The impact of physical pain and depression on sleep quality in older adults with chronic disease

2021 ◽  
Author(s):  
Li‐Chuan Tsai ◽  
Shu‐Ching Chen ◽  
Yen‐Chin Chen ◽  
Li‐Yun Lee
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Sleep Quality ◽  
Physical Pain ◽  
The Impact

scholarly journals The impact of the COVID-19 pandemic on wellbeing and cognitive functioning of older adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarah De Pue ◽  
Céline Gillebert ◽  
Eva Dierckx ◽  
Marie-Anne Vanderhasselt ◽  
Rudi De Raedt ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
At Risk ◽  
Sleep Quality ◽  
Cognitive Functioning ◽  
Online Survey ◽  
Activity Level ◽  
The Impact

AbstractCOVID-19 took a heavy toll on older adults. In Belgium, by the end of August, 93% of deaths due to COVID-19 were aged 65 or older. Similar trends were observed in other countries. As a consequence, older adults were identified as a group at risk, and strict governmental restrictions were imposed on them. This has caused concerns about their mental health. Using an online survey, this study established the impact of the COVID-19 pandemic on adults aged 65 years or older, and which factors moderate this impact. Participants reported a significant decrease in activity level, sleep quality and wellbeing during the COVID-19 pandemic. Depression was strongly related to reported declines in activity level, sleep quality, wellbeing and cognitive functioning. Our study shows that the COVID-19 pandemic had a severe impact on the mental health of older adults. This implies that this group at risk requires attention of governments and healthcare.

scholarly journals 342 The Association Between Benzodiazepine Use and Falls, and the Impact of Sleep Quality on this Association: Data from TILDA

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Louise Marron ◽  
Ricardo Segurado ◽  
Paul Claffey ◽  
Rose Anne Kenny ◽  
Triona McNicholas
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Effect Size ◽  
Community Dwelling ◽  
Public Health Issue ◽  
P Value ◽  
Poor Sleep ◽  
Daytime Somnolence ◽  
Falling Asleep ◽  
The Impact

Abstract Background Benzodiazepines (BZD) are associated with adverse effects, particularly in older adults. Previous research has shown an association between BZDs and falls and BZDs have been shown to impact sleep quality. The aim of this study is to assess the association between BZD use and falls, and the impact of sleep quality on this association, in community dwelling adults aged over 50. Methods Data from the first wave of The Irish Longitudinal Study on Ageing were used. Participants were classed as BZD users or non-users and asked if they had fallen in the last year, and whether any of these falls were unexplained. Sleep quality was assessed via self-reported trouble falling asleep, daytime somnolence, and early-rising. Logistic regression assessed for an association between BZD use and falls, and the impact of sleep quality on this association was assessed by categorising based on BZD use and each sleep quality variable. Results Of 8,175 individuals, 302 (3.69%) reported taking BZDs. BZD use was associated with falls, controlling for con-founders (OR 1.40; 1.08, 1.82; p-value 0.012). There was no significant association between BZDs and unexplained falls, controlling for con-founders (OR 1.41; 95% CI 0.95, 2.10; p-value 0.09), however a similar effect size to all falls was evident. Participants who take BZDs and report daytime somnolence (OR 1.93; 95% CI 1.12, 3.31; p-value 0.017), early-rising (OR 1.93; 95% CI 1.20, 3.11; p-value 0.007) or trouble falling asleep (OR 1.83; 95% CI 1.12, 2.97; p-value 0.015), have an increased odds of unexplained falls. Conclusion BZD use is associated with falls, with larger effect size in BZD users reporting poor sleep quality in community dwelling older adults. Appropriate prescription of and regular review of medications such as BZDs is an important public health issue.

scholarly journals Analysis of Impact Factors Affecting Sleep Quality among Community-Dwelling Elderly Individuals in The Chinese Community in Shanghai

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Changying Wang ◽  
Yunwei Zhang ◽  
Jing Zhang ◽  
Lingshan Wan ◽  
Chunyan Xie ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Elderly People ◽  
The Elderly ◽  
Elderly Individual ◽  
Community Dwelling ◽  
Impact Factors ◽  
Physical Pain ◽  
Factors Affecting ◽  
Elderly Individuals ◽  
The Impact

Context: Insomnia is prevalent among elderly individuals and has become a public health problem receiving increasing concern. Low sleep quality is related to a number of negative health outcomes. Objective: This research aims to investigate the sleep status of community-dwelling elderly individuals (aged 60 years or older) in Shanghai, China, to explore the impact factors affecting sleep quality. Methods: One street in Shanghai city was randomly selected, and 50% of the elderly residents were randomly selected as participants for a total number of 9,616 people. Investigations were conducted by indoor surveys through home doctors and paper questionnaires. For statistical analysis, univariate and multivariate regression analysis and the Spearman correlation model were performed using SAS 9.4 to analyze the effects of the impact factors on the sleep quality of elderly individuals. Results: Sleep quality is greatly affected by physical pain in both the elderly individual and the individual’s spouse. Healthy elderly people tend to have better sleep quality, and the more chronic diseases an elderly individual suffers, the worse their sleep quality is. In addition, the physical pain of a cohabiting spouse is one of the most significant impact factors influencing sleep quality. Conclusion: We suggest that community-dwelling elderly people maintain moderate outdoor activities and a healthy mental state, which will improve their sleep quality.

scholarly journals The Association Between Hearing Loss and Completion of Advance Care Planning Among Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 332-332
Author(s):  
Junghee Han ◽  
Junghyun Park
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Chronic Disease ◽  
Advance Care Planning ◽  
Living Wills ◽  
Health Concern ◽  
Care Planning ◽  
Advance Care ◽  
Eol Care ◽  
The Impact

Abstract Background: Ensuring access to quality end-of-life (EOL) care for all older adults is emerging public health concern. Hearing loss (HL) is the third most common chronic disease affecting older adults and a major impediment to access healthcare services. However, little is known about the impact of HL on advance care planning for older adults. Method: A sample of 1,862 older adults (≥65 years) was drawn from the National Health and Aging Trends Study (NHATS). HL was determined by self-report and advance care planning was measured by asking if an individual completed living wills or the Durable Power of Attorney for Health Care (DPAHC). Covariates included age, gender, race, marital status, education, religion, nativity, depression, region, facility status, regular doctor availability, Medicaid, hospitalization, cognition, perceived health status and a presence of chronic disease. Results: Descriptive statistics revealed that nearly 67% of older adults with HL completed the DPAHC, and the majority of them (71%) also had living wills. Multivariable logistic regression analyses showed that HL was significantly associated with completion of DPAHC and living wills, after controlling for a list of covariates (OR=0.50, p<0.05). Conclusions: The findings show HL is a significant predictor of completion of any type of advance directives. Facilitating effective communication in advance care planning for older adults with HL is needed. Healthcare provider should make health information accessible to them to get quality EOL care.

scholarly journals Sleep Quality and Cognitive Decline: A Cross-Country Comparison Between England and China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 120-120
Author(s):  
Laura Brocklebank ◽  
Dorina Cadar ◽  
Li Yan ◽  
Yaohui Zhao ◽  
Andrew Steptoe
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Cognitive Decline ◽  
Sleep Problems ◽  
Rate Of Change ◽  
Word Recall ◽  
Chinese Older Adults ◽  
Nationally Representative ◽  
Relationship Of ◽  
The Impact

Abstract Too little or too much sleep is associated with accelerated cognitive decline in older adults. However, sleep duration does not capture other sleep problems prevalent in older adults, such as difficulties with falling or staying asleep. Less is known about the impact of sleep quality on cognitive ageing, and if this relationship differs between England and China. Therefore, the aim of this study is to examine the relationship of self-reported sleep quality with cognitive performance and rate of change over 6-7 years follow-up in two nationally-representative samples of English and Chinese older adults. The primary outcome was a memory score (range 0-20), which was assessed using immediate and delayed 10-word recall tests in both cohorts. The results of bivariate descriptive analyses at baseline suggest there may be an inverted U-shaped association between sleep quality and memory in English older adults, and a positive dose-response association in Chinese older adults.

scholarly journals Using Actigraphy to Predict the Ecological Momentary Assessment of Mood, Fatigue, and Cognition in Older Adulthood: Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Carolyn M. Parsey ◽  
Maureen Schmitter-Edgecombe
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Self Report ◽  
Everyday Functioning ◽  
Previous Night ◽  
Subjective Report ◽  
Healthy Older Adults ◽  
Patient Reports ◽  
Sleep Parameters ◽  
The Impact

BACKGROUND Sleep quality has been associated with cognitive and mood outcomes in otherwise healthy older adults. However, most studies have evaluated sleep quality as aggregate and mean measures, rather than addressing the impact of previous night’s sleep on next-day functioning. OBJECTIVE This study aims to evaluate the ability of previous night’s sleep parameters on self-reported mood, cognition, and fatigue to understand short-term impacts of sleep quality on next-day functioning. METHODS In total, 73 cognitively healthy older adults (19 males, 54 females) completed 7 days of phone-based self-report questions, along with 24-hour actigraph data collection. We evaluated a model of previous night’s sleep parameters as predictors of mood, fatigue, and perceived thinking abilities the following day. RESULTS Previous night’s sleep predicted fatigue in the morning and midday, as well as sleepiness or drowsiness in the morning; however, sleep measures did not predict subjective report of mood or perceived thinking abilities the following day. CONCLUSIONS This study suggests that objectively measured sleep quality from the previous night may not have a direct or substantial relationship with subjective reporting of cognition or mood the following day, despite frequent patient reports. Continued efforts to examine the relationship among cognition, sleep, and everyday functioning are encouraged.

scholarly journals The Impact of 5-Hydroxytryptophan Supplementation on Sleep Quality of Older Adults in Singapore: A Randomized Controlled Trial

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 372-372
Author(s):  
Clarinda Sutanto ◽  
Chin Wee Heng ◽  
Alicia Xinli Gan ◽  
Xianfang Wang ◽  
Johnson Fam ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Sleep Latency ◽  
Controlled Trial ◽  
Control Group ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Significant Treatment ◽  
Randomized Controlled ◽  
The Impact

Abstract Objectives Sleep quality has been associated with a number of health conditions such as cognitive impairment and cardiovascular disease. 5-Hydroxytryptophan (5-HTP) is known as a precursor of the sleep regulating serotonin and melatonin. However, 5-HTP's efficacy for improving sleep in older adults is unclear. The aim of this study is to assess the impact of 5-HTP on sleep quality in older Singaporean adults. Methods This study is a single-blinded, 12-week parallel randomized controlled trial, where 20 older adults (67 ± 4 years, mean ± SD; 8 M, 12 F) were randomly assigned to either consume or not consume 100 mg 5-HTP daily. Sleep quality data were collected every 4 weeks via both subjective and objective measures such as Pittsburg Sleep Quality Index (PSQI) questionnaire and actigraphy watch. A global sleep score (GSS) was obtained from the PSQI, where a GSS > 5 has been validated to be associated with poor sleep quality. In addition, other sleep quality components that were also extracted include total sleep time (TST), sleep latency (SL) and sleep efficiency (SE). The main effect and interaction of 5-HTP on sleep were evaluated by repeated-measure analysis of variance (ANOVA). Results At baseline, subjects had an overall GSS of 5.9 ± 3.1 a.u. (5-HTP group: 6.3 ± 3.8 a.u.; Control group: 5.5 ± 2.3 a.u.) and this indicated poor sleep quality. Consumption of 5-HTP after 4 and 8 weeks showed a favorable decrease in their objective SL (SLObj) from their baseline (week 4: −18.2 ± 21.1 min; week 8: −17.8 ± 19.2 min). On the other hand, the control group did not display desirable change in SLObj (week 4: 2.4 ± 21.6 min; week 8: 1.5 ± 21.4 min). Repeated-measures ANOVA revealed a significant treatment-by-time effect between 5-HTP consumption and SLObj at week 4 (P = 0.045) and week 8 (P = 0.033), but not at week 12 (P = 0.135). A significant treatment-by-time decrease in subjective TST (−0.1 ± 0.4 hrs, P = 0.027) observed at week 12. No changes in GSS and other subjective and objective measures of sleep quality were detected. Conclusions Older adults had poor sleep quality and 5-HTP supplementation helped reduce sleep latency for up to 8 weeks. Prolonged effects were not observed, and this may be due to acclimation of the body to longer-term 5-HTP supplementation. Funding Sources NUS iHealthtech Microbiome in Health, Disease and Ageing.

scholarly journals The impact of the COVID-19 pandemic on wellbeing and cognitive functioning of older adults

2020 ◽  
Author(s):  
Sarah De Pue ◽  
Celine Gillebert ◽  
Eva Dierckx ◽  
Marie-Anne Vanderhasselt ◽  
Rudi De Raedt ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
At Risk ◽  
Sleep Quality ◽  
Cognitive Functioning ◽  
Online Survey ◽  
Activity Level ◽  
The Impact

COVID-19 took a heavy toll on older adults. In Belgium, by the end of August, 93% of deaths due to COVID-19 were aged 65 or older. Similar trends were observed in other countries. As a consequence, older adults were identified as a group at risk, and strict governmental restrictions were imposed on them. This has caused concerns about their mental health. Using an online survey, this study established the impact of the COVID-19 pandemic on adults aged 65 years or older, and which factors moderate this impact. Participants reported a significant decrease in activity level, sleep quality and wellbeing during the COVID-19 pandemic. Depression was strongly related to reported declines in activity level, sleep quality, wellbeing and cognitive functioning. Our study shows that the COVID-19 pandemic had a severe impact on the mental health of older adults. This implies that this group at risk requires attention of governments and healthcare.

scholarly journals P047 Sleep and diet in older adults: what do we know and what do we need to find out?

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A36-A37
Author(s):  
C Gupta ◽  
C Irwin ◽  
G Vincent ◽  
S Khaleesi
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Adverse Outcomes ◽  
Dietary Factors ◽  
Current Evidence ◽  
Age Related ◽  
Increased Risk ◽  
Current Evidence Base ◽  
Population Demographic ◽  
The Impact

Abstract Older adults experience reduced sleep quality and quantity more frequently than younger adults. Inadequate sleep in older adults has been linked to several adverse outcomes such as poor psychological and physical health, cognitive impairments, increased risk of falls, lower quality of life, and greater risk of all-cause and cardiovascular mortality. Diet is one modifiable lifestyle factor that may influence sleep outcomes. The purpose of this review was to synthesise the current literature investigating the impact of diet, including foods and nutrients, on sleep quality and quantity in older adults (defined as >50 years based on age-related changes in sleep quality and quantity that begin age 50). A systematic search of four databases identified 17 articles for inclusion (observational (n=8) and interventional (n=9) studies). Overall, findings suggest that following a Mediterranean diet, consuming milk, fish, bean and egg products, cherries, vitamin D and vitamin E have demonstrated some efficacy in improving sleep outcomes in this population demographic. Given the heterogeneity of the included studies (i.e. aims, methodologies, outcomes assessed), it is difficult to consolidate the available evidence to make specific recommendations. However, this review describes dietary factors that show promise for improving sleep outcomes in older adults. More targeted research exploring the relationship between dietary factors and sleep outcomes in older adults is needed to strengthen the current evidence base. This presentation will provide a much-needed research agenda that includes a need for more randomised control trials that employ rigorous dietary assessments and objective measures of sleep.

Sign in / Sign up

Export Citation Format

Share Document