Poor Sleep is Associated with Poorer Physical Performance and Greater Functional Limitations in Older Women

Goldman, Suzanne E.; Stone, Katie L.; Ancoli‐Israel, Sonia; Blackwell, Terri; Ewing, Susan K.; Boudreau, Robert M.; Cauley, Jane A.; Hall, Martica; Matthews, Karen A.; Newman, Anne B.

doi:10.1093/sleep/30.10.1317

Cited by 234 publications

(199 citation statements)

References 39 publications

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“…Após ajuste multivariado, os resultados indicaram que a latência do sono acima ou igual a 30 minutos, despertares noturnos acima de 90 minutos e ter menos de 80% de eficiência do sono estiveram associados a menor força de preensão, menor velocidade da marcha, incapacidade de levantar-se de uma cadeira sem assistência, e inabilidade em percorrer pequenos trajetos 63 . Nessa mesma linha, pesquisadores encontraram associação entre cochilo diurno e menor velocidade da marcha 64 . É possível afirmar que a fragmentação do sono noturno é menos restauradora do que uma noite de sono sem sucessivos despertares podendo acarretar pior desempenho funcional diurno.…”

Section: Métodos E Materiaisunclassified

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

2013

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Essa pesquisa investigou associações entre sintomas de insônia, cochilo diurno, e quedas em idosos da comunidade. Estudo transversal de base populacional e amostra probabilística envolvendo 689 idosos da comunidade. O protocolo continha variáveis de autorrelato e de desempenho físico. Foi utilizada a análise de regressão logística univariada e multivariada, e o nível de significância estatística adotado foi de p < 0,05. A prevalência de sintomas de insônia e cochilo diurno foi de 49,9% (n = 339) e 62,8% (n = 432), respectivamente. Quatorze vírgula quatro porcento relataram uma única queda e 11,9% relataram quedas recorrentes. A ocorrência de quedas associou-se com sexo feminino (OR = 7,73; IC95%: 3,03-19,72), idade > 80 anos (OR = 3,48; IC95%: 1,54-7,85), cochilo diurno (OR = 2,24; IC95%: 1,24-4,05) e sintomas depressivos (OR = 1,98; IC95%: 1,11-3,53). A associação entre cochilo diurno e quedas replicam dados de pesquisa internacional. Identificar fatores de risco modificáveis pode auxiliar programas de prevenção de quedas.

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Section: Métodos E Materiaisunclassified

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

2013

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“…Insomnia in older adulthood is connected to mobility problems, difficulties completing activities of daily living and instrumental activities of daily living, and impaired physical function (Foley et al, 1995;Goldman et al, 2007;Stenholm et al, 2010). Further, insomnia symptoms negatively affect driving, increase risk of falls, may be erroneously attributed to cognitive impairment or dementia, and increase risk of nursing home placement (Grunstein, 2002;Johanson & Feliciano, 2017;Ray, Griffin, & Downey, 1989).…”

Section: Insomnia In Older Adulthoodmentioning

confidence: 99%

No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Johanson

Bohlen

Feliciano

2018

The American Journal of Geriatric Psychiatry

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Sleep problems are pervasive among the United States population with insomnia being the most common sleep complaint among adults and older adults. Between 20 and 40 percent of older adults have symptoms of insomnia, which impacts quality of life, inflates healthcare costs, and is associated with a greater risk of chronic disease, comorbid mood disorders, and premature mortality. While pharmacotherapy offers immediate relief from insomnia, it is associated with adverse side effects and risks.Behavioral interventions, such as cognitive-behavioral therapy for insomnia (CBT-I), have longer-term benefits and fewer side effects. However, the full CBT-I protocol is resource intensive and can be difficult to access. The present study examined the ability of a brief Internet-based sleep intervention, stimulus control therapy (SCT; N = 26), to effectively reduce symptoms of insomnia and improve mood in a sample of 46 adults aged 60 years and older compared to a sleep hygiene psychoeducation-only group (N = 20). Participants were recruited from community sources and completed telephone screens. Eligible participants watched a 20-minute video (SCT or sleep hygiene) online and completed three surveys across a one-month period (baseline, 1-week, and 1-month) about mood and sleep. Results revealed no significant group differences but rather decreases in both groups on sleepiness, fatigue, anxiety, depression, and sleep locus of control over time, as well as a group-time interaction for anxiety and stress. Findings imply that both sleep hygiene and SCT have equivalent efficacy and that minimal insomnia treatments may effectively treat comorbid insomnia and anxiety and depression.

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“…According to studies on the prevalence of insomnia, the frequency of irregular awakening and early-morning awakening in elderly was about two times that in young people [20] [21]. Sleep irregularity in elderly people causes declines in social and physical functioning [22] [23] and reduces opportunities for maintaining appropriate sleep-wake rhythm, through daily activity, exposure to light, and exercise [24].…”

Section: Introductionmentioning

confidence: 99%

Relationship among Health Related Quality of Life, Quality of Sleep, and Oral Health Condition

Sato¹,

Kurokawa²,

Sugimoto³

et al. 2018

Health

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Japan's aging rate (ratio of elderly aged 65 and older to total population) has exceeded 20%. The aim of this study was to clarify the relationships between Health Related Quality of Life (HRQOL), Body Mass Index (BMI), and sleep quality. Subjects were 51 adults over 55 years old with chronic disease who living in the community. Instruments and structured interviews were used giving due consideration to privacy. Interviews were conducted within 10 -20 minutes at the out-patient department. The evaluation instruments included body-mass index, Pittsburgh Sleep Quality Index (PSQI), HRQOL, and OHIP-14. A significant positive correlation (ρ = 0.321, p < 0.05) between PSQI and QOL (OHIP-14) scores was confirmed with sleep quality being lower with lower QOL scores. A negative correlation (ρ = −0.339, p < 0.05) between physical health component summary scores (PCS) and mental health component summary scores (MCS) of HRQOL was confirmed, demonstrating that PCS was low, and the level of MCS was high. Sleep quality was found lower among those with lower oral health-related QOL scores. Moreover, in subjects with lower MCS scores, the PCS scores were found to be higher. Accordingly, it was considered appropriate that dental treatment and care, support the maintenance of activities and sleep, and mental health promotion which are likely requisites critical for elderly persons' maintenance of independent lifestyles in their familiar community.How to cite this paper: Sato, M.,

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Poor Sleep is Associated with Poorer Physical Performance and Greater Functional Limitations in Older Women

Abstract: Objectively measured poorer sleep was associated with worse physical function. Future research is needed to identify the underlying mechanisms for the association between poor sleep and functional decline.

Cited by 234 publications

References 39 publications

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Relationship among Health Related Quality of Life, Quality of Sleep, and Oral Health Condition

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