Sleep patterns and physical function in older adults attending primary health care

Arias‐Fernández, Lucía; Smith-Plaza, Andrea M; Barrera-Castillo, María; Prado-Suárez, Jessica; López-Garcı́a, Esther; Rodríguez‐Artalejo, Fernando; Lana, Alberto

doi:10.1093/fampra/cmaa085

Cited by 12 publications

(18 citation statements)

References 37 publications

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“…33 In the study Arias et al, it was found that the incidence of incontinence over the age of 70 was 30%. 34 These findings are similar to the results obtained in the present study. As stated in the literature, incontinence is a problem that increases in frequency with advancing age and affects individuals in many dimensions.…”

Section: Discussionsupporting

confidence: 92%

The effect of incontinence on sleep quality in the elderly

Ilkhan

Çelikhisar

2021

Int. J. Clin. Pract.

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With the decline in birth rate and improving living standards all over the world, life expectancy, and thus the elderly population, is gradually increasing. 1,2 As of 2019, the population aged 60 and over in the world is 962 million, and this figure is expected to increase rapidly and reach 1.4 billion in 2030 and 2.1 billion in 2050. 3 Because of the global ageing of the world population and the increase in the elderly population, age-related physiological changes, and related problems arise. With ageing, chronic diseases (Hypertension, Chronic Obstructive Pulmonary Disease, Dementia) problems such as fatigue, imbalance, osteoporosis, urinary retention, and disorientation become more common in elderly individuals.In addition, one of the most common problems seen independent of diseases is sleep disorders. 4,5 Wang et al investigated morbidity and symptom prevalence in the elderly and found that elderly individuals mostly experience sleep problems (37.7%). 6 Many studies have reported that individuals aged 65 and over frequently experience sleep problems. [6][7][8][9][10][11] It has been determined that elderly individuals generally experience problems such as falling asleep, waking up frequently at night, sleeping too much during the day, insomnia, and waking up early. 12,13 It has been reported that 20%-50% of adult individuals and 57% of home-dwelling elderly people in Western countries suffer from sleep problems and this rate is higher in elderly people living in nursing homes. [10][11][12][13][14][15] The prevalence of urinary incontinence increases with ageing and it is another important geriatric condition that causes problems during sleep by increasing the frequency of urination at night. The fact that urinary incontinence is a social problem that is generally not mentioned by the elderly leads to under-diagnosis and urinary

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Section: Discussionsupporting

confidence: 92%

The effect of incontinence on sleep quality in the elderly

Ilkhan

Çelikhisar

2021

Int. J. Clin. Pract.

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“…Disabled older individuals are more vulnerable to mental health problems than non-disabled older adults. Previous studies have also discovered that poor sleep quality was associated with functional limitations in older adults [ 16 , 17 ]. This may be that the quality of sleep affects the state of cognitive function and ultimately affects the ability to perform daily living activities.…”

Section: Introductionmentioning

confidence: 99%

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

et al. 2022

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Background Previous research has found a link between sleep quality and psychological distress. However, the underlying mechanisms of this connection have still not been well explored. The aim of this study was to examine the roles of activities of daily living (ADL), physical activity, and perceived social support in the link between sleep quality and psychological distress among older adults. Methods Three thousand two hundred fifty valid individuals (aged 60 years or above) participated in face-to-face questionnaire-based surveys. Older individuals were assessed using the Pittsburgh Sleep Quality Index, Barthel Index, International Physical Activity Questionnaire, Perceived Social Support Scale, and Depression Anxiety Stress Scale-21. The PROCESS macro developed by Hayes was used to conduct moderated mediation analysis. Results In older adults, sleep quality had a substantial direct influence on psychological distress. ADL mediated the association between sleep quality and psychological distress. Physical activity significantly reduced ADL’s mediating influence on the relationship between sleep quality and psychological distress. Furthermore, perceived social support moderated the direct relationship between sleep quality and psychological distress, as well as the second half of the mediating effect of the ADL. Moreover, physical activity and perceived social support were preventive factors that might successfully mitigate the detrimental effects of poor sleep quality on ADL and psychological distress. Conclusions The findings contribute to existing understanding by clarifying the fundamental mechanisms that link sleep quality and psychological distress. These results may provide a valuable reference to the Chinese government for improving mental health in older individuals.

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“…Following the informed consent process, five assessment tools were administered at baseline and the end of the study. During this assessment process, participants completed the EuroQol 5D-5L (EQ 5D-5L) 37 and Pittsburgh Sleep Quality Index (PSQI) 6 , 38 , 39 under the assistance and supervision of the researchers. Likewise, the researchers filled out Lobo mini-cognitive examination (MCE), 40 , 41 Barthel ADL Index 42 and Tinetti scale.…”

Section: Methodsmentioning

confidence: 99%

“… 4 , 5 In the aging stage, sleep problems are often underdiagnosed, and their prevalence depends on social and environmental factors and daily habits and routines. 2 , 6 Globally, it is estimated that 40%–60% of the older population has poor sleep quality and sleep difficulties. 7 Therefore, sleep problems have become a problem associated with the growing aging phenomenon, 8 , 9 and a relevant public health problem, mainly affecting older people's quality of life.…”

Section: Introductionmentioning

confidence: 99%

“… 10 Also, insufficiency of restful sleep and its poor quality is associated with a higher prevalence of cognitive impairment, 3 mental disorders (specifically depression, anxiety, or fatigue), 4 , 11 risk of falling, 12 and decreased daily functioning 13 and physical activity. 6 , 12 Specifically, the presence of sleep disorders and their relation to different diseases or alterations in the health of older adults can have a significant impact on their occupational performance, 1 such as in the development of daily routines or their participation in society. 1 , 14 In most cases, older adults present difficulties in their daily living, requiring third-party care, such as family members or other caregivers, 15 greater attention and frequency of health resources, and a greater need of institutional resources, like nursing homes, for older adults.…”

Section: Introductionmentioning

confidence: 99%

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Use of the Xiaomi Mi Band for sleep monitoring and its influence on the daily life of older people living in a nursing home

et al. 2022

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Background: Lower quantity and poorer sleep quality are common in most older adults, especially for those who live in a nursing home. The use of wearable devices, which measure some parameters such as the sleep stages, could help to determine the influence of sleep quality in daily activity among nursing home residents. Therefore, this study aims to analyse the influence of sleep and its changes concerning the health status and daily activity of older people who lived in a nursing home, by monitoring the participants for a year with Xiaomi Mi Band 2. Methods: This is a longitudinal study set in a nursing home in [Details omitted for double-anonymized peer reviewed]. The Xiaomi Mi Band 2 will be used to measure biomedical parameters and different assessment tools will be administered to participants for evaluating their quality of life, sleep quality, cognitive state, and daily functioning. Results: A total of 21 nursing home residents participated in the study, with a mean age of 86.38 ± 9.26. The main outcomes were that sleep may influence daily activity, cognitive state, quality of life, and level of dependence in activities of daily life. Moreover, environmental factors and the passage of time could also impact sleep. Conclusions: Xiaomi Mi Band 2 could be an objective tool to assess the sleep of older adults and know its impact on some factors related to health status and quality of life of older nursing homes residents. Trial Registration: NCT04592796 (Registered 16 October 2020) Available on: https://clinicaltrials.gov/ct2/show/NCT04592796.

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Sleep patterns and physical function in older adults attending primary health care

Cited by 12 publications

References 37 publications

The effect of incontinence on sleep quality in the elderly

The effect of incontinence on sleep quality in the elderly

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

Use of the Xiaomi Mi Band for sleep monitoring and its influence on the daily life of older people living in a nursing home

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