Longitudinal effects of nocturnal insomnia symptom subtypes and nonrestorative sleep on the incidence of depression among community-dwelling older adults: results from the Health and 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.

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

Journal of Aging Research ◽

10.1155/2016/3685789 ◽

2016 ◽

Vol 2016 ◽

pp. 1-10 ◽

Cited By ~ 17

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.

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

The Journals of Gerontology Series A ◽

10.1093/gerona/gly080 ◽

2018 ◽

Vol 74 (4) ◽

pp. 575-581 ◽

Cited By ~ 8

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.

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

Journal of Applied Gerontology ◽

10.1177/0733464816646683 ◽

2016 ◽

Vol 37 (9) ◽

pp. 1133-1149 ◽

Cited By ~ 3

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.

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

Innovation in Aging ◽

10.1093/geroni/igab046.2359 ◽

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.

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Pain as a Risk Factor for Loneliness Among Older Adults

Journal of Aging and Health ◽

10.1177/0898264317721348 ◽

2017 ◽

Vol 30 (9) ◽

pp. 1450-1461 ◽

Cited By ~ 8

Author(s):

Kerstin Emerson ◽

Ian Boggero ◽

Glenn Ostir ◽

Jayani Jayawardhana

Keyword(s):

Older Adults ◽

Regression Models ◽

Functional Decline ◽

Premature Mortality ◽

Community Dwelling ◽

Logistic Regression Models ◽

Community Dwelling Older Adults ◽

Retirement Study ◽

Time Point

Objective: The objective of this is to examine whether pain is associated with the onset of loneliness in a sample of community-dwelling older adults. Methods: We used data from the 2008 and 2012 Health and Retirement Study. We limited the sample to community-dwelling persons aged 60 years and over who were not lonely in 2008 in order to predict the risk of onset of loneliness (incidence) in 2012. Our analytic sample included 1,563 observations. Results: Approximately 31.7% of participants reported loneliness at follow-up (2012). Logistic regression models showed that the odds of loneliness onset was 1.58 higher for those with pain at both time points, compared with those who had pain at neither time point, even after controlling for other covariates. Discussion: The results indicate that pain may increase the risk of loneliness in older adults. This suggests that appropriate pain interventions could prevent future loneliness, which in turn could prevent functional decline, disability, and premature mortality.

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Racial/Ethnic Differences in the Longitudinal Effects of Fear of Falling on Falls

Innovation in Aging ◽

10.1093/geroni/igab046.3158 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 874-874

Author(s):

Tuo Yu Chen ◽

Giyeon Kim

Keyword(s):

Older Adults ◽

Ethnic Differences ◽

Fear Of Falling ◽

Educational Programs ◽

Community Dwelling ◽

The Past ◽

Longitudinal Effects ◽

Race Ethnicity ◽

Community Dwelling Older Adults ◽

Racial Ethnic

Abstract Research suggests that the effects of fear of falling on falls may differ by race/ethnicity. We investigated whether race/ethnicity (White, Black, and Hispanic) moderated the longitudinal effects of fear of falling on the incidence of falling and having a repeated fall among community-dwelling older adults. We used data from 2011-2018 of the National Health and Aging Trends Study (NHATS). These included a total of 19,516 person-intervals from 5,113 respondents. Self-reported any fall in the past year was the outcome variable with baseline fear of falling as the predictor and race/ethnicity as the moderator. Known risk factors for falls were included as covariates. Results showed that among respondents without the experience of falling at baseline, baseline fear of falling significantly increased the odds of a new-onset of fall at 1-year follow-up among Blacks, compared to Whites. Among respondents who already fell at baseline, baseline fear of falling significantly increased the odds of having a repeated fall later on among Hispanics, compared to Whites. Clear evidence of racial/ethnic differences was found in the relationship between fear of falling and falls among community-dwelling older adults in the U.S. Special attention should be paid to Black older adults with a fear of falling but have not fallen down recently and Hispanics with fear of falling and have fallen in the past year. Readily available educational programs should be actively advertised to older adults to reduce the fear of falling and culturally tailored educational programs should be developed for older adults from racial/ethnic minority backgrounds.

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