scholarly journals The Association Between Sleep Problems, Sleep Medications And Falls In Community-Dwelling Older Adults: Results From The Health And Retirement Study 2010

2014 ◽  
Vol 17 (3) ◽  
pp. A154
Author(s):  
Y. Min ◽  
P.W. Slattum
Keyword(s):  
Older Adults ◽  
Sleep Problems ◽  
Community Dwelling ◽  
Health And Retirement Study ◽  
Community Dwelling Older Adults ◽  
Retirement Study

scholarly journals The Association between Sleep Problems, Sleep Medication Use, and Falls in Community-Dwelling Older Adults: Results from the Health and Retirement Study 2010

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Yaena Min ◽  
Pramit A. Nadpara ◽  
Patricia W. Slattum
Keyword(s):  
Older Adults ◽  
Sleep Problems ◽  
Medication Use ◽  
Community Dwelling ◽  
Health And Retirement Study ◽  
Sleep Medication ◽  
Risk Of Falls ◽  
The Impact ◽  
Community Dwelling Older Adults ◽  
Retirement Study

Background. Very few studies have assessed the impact of poor sleep and sleep medication use on the risk of falls among community-dwelling older adults. The objective of this study was to evaluate the association between sleep problems, sleep medication use, and falls in community-dwelling older adults.Methods. The study population comprised a nationally representative sample of noninstitutionalized older adults participating in the 2010 Health and Retirement Study. Proportion of adults reporting sleep problems, sleep medication use, and fall was calculated. Multiple logistic regression models were constructed to examine the impact of sleep problems and sleep medication use on the risk of falls after controlling for covariates.Results. Among 9,843 community-dwelling older adults, 35.8% had reported a fall and 40.8% had reported sleep problems in the past two years. Sleep medication use was reported by 20.9% of the participants. Older adults who do have sleep problems and take sleep medications had a significant high risk of falls, compared to older adults who do not have sleep problems and do not take sleep medications. The other two groups also had significantly greater risk for falls.Conclusion. Sleep problems added to sleep medication use increase the risk of falls. Further prospective studies are needed to confirm these observed findings.

scholarly journals Race, Ethnicity, and Social Engagement Among Community-Dwelling Older Adults: The Health and Retirement Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 28-28
Author(s):  
Lien Quach
Keyword(s):  
Older Adults ◽  
Sex Education ◽  
Social Engagement ◽  
Ethnic Disparities ◽  
Community Dwelling ◽  
Self Report ◽  
Health And Retirement Study ◽  
Race Ethnicity ◽  
Community Dwelling Older Adults ◽  
Retirement Study

Abstract Social engagement is crucial for older adults. This study examines the relationship between race, ethnicity, and social engagement among community-dwelling older adults using data came from the Health and Retirement Study (2014) (n=6221). Race and ethnic status were categorized as: non-Hispanic white (NHW), non-Hispanic black (NHB), non-Hispanic “Asians and other race” (NHA) and Hispanic (any race). Social engagement was based on self-report and included keeping in touch with friends, family and participating in social activities. Covariates included age, sex, education, number of comorbidities, physical function, and alcohol consumptions. The mean age was 74.6, 60% were female. Race and ethnicity distribution were 78.6% NHW, 11.9% NHB, 7.89% Hispanics, and 1.7% NHA. The social engagement (SE) score averaged 3.3. Hispanics, Asians and other races had a lower SE score compared with NHW (b=-0.29, p<.0001; b=-0.27, p=0.04). Understanding racial and ethnic disparities in SE can help target appropriate social intervention.

scholarly journals Association of Frailty With Recovery From Disability Among Community-Dwelling Older Adults: Results From Two Large U.S. Cohorts

2018 ◽  
Vol 74 (4) ◽  
pp. 575-581 ◽  
Author(s):  
Chenkai Wu ◽  
Dae H Kim ◽  
Qian-Li Xue ◽  
David S H Lee ◽  
Ravi Varadhan ◽  
...  
Keyword(s):  
Older Adults ◽  
Daily Living ◽  
Cardiovascular Health ◽  
Community Dwelling ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Factors Affecting ◽  
Frailty Assessment ◽  
Community Dwelling Older Adults ◽  
Retirement Study

Abstract Background Disability in activities of daily living (ADLs) is a dynamic process and transitions among different disability states are common. However, little is known about factors affecting recovery from disability. We examined the association between frailty and recovery from disability among nondisabled community-dwelling elders. Methods We studied 1,023 adults from the Cardiovascular Health Study (CHS) and 685 adults from the Health and Retirement Study (HRS), who were ≥65 years and had incident disability, defined as having difficulty in ≥1 ADL (dressing, eating, toileting, bathing, transferring, walking across a room). Disability recovery was defined as having no difficulty in any ADLs. Frailty was assessed by slowness, weakness, exhaustion, inactivity, and shrinking. Persons were classified as “nonfrail” (0 criteria), “prefrail” (1–2 criteria), or “frail” (3–5 criteria). Results In total, 539 (52.7%) CHS participants recovered from disability within 1 year. Almost two-thirds of nonfrail persons recovered, while less than two-fifths of the frail recovered. In the HRS, 234 (34.2%) participants recovered from disability within 2 years. Approximately half of the nonfrail recovered, while less than one-fifth of the frail recovered. After adjustment, prefrail and frail CHS participants were 16% and 36% less likely to recover than the nonfrail, respectively. In the HRS, frail persons had a 41% lower likelihood of recovery than the nonfrail. Conclusions Frailty is an independent predictor of poor recovery from disability among nondisabled older adults. These findings validate frailty as a marker of decreased resilience and may offer opportunities for individualized interventions and geriatric care based on frailty assessment.

Arthritis, Depression, and Falls Among Community-Dwelling Older Adults: Evidence From the Health and Retirement Study

2016 ◽  
Vol 37 (9) ◽  
pp. 1133-1149 ◽  
Author(s):  
Lien T. Quach ◽  
Jeffrey A. Burr
Keyword(s):  
Older Adults ◽  
Health Care Providers ◽  
Community Dwelling ◽  
Health And Retirement Study ◽  
Depression Symptoms ◽  
Care Providers ◽  
Significant Depression ◽  
Nationally Representative ◽  
Clinically Significant ◽  
Retirement Study

The aims of this study were to examine the association between different types of arthritis and falls and to investigate whether clinically significant depression symptoms (CSDS) moderate these relationships. The study used nationally representative data from the 2008 Health and Retirement Study ( n = 7,715, M age = 75, 62% female, and 90% White). Among the respondents, 42% experienced at least one fall during the previous 2 years. About one third had some form of arthritis: 22% osteoarthritis (OA), 4.8% rheumatoid arthritis (RA), 2.3% both OA and RA, and 7.9% with other arthritis types. About one fifth of respondents had CSDS. OA and CSDS are associated with the odds of falling (17% and 29%, respectively), adjusting for socio-demographic characteristics, lifestyle, health conditions, and psychiatric medications. There was no statistically significant interaction between types of arthritis and CSDS. Health care providers should pay attention to managing arthritis, especially OA, and CSDS to prevent falls among older adults.

Poor Sleep and Risk of Falls in Community-Dwelling Older Adults: A Systematic Review

2016 ◽  
Vol 37 (9) ◽  
pp. 1059-1084 ◽  
Author(s):  
Yaena Min ◽  
Patricia W. Slattum
Keyword(s):  
Older Adults ◽  
Sleep Problems ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Short Sleep Duration ◽  
Exclusion Criteria ◽  
Future Studies ◽  
Risk Of Falls ◽  
Falls In Older Adults ◽  
Community Dwelling Older Adults

Concerns about sleep problems and falls in older adults are significant. This article reviews the association between sleep problems and falls in community-dwelling adults aged 65 years or older. Multiple databases were searched from inception until 2015 using sleep, sleep disorders, and falls as keywords, limiting to studies published in English in peer-reviewed journals. After screening and assessing for eligibility, 18 articles were selected based on the inclusion and exclusion criteria. Findings of an association between sleep problems and risk of falls are conflicting, but some specific sleep problems such as extremely short sleep duration, daytime sleepiness and naps appear to be significantly related to falls in older adults. Methodological limitations including variability in covariates included in the analyses and measurement of the exposure and outcome variables were identified. The results of this review identified the need to have comparable definitions, validated tools, and rigorous design of future studies.

scholarly journals Testing frailty, accessible housing, and changes in living arrangements using the Health and Retirement Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 622-622
Author(s):  
Bonnie Albright
Keyword(s):  
Living Arrangements ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Community Dwelling ◽  
Health And Retirement Study ◽  
Physical Frailty ◽  
Frailty Phenotype ◽  
Community Dwelling Older Adults ◽  
The Relationship ◽  
Retirement Study

Abstract This study examined housing accessibility elements of community-dwelling older adults using the Health and Retirement Study (HRS). Housing accessibility elements were tested as moderators in the relationship between prior frailty and later living arrangements. HRS physical measures were used to construct the Physical Frailty Phenotype and the Continuous Frailty Scale. The analytic method for the study was multinomial logistic regression. Latent class analysis was also used to identify housing accessibility element use-types. Study findings will be presented. Strengths and weaknesses of using the HRS to measure home accessibility and construct frailty scales will also be discussed.

scholarly journals Self-Reported Sleep Difficulties and Self-Care Strategies Among Rural Older Adults

2013 ◽  
Vol 19 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Joanne C. Sandberg ◽  
Cynthia K. Suerken ◽  
Sara A. Quandt ◽  
Kathryn P. Altizer ◽  
Ronny A. Bell ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care Providers ◽  
Sleep Problems ◽  
Self Care ◽  
Community Dwelling ◽  
Use Of Self ◽  
Care Providers ◽  
Sleep Difficulty ◽  
Supplement Use ◽  
Community Dwelling Older Adults

This study examined the use of self-care strategies to address difficulty sleeping among community-dwelling older adults. Data were collected from a series of 18 questionnaires administered to 195 rural African American and white older adults in North Carolina. Participants reported whether they had experienced difficulty sleeping and strategies used to respond to the symptom. The most widely used strategies included ignoring the symptom, staying in bed or resting, and praying. Herb and supplement use were not reported. Ethnicity, income, and education were associated with use of specific self-care strategies for sleep. This variation suggests that older adults may draw on cultural understandings to interpret the significance of difficulty sleeping and influence their use of self-care strategies, including complementary and alternative medicine use. This information may enable health care providers to communicate with the older patients about sleep difficulty strategies to minimize sleep problems.

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