Sleep disturbances in elderly subjects: an epidemiological survey in an Italian district

Bonanni, Enrica; Tognoni, Gloria; Maestri, Michelangelo; Salvati, Nicola; Fabbrini, Monica; Borghetti, D; Coscio, Elisa Di; Choub, Anna; Sposito, R.; Pagni, Cristina; Iudice, Alfonso; Murri, Luigi

doi:10.1111/j.1600-0404.2010.01324.x

Cited by 26 publications

(43 citation statements)

References 32 publications

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“…Of crucial importance is the fact that excessive daytime sleepiness was independently associated with depressive symptoms. This is in agreement with previous reports showing that daytime somnolence is linked with depressive symptoms in the general population (10) and in the elderly (12). Differently from the study of Bixler and cols., metabolic abnormalities were not found to influence excessive daytime sleepiness in diabetic patients (10).…”

Section: Discussionsupporting

confidence: 93%

“…Previous studies indicate that, among the general population, excessive daytime sleepiness has been more strongly associated with depression and obesity than with metabolic factors, sleep-disordered breathing, or sleep disruption (10,11). Interestingly, in elderly people, sleep alterations have been associated with depression, cognitive decline, and diabetes (12). It has also been pointed out that increased daytime sleepiness does not seem to be driven only by the presence of obstructive sleep apnea (OSA).…”

Section: Introductionmentioning

confidence: 99%

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Excessive daytime sleepiness in type 2 diabetes

Medeiros

Bruin

Férrer

et al. 2013

Arq Bras Endocrinol Metab

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Objective: To examine excessive daytime sleepiness (EDS) in type 2 diabetes. Subjects and methods: Patients (N = 110) were evaluated regarding Epworth Sleepiness Scale (EDS), sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Beck Depression Inventory), Restless Legs Syndrome (RLS), risk of obstructive sleep apnea (OSA) (Berlin questionnaire), and comorbidity severity (Charlson Comorbidity Index). Patients were compared with indivi duals with arterial hypertension and without diabetes. Results: Diabetic patients had more EDS, depressive symptoms, and higher comorbidity severity than hypertensive patients (p < 0.005). In diabetic patients, poor quality sleep (53.3%), and high risk of OSA (40.9%) and RLS (14.5%) were found; EDS (55.5%) was associated with depressive symptoms present in 44.5% indivi duals (OR = 1.08; 95% CI: 1.01 1.15), and remained so after data were controlled for age, gender, body mass index, and glycated hemoglobin (OR = 2.27; 95% CI 1.03 5.03). Conclusions: Sleep abnormalities are frequent. EDS affects most of the patients and is independently associated with depressive symptoms. Adequate antidepressant therapy should be tested for the effects on EDS. Arq Bras Endocrinol Metab. 2013;57(6):425-30 Keywords Diabetes; sleep; depression; apnea; comorbidity RESUMO Objetivo: Em pacientes com diabetes tipo 2, avaliar a sonolência excessiva diurna (SED). Sujeitos e métodos: Pacientes (N = 110) foram investigados com relação a Escala de Sonolência de Epworth (SED), qualidade do sono (Índice de Qualidade de Sono Pittsburgh), sintomas depres sivos (Inventário de Depressão de Beck), Síndrome das Pernas Inquietas (SPI), risco de apneia obstrutiva do sono (AOS) (Questionário de Berlim) e comorbidades (Índice de Comorbidade de Charlson), e foram comparados com indivíduos com hipertensão arterial sem diabetes. Resultados: Pacientes diabéticos apresentavam mais SED, sintomas depressivos e comorbidades que os hipertensos (p < 0,005). Em pacientes diabéticos, má qualidade do sono (53,3%), risco de AOS (40,9%) e SPI (14,5%) foram encontrados. SED (55,5%) associou se com os sintomas depressivos em 44,5% (OR = 1,08; 95% IC 1,01 1,15) e permaneceu após controle para idade, sexo, índice de massa corporal e hemoglobina glicosilada (OR = 2,27 95% IC 1,03 5,03). Conclusões: Anormalidades do sono são frequentes. SED afeta a maioria dos pacientes e associa se de forma independente com os sintomas depressivos. Terapia antidepressiva pode melhorar a SED. Arq Bras Endocrinol Metab. 2013;57(6):425-30

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Excessive daytime sleepiness in type 2 diabetes

Medeiros

Bruin

Férrer

et al. 2013

Arq Bras Endocrinol Metab

View full text Add to dashboard Cite

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“…Almost half of older adults report difficulty in getting to sleep and remaining so (17) . In its turn, an epidemiological study undertaken in a district in Italy (18) (19) , approximately 30% of people aged between 65-79, and 37% aged 80 or over, have loss of hearing capacity. In two studies carried out with Latin-American populations, and based on self-reported data, it was concluded that hearing loss affects 25 -58% of people aged 65 or over (20)(21) .…”

Section: Discussion Of Datamentioning

confidence: 99%

Evaluation of elderly persons' functionality and care needs

Lopes

Escoval

Pereira

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: To evaluate the elderly persons' functionality, based on the International Classification of Functionality. Methods: a cross-sectional, descriptive study; a stratified random sample of 903 elderly persons; a confidence level of 95%; and a margin of error of 2.5%. Questionnaire based on the International Classification of Functionality; data was collected based on structured interviews undertaken by health professionals in the health centers in the Alentejo region of Portugal. Results: 30.7% of the elderly persons stated that they were illiterate, and 22.9% lived alone. Feeding/dietary (18.7%), housing (19.2%) and health needs (26.0%) were not met. Orientation functions were maintained in 83.4%; 58% of the elderly persons referred to pain so intense that it required care; 73.3% of the elderly persons did not have functional dentition. Levels of performance were superior to 80% in the participation activities: washing oneself (82.6%), toileting (92.2%), dressing, eating, and drinking (89%). Conclusion: although a progressive decline in functionality is observed as age advances, the majority of dimensions are preserved until around 75 years of age. Evaluación del funcionamiento y necesidades de cuidados de los ancianosObjetivo: Evaluar la funcionalidad de los ancianos basado en la Clasificación Internacional del Funcionamiento. Métodos: Estudio transversal, descriptivo; muestra aleatorizada, estratificada con 903 ancianos; nivel de confianza 95%; margen de error 2,5%. Cuestionario desarrollado basado en la Clasificación Internacional del Funcionamiento; datos recolectados a partir de entrevista estructurada por profesionales de salud en los Centros de Salud del Alentejo.Resultados: el 30,7% de los ancianos se declara analfabeto, 22,9% vive solo. Las necesidades de alimentación (18,7%), habitación (19,2%) y salud (26,0%) no están atendidas. Funciones de orientación preservadas en el 83,4%; el 58% de los ancianos indica una intensidad de dolor que demanda cuidados; el 73,3% de los ancianos no demuestra dentición funcional.Niveles de desempeño superiores al 80% en las actividades de participación: lavarse (82,6%), actividades relacionadas al proceso de excreción (92,2%), vestir, comer, beber (89%).Conclusión: Disminución progresivo del funcionamiento con el avance del edad, aunque sigue preservada grande parte de las dimensiones hasta acerca del edad de 75 años.Descriptores: Envejecimiento; Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud; Evaluación de Necesidades.

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“…Several lines of research (epidemiological surveys, neurophysiological and animal models, studies dealing with -amyloid dynamics) pointed out several correlations between sleep-wake cycle organization and cognitive decline in the elderly, with a particular interest in circadian rhythm alterations and napping behavior [9][10][11].…”

Section: Introductionmentioning

confidence: 99%