were to identify the prevalence and predictors of EDS among older adults receiving long-term services and supports (LTSS) in assisted living communities (ALCs), nursing homes (NHs), and the community. Participants (n=470) completed multiple measures including daytime sleepiness. Logistic regression modeling was used to identify EDS predictors. Participants were primarily female and white with a mean age of 81±9 years. The overall prevalence of EDS was 19.4%; the prevalence differed across living environment. Older adults in ALCs and NHs had higher odds of having EDS than those living in the community. Also, depressive symptoms and number of bothersome symptoms predicted EDS. Upon admission for LTSS, evaluating older adults, especially those in ALCs and NHs, for depression and bothersome symptoms may reveal modifiable factors of EDS.

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“…The fundamental limitation of the item is that it consists of three separate, undifferentiated components (nocturnal awakenings, arising too early in the morning, or excessive daytime napping), which may or may not occur concurrently in dementia patients [2,29,30,31]. (The final component, daytime sleepiness, arguably does not even constitute a ‘nighttime’ behavior, though one might infer that it could represent an outcome of poor sleep at night [32,33]. Our finding that informant-endorsed apathy on the NPI-Q also overlapped with the nighttime behavior item further suggests possible overlap with daytime sleepiness).…”

Section: Discussionmentioning

confidence: 99%

Sleep Disturbance in Dementia with Lewy Bodies and Alzheimer’s Disease: A Multicenter Analysis

Bliwise

Mercaldo

Avidan

et al. 2011

Dement Geriatr Cogn Disord

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Background/Aims: Evidence suggests that patients with dementia with Lewy bodies (DLB) may have more nocturnal sleep disturbance than patients with Alzheimer’s disease (AD). We sought to confirm such observations using a large, prospectively collected, standardized, multicenter-derived database, i.e. the National Alzheimer’s Coordinating Center Uniform Data Set. Methods: Nocturnal sleep disturbance (NSD) data, as characterized by the Neuropsychiatric Inventory Questionnaire (NPI-Q), were derived from 4,531 patients collected between September 2005 and November 2008 from 32 National Institute on Aging participating AD centers. Patient and informant characteristics were compared between those with and without NSD by dementia diagnosis (DLB and probable AD). Finally, a logistic regression model was created to quantify the association between NSD status and diagnosis while adjusting for these patient/informant characteristics, as well as center. Results: NSD was more frequent in clinically diagnosed DLB relative to clinically diagnosed AD (odds ratio = 2.93, 95% confidence interval = 2.22–3.86). These results were independent from the gender of the patient or informant, whether the informant lived with the patient, and other patient characteristics, such as dementia severity, depressive symptoms, and NPI-Q-derived measures of hallucinations, delusions, agitation and apathy. In AD, but not DLB, patients, NSD was associated with more advanced disease. Comorbidity of NSD with hallucinations, agitation and apathy was higher in DLB than in AD. There was also evidence that the percentage of DLB cases with NSD showed wide variation across centers. Conclusion: As defined by the NPI-Q, endorsement of the nocturnal behavior item by informants is more likely in patients with DLB when compared to AD, even after the adjustment of key patient/informant characteristics.

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Polysomnographic and Clinical Correlates of Behaviorally Observed Daytime Sleep in Nursing Home Residents

Cited by 6 publications

References 44 publications

Factors Associated With Daytime Sleep in Nursing Home Residents

Factors Associated With Daytime Sleep in Nursing Home Residents

Association of health related quality of life domains with daytime sleepiness among elderly recipients of long-term services and supports

Sleep Disturbance in Dementia with Lewy Bodies and Alzheimer’s Disease: A Multicenter Analysis

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