Insomnia and Clinical Sleep Disturbance in Later Life

2019 ◽  
Author(s):  
Simon Smith
Keyword(s):  
Psychological Health ◽  
Sleep Disturbances ◽  
Behavioral Therapy ◽  
Later Life ◽  
Poor Sleep ◽  
Sleep Health ◽  
Reasonable Expectation ◽  
Key Factor ◽  
Good Sleep

Sleep health is understood as a key factor in lifelong health and for social participation, function, and satisfaction. In later life, insomnia and other sleep disturbances are common. Insomnia is experienced as poor, disrupted, or insufficient sleep associated with significant daytime impairments including increased fatigue or reduced energy, impaired cognitive function, and increased mood disturbance. Poor sleep is associated with negative outcomes across a range of dimensions that impair quality of life, increases risk for other diseases, and may interact negatively with the progression and treatment of other disorders. Evidence for effective psychological interventions to improve sleep in later life, specifically cognitive behavioral therapy for insomnia, is robust and well described. Good sleep should be understood as a substrate for psychological health and a reasonable expectation in later life.

Why cardiac nurses need good sleep health literacy

2021 ◽  
pp. 1-7
Author(s):  
Michael Le Grande ◽  
Debra Kerr ◽  
Alison Beauchamp ◽  
Alun Jackson
Keyword(s):  
Sleep Disorders ◽  
Psychological Health ◽  
Sleep Apnoea ◽  
Poor Sleep ◽  
Health It ◽  
Sleep Health ◽  
Holistic View ◽  
Obstructive Sleep ◽  
Patient Health ◽  
Good Sleep

A holistic view of patient health recognises sleep as an important pillar of wellbeing. There is increasing evidence that sleep disorders are associated with both the cause and consequences of a patient's cardiac conditions. It follows, therefore, that recognition and treatment of these disorders may be of particular importance in the secondary prevention of coronary heart disease. The purpose of this commentary is to outline how two major sleep disorders (obstructive sleep apnoea and insomnia) are associated with poor sleep quality, psychological health and cardiac health. It is hoped that health professionals, including cardiac nurses, can obtain a basic understanding of these associations so that they may better explain the importance of screening and treatment for sleep disorders to their patients.

scholarly journals 196 Sleeping Through a Pandemic: Sleep Health in Adults Around the World During the COVID-19 Lockdown

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A79-A79
Author(s):  
Dilara Yuksel ◽  
Grace McKee ◽  
Paul Perrin ◽  
Elisabet Alzueta ◽  
Sendy Caffarra ◽  
...  
Keyword(s):  
Sleep Disturbances ◽  
Financial Strain ◽  
Mitigation Measures ◽  
Poor Sleep ◽  
Sleep Health ◽  
Related Factors ◽  
Sleep Behavior ◽  
Global Comparison ◽  
The World ◽  
Good Sleep

Abstract Introduction The novel COVID-19 disease rapidly escalated into a global pandemic affecting people around the world. While communities imposed mitigation measures to stop the spread of the disease, the mass (home) confinement in addition to the uncertainty of the pandemic led to drastic changes in all aspects of life, including sleep. Sleep health is strongly linked with mental and overall health and could play a protective role against the development of mental distress during the pandemic. Here, we investigated sleep health in a global multicultural sample of adults during the COVID-19 pandemic. Methods We surveyed 6,882 adults (18-94 years) across 59 countries about their sleep health (RU-SATED scale), sleep behaviors, demographics, pandemic-related factors, and mood between late April and early May 2020. A hierarchical stepwise multiple linear regression was performed to investigate correlates of sleep health. Results Compared with pre-pandemic times, more than one third of the sample reported an increase in sleep disturbances, and more than half of the sample shifted their sleep schedule towards later bed- and wake-up times. Better sleep health was associated with being partnered, older age and living in a higher-income country (p<.001). Poorer sleep health was associated with a stricter level of quarantine, and other pandemic-related factors including being laid off from job, financial strain, or difficulties with transitioning to working from home (R2=.116, p<.001). Domestic conflict emerged as the strongest correlate of poorer sleep health in the regression model. Greater depression and anxiety symptoms were associated with a poorer sleep health (p<.001). In a global comparison, Latin Americans reported the lowest sleep health scores. Conclusion Our findings highlight how sleep behavior has changed during the international quarantine- and isolation measurements and show the association between pandemic-related factors and poor sleep health, which, in turn, is closely linked with poorer mental health. These results emphasize the importance of maintaining good sleep health during the pandemic, since poorer sleep health may trigger or exacerbate mental disorders. Maintenance of good sleep health should be incorporated into public health messages aimed at helping people maintain optimal mental and physical health during major stressful life events like the COVID-19 pandemic. Support (if any):

scholarly journals THE EFFECT OF STEAMED TOFU ON SLEEP QUALITY IN PREMENOPAUSAL WOMEN

2021 ◽  
Vol 3 (2) ◽  
pp. 63-68
Author(s):  
Munarifah Sulis Widyatiningsih ◽  
Sri Winarsih ◽  
Christin Hiyana Tungga Dewi
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Premenopausal Women ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
P Value ◽  
Poor Sleep ◽  
Night Sweats ◽  
Good Sleep

Background: Premenopausal syndrome in the form of hot flushes, night sweats, it can cause sleep disturbances that will affect the quality of the mother's sleep so that the mother wakes up from her sleep. Thus, natural intervention is needed in the form of isoflavone treatment by consuming processed soybeans, namely steamed tofu. The purpose of this study is knowing the effect of giving steamed tofu preparations on sleep quality in premenopausal women in Ngabean Village, Secang District, Magelang RegencyMethods: This type of research is a pre-experimental designs research with One Group Pretest Posttest research design. The measuring instrument used is the PSQI (Pittsburgh Sleep Quality Index) questionnaire. The sampling technique in this research is purposive sampling.Results: There is a significant effect of the provision of processed steamed tofu on the sleep quality of premenopausal women aged 45-50 years. This is evidenced by the results of the Wilcoxon test with p value 0.05..Conclusion: The sleep quality of premenopausal women aged 45-50 years before consuming processed steamed tofu was found in the majority in the category of poor sleep quality, which was 93.48% and after consuming processed steamed tofu was found in the majority in the category of good sleep quality, 84.78%. There is a significant effect of the provision of processed steamed tofu on the sleep quality of premenopausal women aged 45-50 years. Suggestion for premenopausal women to consuming variations of processed steamed tofu (2x a day, with a dose of @ 100 grams or medium pieces) as a source of isoflavones in improving the quality of sleep for premenopausal and postmenopausal women who experience sleep deprivation/sleep disorders in the premenopausal period so that they can undergo pre-age with totality by consuming it regularly 

scholarly journals Effect of a physical activity and sleep m-health intervention on a composite activity-sleep behaviour score and mental health: a mediation analysis of two randomised controlled trials

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mitch J. Duncan ◽  
Anna T. Rayward ◽  
Elizabeth G. Holliday ◽  
Wendy J. Brown ◽  
Corneel Vandelanotte ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Trial Registration ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Sleep Health ◽  
Intervention Effects ◽  
Symptoms Of Depression ◽  
Randomised Controlled

Abstract Background To examine if a composite activity-sleep behaviour index (ASI) mediates the effects of a combined physical activity and sleep intervention on symptoms of depression, anxiety, or stress, quality of life (QOL), energy and fatigue in adults. Methods This analysis used data pooled from two studies: Synergy and Refresh. Synergy: Physically inactive adults (18–65 years) who reported poor sleep quality were recruited for a two-arm Randomised Controlled Trial (RCT) (Physical Activity and Sleep Health (PAS; n = 80), or Wait-list Control (CON; n = 80) groups). Refresh: Physically inactive adults (40–65 years) who reported poor sleep quality were recruited for a three-arm RCT (PAS (n = 110), Sleep Health-Only (SO; n = 110) or CON (n = 55) groups). The SO group was omitted from this study. The PAS groups received a pedometer, and accessed a smartphone/tablet “app” using behaviour change strategies (e.g., self-monitoring, goal setting, action planning), with additional email/SMS support. The ASI score comprised self-reported moderate-to-vigorous-intensity physical activity, resistance training, sitting time, sleep duration, efficiency, quality and timing. Outcomes were assessed using DASS-21 (depression, anxiety, stress), SF-12 (QOL-physical, QOL-mental) and SF-36 (Energy & Fatigue). Assessments were conducted at baseline, 3 months (primary time-point), and 6 months. Mediation effects were examined using Structural Equation Modelling and the product of coefficients approach (AB), with significance set at 0.05. Results At 3 months there were no direct intervention effects on mental health, QOL or energy and fatigue (all p > 0.05), and the intervention significantly improved the ASI (all p < 0.05). A more favourable ASI score was associated with improved symptoms of depression, anxiety, stress, QOL-mental and of energy and fatigue (all p < 0.05). The intervention effects on symptoms of depression ([AB; 95%CI] -0.31; − 0.60,-0.11), anxiety (− 0.11; − 0.27,-0.01), stress (− 0.37; − 0.65,-0.174), QOL-mental (0.53; 0.22, 1.01) and ratings of energy and fatigue (0.85; 0.33, 1.63) were mediated by ASI. At 6 months the magnitude of association was larger although the overall pattern of results remained similar. Conclusions Improvements in the overall physical activity and sleep behaviours of adults partially mediated the intervention effects on mental health and quality of life outcomes. This highlights the potential benefit of improving the overall pattern of physical activity and sleep on these outcomes. Trial registration Australian New Zealand Clinical Trial Registry: ACTRN12617000680369; ACTRN12617000376347. Universal Trial number: U1111–1194-2680; U1111–1186-6588. Human Research Ethics Committee Approval: H-2016-0267; H-2016–0181.

scholarly journals Improving Stress Management and Sleep Hygiene in Intelligent Homes

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2398
Author(s):  
Asterios Leonidis ◽  
Maria Korozi ◽  
Eirini Sykianaki ◽  
Eleni Tsolakou ◽  
Vasilios Kouroumalis ◽  
...  
Keyword(s):  
Sleep Disturbances ◽  
Contextual Information ◽  
High Stress ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Health Issues ◽  
Time Data ◽  
Intelligent Home ◽  
And Control

High stress levels and sleep deprivation may cause several mental or physical health issues, such as depression, impaired memory, decreased motivation, obesity, etc. The COVID-19 pandemic has produced unprecedented changes in our lives, generating significant stress, and worries about health, social isolation, employment, and finances. To this end, nowadays more than ever, it is crucial to deliver solutions that can help people to manage and control their stress, as well as to reduce sleep disturbances, so as to improve their health and overall quality of life. Technology, and in particular Ambient Intelligence Environments, can help towards that direction, when considering that they are able to understand the needs of their users, identify their behavior, learn their preferences, and act and react in their interest. This work presents two systems that have been designed and developed in the context of an Intelligent Home, namely CaLmi and HypnOS, which aim to assist users that struggle with stress and poor sleep quality, respectively. Both of the systems rely on real-time data collected by wearable devices, as well as contextual information retrieved from the ambient facilities of the Intelligent Home, so as to offer appropriate pervasive relaxation programs (CaLmi) or provide personalized insights regarding sleep hygiene (HypnOS) to the residents. This article will describe the design process that was followed, the functionality of both systems, the results of the user studies that were conducted for the evaluation of their end-user applications, and a discussion about future plans.

scholarly journals Severe reflux, sleep disturbances, and health-related quality of life after esophageal cancer surgery

2021 ◽  
Author(s):  
Pernilla Lagergren ◽  
Asif Johar ◽  
Helen Rosenlund ◽  
Lars Arnberg ◽  
Lena Haglund ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Poor Sleep ◽  
Health Related Quality ◽  
Poor Sleep Quality ◽  
Increased Risk ◽  
Related Quality ◽  
Health Related ◽  
Esophagectomy For Cancer

Abstract Purpose Esophagectomy for cancer is an extensive procedure often followed by severe complications. This study investigated whether patients with severe symptoms of reflux are more likely to have sleep disturbances and reduced health-related quality of life (HRQL) after esophagectomy. Methods This Swedish nationwide prospective cohort study encompassed all patients who had undergone esophagectomy for cancer between 2013 and 2018. One year after surgery, the patients responded to three questionnaires on reflux (EORTC QLQOG25), sleep disturbances (KSQ), and HRQL (EORTC QLQ-C30). Multivariable logistic regression provided odds ratios (OR) with 95% confidence intervals (CI) for sleep disturbance/reduced HRQL between patients with and without reflux, adjusted for potential confounders. Results Among 241 esophagectomy patients, 66 (27%) reported severe reflux. Patients with reflux had an increased risk of sleep disturbances (OR 2.3, 95% CI: 1.3–4.3) compared to patients without reflux. More specifically, these patients were more likely to suffer from poor sleep quality (OR 4.9, 95% CI: 1.9–12.4). Patients with reflux and sleep disturbances reported reductions in global quality of life, role function, emotional function, social function, and more symptoms in all scales, except for dyspnea. Conclusions This study suggests that patients with severe symptoms of reflux after esophagectomy have an increased risk of sleep disturbances and poor sleep quality, which in turn are associated with reduced HRQL. Implications for Cancer Survivors Alleviating reflux after oesophageal cancer surgery is important, since this common symptom might reduce HRQL and well-being.

534 Food Insecurity and Sleep Health by Race/Ethnicity and Age Group in the United States

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A211-A211
Author(s):  
Nyree Riley ◽  
Dana Alhasan ◽  
W Braxton Jackson ◽  
Chandra Jackson
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Sleep Duration ◽  
Sleep Disturbances ◽  
The United States ◽  
Poor Sleep ◽  
High Food ◽  
Short Sleep Duration ◽  
Sleep Health ◽  
Falling Asleep

Abstract Introduction Food insecurity may influence sleep through poor mental health (e.g., depression) and immune system suppression. Although prior studies have found food insecurity to be associated with poor sleep, few studies have investigated the food security-sleep association among racially/ethnically diverse participants and with multiple sleep dimensions. Methods Using National Health Interview Survey data, we examined overall, age-, sex/gender-, and racial/ethnic-specific associations between food insecurity and sleep health. Food security was categorized as very low, low, marginal, and high. Sleep duration was categorized as very short (&lt;6 hours), short (&lt;7 hours), recommended (7–9 hours), and long (≥9 hours). Sleep disturbances included trouble falling and staying asleep, insomnia symptoms, waking up feeling unrested, and using sleep medication (all ≥3 days/times in the previous week). Adjusting for sociodemographic characteristics and other confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (95% CI) for sleep dimensions by very low, low, and marginal vs. high food security. Results The 177,435 participants’ mean age was 47.2±0.1 years, 52.0% were women, 68.4% were Non-Hispanic (NH)-White. Among individuals reporting very low food security, 75.4% had an annual income of &lt;$35,000 and 60.3% were ≥50 years old. After adjustment, very low vs. high food security was associated with a higher prevalence of very short (PR=2.61 [95%CI: 2.44–2.80]) and short (PR=1.66 [95% CI: 1.60–1.72]) sleep duration. Very low vs. high food security was associated with both trouble falling asleep (PR=2.21 [95% CI: 2.12–2.30]) and trouble staying asleep (PR=1.98 [95% CI: 1.91–2.06]). Very low vs. high food security was associated with higher prevalence of very short sleep duration among Asians (PR=3.64 [95% CI: 2.67–4.97]), Whites (PR=2.73 [95% CI: 2.50–2.99]), Blacks (PR=2.03 [95% CI: 1.80–2.31]), and Hispanic/Latinxs (PR=2.65 [95% CI: 2.30–3.07]). Conclusion Food insecurity was associated with poor sleep in a diverse sample of the US population. Support (if any):

scholarly journals Circadian variation of fatigue in both patients with paralytic poliomyelitis and post-polio syndrome

2013 ◽  
Vol 71 (7) ◽  
pp. 442-445 ◽  
Author(s):  
Celiana Figueiredo Viana ◽  
Márcia Pradella-Hallinan ◽  
Abrahão Augusto Juviniano Quadros ◽  
Luis Fabiano Marin ◽  
Acary Souza Bulle Oliveira
Keyword(s):  
Standard Deviation ◽  
Sleep Disturbances ◽  
Circadian Variation ◽  
Progressive Increase ◽  
Paralytic Poliomyelitis ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Significant Difference ◽  
Sleep Parameters

ObjectiveIt was to evaluate the degree of fatigue in patients with paralytic poliomyelitis (PP) and with post-polio syndrome (PPS), and correlate it with parameters of sleep and the circadian cycle.MethodsThirty patients, 17 female (56.7%), participated in the study: they answered the Revised Piper Fatigue Scale and performed a nocturnal polysomnographic study. Eleven had PP (mean age±standard deviation of 47.9±6.4 years), and 19 had PPS (mean age±standard deviation of 46.4±5.6 years).ResultsOur study showed that fatigue was worse in the afternoon in the PP Group and had a progressive increase throughout the day in the PPS Group. We also observed compromised quality of sleep in both groups, but no statically significant difference was found in the sleep parameters measured by polysomnography.ConclusionFatigue has a well-defined circadian variation, especially in PPS Group. Poor sleep quality is associated with fatigue and, therefore, sleep disturbances should be evaluated and treated in this group of PPS.

scholarly journals Factors associated with poor sleep quality in women with cancer

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Thalyta Cristina Mansano-Schlosser ◽  
Maria Filomena Ceolim
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Sleep Disturbances ◽  
Pittsburgh Sleep Quality Index ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Factors Associated ◽  
Scale Data

ABSTRACT Objectives: to analyze the factors associated with poor sleep quality, its characteristics and components in women with breast cancer prior to surgery for removing the tumor and throughout the follow-up. Method: longitudinal study in a teaching hospital, with a sample of 102 women. The following were used: a questionnaire for sociodemographic and clinical characterization, the Pittsburgh Sleep Quality Index; the Beck Depression Inventory; and the Herth Hope Scale. Data collection covered from prior to the surgery for removal of the tumor (T0) to T1, on average 3.2 months; T2, on average 6.1 months; and T3, on average 12.4 months. Descriptive statistics and the Generalized Estimating Equations model were used. Results: depression and pain contributed to the increase in the score of the Pittsburgh Sleep Quality Index, and hope, to the reduction of the score - independently - throughout follow-up. Sleep disturbances were the component with the highest score throughout follow-up. Conclusion: the presence of depression and pain, prior to the surgery, contributed to the increase in the global score of the Pittsburgh Sleep Quality Index, which indicates worse quality of sleep throughout follow-up; greater hope, in its turn, influenced the reduction of the score of the Pittsburgh Sleep Quality Index.

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