Articlegreen2009

Sleep Disturbances and Frailty Status in Older Community‐Dwelling Men

Kristine E. Ensrud · TERRI L. BLACKWELL · Susan S Redline · Sonia Ancoli‐Israel · Misti L. Paudel · Peggy Mannen Cawthon +4 more

203 citations0/0 files storedJournal of the American Geriatrics Society

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Abstract

OBJECTIVES: To test the hypothesis that sleep disturbances are independently associated with frailty status in older men. DESIGN: Cross-sectional analysis of prospective cohort study. SETTING: Six U.S. centers. PARTICIPANTS: Three thousand one hundred thirty-three men aged 67 and older. MEASUREMENTS: Self-reported sleep parameters (questionnaire); objective parameters of sleep-wake patterns (actigraphy data collected for an average of 5.2 nights); and objective parameters of sleep-disordered breathing, nocturnal hypoxemia, and periodic leg movements with arousals (PLMAs) (in-home overnight polysomnography). Frailty status was classified as robust, intermediate stage, or frail using criteria similar to those used in the Cardiovascular Health Study frailty index. RESULTS: The prevalence of sleep disturbances, including poor sleep quality, excessive daytime sleepiness, short sleep duration, lower sleep efficiency, prolonged sleep latency, sleep fragmentation (greater nighttime wakefulness and frequent, long wake episodes), sleep-disordered breathing, nocturnal hypoxemia, and frequent PLMAs, was lowest in robust men, intermediate in men in the intermediate-stage group, and highest in frail men (P-for-trend < or =.002 for all sleep parameters). After adjusting for multiple potential confounders, self-reported poor sleep quality (Pittsburgh Sleep Quality Index > 5, multivariable odds ratio (MOR)=1.28, 95% confidence interval (CI)=1.09-1.50), sleep efficiency less than 70% (MOR=1.37, 95% CI=1.12-1.67), sleep latency of 60 minutes or longer (MOR=1.42, 95% CI=1.10-1.82), and sleep-disordered breathing (respiratory disturbance index > or =15, MOR=1.38, 95% CI=1.15-1.65) were each independently associated with higher odds of greater frailty status. CONCLUSION: Sleep disturbances, including poor self-reported sleep quality, lower sleep efficiency, prolonged sleep latency, and sleep-disordered breathing, are independently associated with greater evidence of frailty.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 203 citations exist upstream.

References

1989The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research 1991A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale 2003The Role of Actigraphy in the Study of Sleep and Circadian Rhythms 1992Reliability and Factor Analysis of the Epworth Sleepiness Scale 1995Sleep Complaints Among Elderly Persons: An Epidemiologic Study of Three Communities 2004Sleep disturbances and chronic disease in older adults 1999Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. I.1997Sleep Disturbance, Psychosocial Correlates, and Cardiovascular Disease in 5201 Older Adults: The Cardiovascular Health Study

Cited by

2020Associations of sleep quality and sleep duration with frailty and pre-frailty in an elderly population Rugao longevity and ageing study 2012Limits of the Epworth Sleepiness Scale in older adults 2024Worldwide prevalence of sleep problems in community-dwelling older adults: A systematic review and meta-analysis 2019Factors involved in sleep efficiency: a population-based study of community-dwelling elderly persons

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.