scholarly journals Association Between Macronutrient Intakes and Sleep Quality in Middle-Aged and Older Population in Singapore

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 665-665
Author(s):  
Clarinda Sutanto ◽  
Wen Wei Loh ◽  
Darel Wee Kiat Toh ◽  
Delia Pei Shan Lee ◽  
Jung Eun Kim
Keyword(s):  
Older Adults ◽  
Amino Acids ◽  
Sleep Quality ◽  
Unsaturated Fatty Acids ◽  
Positive Association ◽  
Quality Parameters ◽  
Poor Sleep ◽  
Middle Aged ◽  
Older Population ◽  
Cross Sectional

Abstract Objectives Quality sleep is essential to health and poor sleep may increase the risk of obesity and type 2 diabetes. Previous studies have reported that macronutrient intakes, such as dietary protein, may be associated with sleep quality. However research, on this relationship in older adults who often exhibit poorer sleep quality is still limited. Therefore, the objective of this research is to assess the association between macronutrient intakes and sleep quality in middle-aged and older population in Singapore. Methods In this cross-sectional study, 104 men and women (59 ± 6 years) were recruited within Singapore. Their food intakes and sleep quality were assessed using 3-day food records and Pittsburg Sleep Quality Index questionnaire, respectively. In addition, plasma amino acid concentration was measured from the collected blood samples. The relationship between diet, plasma amino acids and sleep quality were evaluated using multiple linear regression and adjusted for age, BMI and gender. Results From this study, no association were observed between total energy intake (%E) from protein and tryptophan (Trp) intakes and sleep quality parameters. However, %E from fat was positively associated with sleep efficiency (SE%) (β-coefficient = 19.6, P = 0.02). A similar positive association with SE% was also observed for mono- and poly-unsaturated fatty acids. In contrast, %E from carbohydrate was inversely associated with SE% (β-coefficient = −21.2, P = 0.03). Sugar intake was also inversely associated with sleep quality parameters. Although plasma Trp concentration was not associated with sleep quality parameters, Trp and large neutral amino acids concentration ratio was inversely associated with sleep duration (β-coefficient = −19.2, P = 0.02). Conclusions In conclusion, consuming a diet with a higher energy from fat and lower energy from carbohydrate may improve sleep quality in Singapore middle-aged and older adults. The type of fat and carbohydrate consumed may also affect sleep quality. Funding Sources This research study is funded by the National University of Singapore (Grant number: R-143–000-A03–133).

scholarly journals Sleep Quality in Obesity: Does Adherence to the Mediterranean Diet Matter?

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1364 ◽  
Author(s):  
Giovanna Muscogiuri ◽  
Luigi Barrea ◽  
Sara Aprano ◽  
Lydia Framondi ◽  
Rossana Di Matteo ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Nutrition Education ◽  
Mediterranean Diet ◽  
Sleep Disturbances ◽  
Poor Sleep ◽  
Middle Aged ◽  
Roc Curve Analysis ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
The Mediterranean

Obesity and unhealthy eating habits have been associated with sleep disturbances (SD). The Mediterranean diet (MD) is a healthy nutritional pattern that has been reported to be associated with better health and sleep quality. Thus, the aim of the study was to investigate whether adherence to the MD is associated with sleep quality in a population of middle-aged Italian adults. This cross-sectional study included 172 middle-aged adults (71.5% females; 51.8 ± 15.7 years) that were consecutively enrolled in a campaign to prevent obesity called the OPERA (Obesity, Programs of Nutrition, Education, Research and Assessment of the best treatment) prevention project that was held in Naples on 11–13 October 2019. Anthropometric parameters, adherence to the MD and sleep quality were studied. Overall, 50.6% of the subjects were good sleepers (the Pittsburgh Sleep Quality Index (PSQI) < 5) while 49.4% were poor sleepers (PSQI ≥ 5). Our results demonstrated that good sleepers, when compared to poor sleepers (p < 0.001) had significantly higher adherence to the MD as assessed by PREDIMED (Prevención con Dieta Mediterránea) score, lower BMI (body mass index) and waist circumference (WC). The higher PSQI, the higher the BMI (p < 0.001) and WC values (p < 0.001), thus suggesting that poor sleep was more common in subjects with obesity. In addition, a negative correlation between PSQI and the PREDIMED score (p < 0.001) was found. to the intake of the cluster of foods enclosed in the MD, rather than the intake of the single food, predicted PSQI. By performing a receiver operator characteristic (ROC) curve analysis, we determined a cut-off value at a PREDIMED score < 9 as the threshold for screening poor sleepers. In conclusion, good sleepers had lower BMI and WC and higher adherence to the MD than poor sleepers. PSQI was positively associated to BMI and WC while it was negatively associated to adherence to the MD. The consumption of the MD dietary pattern rather than the intake of a single nutrient has a beneficial effect on sleep quality. Hence, the assessment of sleep should be taken into account in the management of obesity and promoting adherence to the MD could be a tool to improve SD.

scholarly journals Sleep disturbances and frailty status in older adults in Vietnam

2021 ◽  
Vol 141 (5) ◽  
pp. 69-74
Author(s):  
Nguyen Trung Anh ◽  
Nguyen Thi Ngoc Anh ◽  
Dang Thi Xuan ◽  
Nguyen Xuan Thanh
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Disturbances ◽  
Early Morning ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Frailty Status ◽  
Geriatric Hospital

This cross-sectional study aimed to describe sleep disturbance and its association with frailty syndrome among 903 older adults at the National Geriatric Hospital in Vietnam. Frailty was diagnosed according to the Fried criteria. Sleep disturbances was assessed based on the Pittsburgh Sleep Quality Index (PSQI). Of 903 patients, the mean age was 71.8 (SD = 8.5), and 537 (59.5%) were female. Most (96.7%) of the patients diagnosed with frailty had poor sleep; 95.3% had to get up at midnight or early morning; 93.3% could not sleep within 30 minutes; 86% had sleep efficiency less than 85%; 53.3% coughed at night; 50.7% had nightmares; and 27.3% and 22.7% of patients felt hot and cold, respectively. The majority (80.0%) of patients must get up to use the bathroom. In conclusion, most older adult diagnosed with frailty experienced at least one form of of sleep disturbance. Medical staffs should attend to the patient’s sleep quality, especially in patients with frailty.

scholarly journals Sleep quality and chronic pain in community dwelling older adults: preliminary results

2020 ◽  
Vol 18 ◽  
pp. 1-7
Author(s):  
Celuane Oliveira Silva ◽  
Glaudson Sá Brandão ◽  
Maria Eduarda Moreira Lino ◽  
Adriano L. Fonseca ◽  
Marcos Mota Silva ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Sleep Quality ◽  
Older People ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Student’S T

Background: The natural process of human aging causes biopsychosocial alterations, which can trigger chronic pain and poor sleep quality in older adults. Considering the high prevalence and possible association between these two clinical conditions, special attention from public health policies is necessary to provide quality aging. Objective: To verify if there is an association between chronic pain and sleep quality among older adults in the community. Methods: A quantitative, cross-sectional study on the association of chronic pain with the sleep quality among older people in the community. Participants were evaluated using the Pittsburgh Sleep Quality Index (PSQI); Visual Analog Pain scale; questionnaires of sociodemographic and clinical data, assessment of cognitive impairment through the Mini Mental State Examination, and anthropometric assessments. The data were submitted to descriptive statistics. The means between the groups of older people with and without chronic pain were compared using the Student's t test for independent samples and Pearson's correlation coefficient (r) was used to analyze the association of PSQI with pain intensity. Results: In total, 51 older women were included, with a mean age of 70 ± 8 years. The majority had a low level of education (52.9%), low financial income (64.7%), and chronic pain (56.9%). It was found that the older adults with chronic pain presented worse sleep quality when compared those without chronic pain and a moderate (r=0.595) and significant (p<0.01) correlation between sleep quality and the intensity of chronic pain was observed. Conclusion: Older adults in the community with chronic pain present worse sleep quality when compared to the older adults without pain. There is a strong correlation between the intensity of chronic pain and sleep quality in older adults; the greater the intensity of pain, the worse the sleep quality. Trial Registration: Registro Brasileiro de Ensaios Clínicos (REBEC) Identifier: RBR-3cqzfy  

scholarly journals Correlation between Sleep Quality and Frailty Status among Middle-Aged and Older Taiwanese People: A Community-Based, Cross-Sectional Study

2020 ◽  
Vol 17 (24) ◽  
pp. 9457
Author(s):  
An-Chen Shih ◽  
Lee-Hwa Chen ◽  
Chin-Chueh Tsai ◽  
Jau-Yuan Chen
Keyword(s):  
Sleep Quality ◽  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Sectional Study ◽  
Middle Aged ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Frailty Status

Poor sleep quality and frailty are common problems among aged people. However, the association between sleep quality and frailty in middle-aged and older people is seldom discussed in Asia, especially in Taiwan. This study investigated this association hopefully to provide pertinent knowledge for the prevention of frailty. We conducted a cross-sectional study and enrolled 828 subjects, 237 male and 591 female, aged 50–85 years old, from a community in Northern Taiwan. Poor sleep quality was defined as the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) > 5. Prefrailty and frailty were defined as fulfillment of one or two and three, respectively, of five phenotypic criteria: exhaustion, weakness, slowness, weight loss, and low physical activity. Our univariate analysis showed that the incidence of prefrailty/frailty in the group of poor sleep quality was higher than that in the group of CPSQI ≤ 5 (p < 0.001). Further multiple logistic regression analysis revealed that poor sleep quality was an independent factor for prefrailty and frailty status (odds ratio = 1.95, 95% confidence interval = 1.38–2.77), after adjustment for confounding factors. We concluded that poor sleep quality is independently associated with prefrailty and frailty status in our study population.

scholarly journals Association between Physical Frailty and Sleep Quality among Saudi Older Adults: A Community-Based, Cross-Sectional Study

2021 ◽  
Vol 18 (23) ◽  
pp. 12741
Author(s):  
Bader A. Alqahtani
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Community Based ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Frailty Status

(1) Background: Prevalence of poor sleep quality and its association with frailty status among the aging population of Saudi Arabia has not been studied. Therefore, the main objective of the current study was to estimate the prevalence of poor sleep quality and investigate the association between poor sleep quality and frailty in Saudi older adults; (2) Methods: A total of 270 (mean age 69.9 ± 6.2) older adults from the Riyadh region were involved in the study. To measure sleep quality, the Arabic version of the Pittsburgh Sleep Quality Index (PSQI) was used. The Fried’s frailty index was utilized to assess frailty. Using multiple logistic regression models, the association between sleep quality and frailty status was evaluated using the Odds Ratio and confidence intervals (CI 95%); (3) Results: The pre-frailty and frailty status were prevalent among older adults who had poor sleep quality, 37% and 37.6% (p < 0.001), retrospectively. Poor sleep quality (PSQI > 5) was independently associated with both frailty (OR = 2.13) and prefrailty groups (OR = 1.67); (4) Conclusions: our study demonstrated a significant association between frailty and poor sleep quality. However, a longitudinal future study needs to be established to confirm this association and establish the causality relationship.

scholarly journals The Association between Sleep Quality and Loneliness in Rural Elderly Individuals: A Cross-Sectional Study in Shandong Province, China

2020 ◽  
Author(s):  
Gaizhen Jia ◽  
Ping Yuan
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Rural Elderly ◽  
Shandong Province ◽  
Poor Sleep ◽  
Sectional Study ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Rural Older Adults

Abstract Background: There is evidence of negative associations between loneliness and sleep quality in older adults. However, little is known regarding the relationship between loneliness and sleep quality among Chinese rural elderly. This study examined the associations of loneliness and sleep quality in a cross-sectional study of older adults. Methods: A face-to-face questionnaire survey was conducted among 1,568 rural elderly people in Shandong Province, China. Loneliness was assessed using the University of California at Los Angeles Loneliness Scale. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Ordinal logistic regression was conducted to examine the association of loneliness and sleep quality after adjusting for multiple confounding variables. Results: After controlling for variables such as age, marriage, education, occupation, economic income, family relationships, living arrangement, smoking, drinking, chronic diseases, quality of life in a multivariable analysis, poor sleep quality still indicates loneliness in the rural elderly population. Conclusion: This finding implied an adverse effect of sleep quality on the loneliness of older adults. Poor sleep quality was associated with the increased odds of loneliness in Chinese rural older adults. Sleep-based interventions should be developed to prevent loneliness in rural older adults in China.

scholarly journals EVALUATING THE ASSOCIATION BETWEEN SLEEP AND MEMORY IN OLDER VETERANS WITH PTSD

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S269-S269
Author(s):  
Katherine S Hall ◽  
Miriam C Morey ◽  
Hayden Bosworth ◽  
Jean Beckham ◽  
Michelle Pebole
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Sleep Quality ◽  
Cognitive Abilities ◽  
Sleep Disturbances ◽  
Quality Parameters ◽  
Poor Sleep ◽  
Subjective Memory ◽  
Memory Complaints ◽  
Sleep Parameters

Abstract Sleep disturbances are core symptoms of posttraumatic stress disorder (PTSD), and recent studies also suggest a link between PTSD and cognitive impairment. There is some evidence of an association between sleep disturbances and cognitive abilities, such as memory, though few studies have focused on older adults and fewer still among those with mental health conditions. This study examined the association between subjective memory complaints and sleep (quality and quantity) in older veterans with PTSD. Fifty-four veterans with PTSD (M age=67.4, 85.2% African American, 90.7% men) participated in the study. Sleep was assessed using the Pittsburgh Sleep Quality Inventory (PSQI) and the PSQI Addendum for PTSD (PSQI-A). Memory was assessed using the Frequency of Forgetting Scale (FOF) derived from the Memory Functioning Questionnaire. The relationship between sleep quality parameters and FOF were examined using bivariate correlations and independent samples t test. Over 60% of participants met military-specific criteria for poor sleep (PSQI≥10; PSQI-A&gt;5). Overall sleep quality on the PSQI-A was significantly associated with worse memory (r=-0.38, p&lt;.01). Among specific sleep parameters (e.g., sleep latency, sleep duration), greater daytime dysfunction due to sleepiness was significantly associated with worse memory (r=-0.44, p&lt;.01). Between-group analyses comparing memory complaints across participants classified as ‘poor’ versus ‘good’ sleepers on the PSQI-A approached significance (t(52)=1.93, p=.06). This study suggests that poor sleep may be a correlate of memory complaints among older adults with PTSD. Future studies are needed to determine whether poor sleep is an underlying factor in the link between PTSD and cognitive impairment.

A community-based cross-sectional study of sleep quality in middle-aged and older adults

2016 ◽  
Vol 26 (4) ◽  
pp. 923-933 ◽  
Author(s):  
Hui-Shan Zhang ◽  
Yuan Li ◽  
Hai-yun Mo ◽  
De-Xing Qiu ◽  
Jing Zhao ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Middle Aged ◽  
Community Based ◽  
Cross Sectional

scholarly journals Association of Sleep Quality and Nutritional Status in Middle-Aged and Older Adults: Findings From the WCHAT Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 238-239
Author(s):  
Wanyu Zhao ◽  
Yan Zhang ◽  
Birong Dong
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Nutritional Status ◽  
Sleep Quality ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Middle Aged ◽  
Impaired Sleep

Abstract Poor sleep quality and malnutrition are two common symptoms which are closely related to the health of middle-aged and older people, but few studies focus on the association between them. In this study, we aimed to identify associations between sleep quality and nutritional status in middle-aged and older adults. A total of 6792 community-dwelling adults aged 50 and older from the baseline of the West China Health and Aging Trend (WCHAT) study were analyzed in the present study. Sleep quality was assessed using the Pittsburgh sleep quality index (PSQI). Scores &lt;=5, 6-10,11-15 and &gt;=16 were categorized as good/mild impaired/moderate impaired/severe impaired sleep quality, respectively. Mini Nutritional Assessment Short Form (MNA-SF) was used to assess the nutritional status and a score&lt;12 was identified as at risk of malnutrition. Logistic regression models were conducted to explore the associations. Of 6792 participants (mean age 62.41 ± 8.26 years, 62.49% women), 1831 (26.96%) had risk of malnutrition. The prevalence of participants with good/mild impaired/moderate impaired/severe impaired sleep quality were 53.72%, 35.54%, 9.61%, and 1.12%, respectively. In the logistic regression model, there were significant association between mild/moderate/severe impaired sleep quality and the presence of risk of malnutrition (OR=1.49, 95% CI=1.32, 1.68; OR=2.15, 95% CI=1.79, 2.59; OR=2.52, 95% CI=1.56, 4.06; all p&lt;0.05) after adjusting for potential confounders. Sleep quality was significantly associated with malnutrition risk with a dosage effect among middle-aged and older adults. Our results highlight the importance of maintaining good sleep quality and nutritional status in middle-aged and older adults.

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