Relationship Between Nutritional Status and Insomnia Severity in Older Adults

Soysal, Pınar; Smıth, Lee; Dokuzlar, Özge; Işık, Ahmet Turan

doi:10.1016/j.jamda.2019.03.030

Cited by 40 publications

(27 citation statements)

References 45 publications

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“…Subjects with 0 criteria were considered to be no-frail, 1-2 prefrail and ≥3 frail [9]. Insomnia Severity Index (ISI) was applied to all patients and a ISI scores ≥8 determined insomnia [12]. Urinary incontinence was defined as involuntary leakage in the last 3 months except when urinary tract infection was present [13].…”

Section: Patients' Characteristicsmentioning

confidence: 99%

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Soysal¹,

Smıth

Dutoglu

et al. 2020

Geriatrik Bilimler Dergisi

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Aim: The aim of this study was to demonstrate the relationship between nocturia and geriatric syndromes, and comprehensive geriatric assessment parameters (CGA) in older men.Material and Methods: A total of 397 older outpatient men who had undergone CGA were included in this cross-sectional study. For the nocturia variable, the question, ‘Generally, during the past 30 days, how many times did you usually urinate after you have gone to sleep at night until the time you got up in the morning?’’ was used.Results: The mean age of patients was 75.6 ± 8.1. There was a significant positive correlation between the frequency of nocturia and number of drugs, Timed-up Go, and Insomnia severity score (p<0.05), while there was a significant negative correlation between Mini Nutritional Assessment, Basic activities of daily living (BADL) and Tinetti total score, and hand grip strength (p<0.05). The prevalence of patients with 0, ≥1, ≥2, ≥3, and ≥4 nocturnal episodes was 11.6%, 88.4%, 70.5%, 47.3% and 25.4%, respectively. Patients with nocturia ≥2 had lower MNA scores and had a higher fall risk, depression, and dynapenia compared to patients with nocturia ≤1. There were higher rates of insomnia, depression, frailty, dynapenia, lower BADL and nutritional status with ≥3 nocturia episodes compared to ≤ 2 nocturia episodes (p<0.05).Conclusions: Nocturia is common and associated with dynapenia, insomnia, frailty, polypharmacy, incontinence, increased fall risk and depression in older men. Therefore, nocturia is important for geriatric practice and ≥3 nocturia episodes may be used as a marker of poor health status in older men.

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Section: Patients' Characteristicsmentioning

confidence: 99%

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Soysal¹,

Smıth

Dutoglu

et al. 2020

Geriatrik Bilimler Dergisi

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“…Tuna et al reported a negative correlation between the Simplified Nutritional Assessment Questionnaire score (perception of appetite, taste of food, portion of a meal enough for subjects to feel full, and number of daily meals) and the global PSQI score, which unravels the elderly with poor sleep quality exhibit a higher risk of weight loss ( 24 ). Another study showed that insomnia is significantly correlated with malnourished status and associated with a low Mini Nutritional Assessment score ( 8 ). A study recruiting 6,792 community-dwelling older adults in West China indicated that poor sleepers determined by PSQI >5 are associated with 162% higher risk of malnutrition (odds ratio [OR]: 1.62, 95% CI, 1.44–1.82) compared with good sleepers ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

“…More recently, several studies have investigated the relationships between sleep disorders and malnutrition risk in distinct pathological entities. Notably, Soysal et al implicated a close association between moderate/severe insomnia and the presence of malnutrition as well as high malnutrition risk in elders ( 8 ). Another study found that sleep disorders are significantly correlated with malnutrition risk in older adults ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Sleep–Wake Disturbance and Risk of Malnutrition in Hospitalized Patients With Cirrhosis

Hui

Wang

et al. 2021

Front. Nutr.

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Both sleep–wake disturbance and malnutrition are common in cirrhosis and might be associated with similar adverse outcomes, such as impaired health-related quality of life, hepatic encephalopathy, and sarcopenia, but there is no study investigating the relationship between these two. We aimed to explore the relationship between sleep–wake disturbance [estimated by the Pittsburgh Sleep Quality Index (PSQI)] and malnutrition risk [estimated by the Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT)]. About 150 patients with cirrhosis were prospectively recruited. The nutritional risk is classified as low (0 points), moderate (1 point), and high (2–7 points) according to the RFH-NPT score. A global PSQI >5 indicated poor sleepers. Furthermore, multivariate linear regression analyses were performed to determine the relationship between sleep–wake disturbance and malnutrition. The median PSQI was seven, and RFH-NPT was two in the entire cohort, with 60.67 and 56.67% rated as poor sleep quality and high malnutrition risk, respectively. Patients with cirrhosis with poor sleep quality had significantly higher RFH-NPT score (3 vs. 1, P = 0.007). Our multivariate analyses indicated that male patients (β = 0.279, P < 0.001), ascites (β = 0.210, P = 0.016), and PSQI (β = 0.262, P = 0.001) were independent predictors of malnutrition. In addition, the differences regarding PSQI score were more significant in male patients, as well as those >65 years or with Child-Turcotte-Pugh class A/B (CTP-A/B) or the median model for end-stage liver disease (MELD) <15. Taken together, the sleep–wake disturbance is strongly correlated with high malnutrition risk in patients with cirrhosis. Given sleep–wake disturbance is remediable, it is tempting to incorporate therapies to reverse poor sleep quality for improving nutritional status in patients with cirrhosis.

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“…Although there is not enough research in the literature showing the relationship between nutritional status and insomnia, a recent study showed that there might be a relationship between insomnia and malnutrition (37). It has been stated in studies that this relationship may be related to the effect of circadian rhythm secondary to malnutrition, decrease in melatonin secretion, and increase in white matter hyperintensity in specific regions of the brain (37). In addition, it is thought that the frequent incidence of sleep disorders in dementia and depression may partially support this relationship.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status Might Be Related to Physical Performance and Functionality in Older Adults

Koçyiğit¹,

Aydın²,

Işık³

2021

Osmangazi̇ Journal of Medicine

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It was aimed to investigate the effect of malnutrition with and the risk of malnutrition in elderly individuals with regards to other geriatric syndromes and comprehensive geriatric assessment (CGA) parameters. Patients who applied to the geriatric outpatient clinic between January 2019 and June 2020 were included in the study. 460 patients were examined. The patients were divided into three groups according to malnutrition, malnutrition-risk, and normal nutritional status. These three groups were compared in terms of geriatric syndromes and CGA parameters. The well-nourished group and the risk of malnutrition and malnutrition group were compared in terms of geriatric syndromes and CGA parameters adjusted for age and gender. Of 460 patients, 64.5% of these patients were female, and the mean age was 77.75±8.12, 65 had malnutrition, and 141 had malnutrition-risk. When the well-nourished group was compared with the malnutrition and malnutrition-risk group, age, education year, frequency of cerebrovascular disease were statistically different. The frequency of falls, dementia, sleep disturbance, urinary incontinence, orthostatic hypotension, polypharmacy, sarcopenia, and frailty was higher in groups with malnutrition and malnutrition-risk than in the normal group (p<0.05). Also, activities of daily living (ADLs) and gait and balance scores were lower in the group with malnutrition and malnutrition risk (p<0.05). In the regression analysis adjusted for age and gender, geriatric depression, urinary incontinence, dementia, orthostatic hypotension, sarcopenia, and frailty were increased in the group with malnutrition and malnutrition risk compared to the normal group (p<0.05). Malnutrition and risk of malnutrition is associated with other geriatric syndromes and deterioration in ADLs. Therefore, nutritional evaluation must be included in the assessment of older adults, and necessary interventions should be made to optimize the nutritional status.

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Relationship Between Nutritional Status and Insomnia Severity in Older Adults

Cited by 40 publications

References 45 publications

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Relationship Between Sleep–Wake Disturbance and Risk of Malnutrition in Hospitalized Patients With Cirrhosis

Nutritional Status Might Be Related to Physical Performance and Functionality in Older Adults

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