scholarly journals 0826 Gender Differences in Sleep Knowledge of Community-Dwelling Older Adults

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A315-A315
Author(s):  
C M Baldwin ◽  
D G Link ◽  
D W Coon ◽  
S F Quan
Keyword(s):  
Gender Differences ◽  
Sleep Disorders ◽  
Sleep Duration ◽  
Test Scores ◽  
Community Dwelling ◽  
Short Sleep Duration ◽  
Drowsy Driving ◽  
Men And Women ◽  
Short Sleep ◽  
Post Test

Abstract Introduction This work compares sleep knowledge of community-dwelling older adult men and women. Methods Data were derived from a community-based sleep training program that assessed pre- and post-test knowledge of obstructive sleep apnea (OSA), Insomnia, short sleep duration (SSD), restless leg syndrome (RLS), circadian rhythm disorders (CRD), and drowsy driving (DD) on a 1 (none) to 5 (great deal of knowledge) Likert-like scale. Data were analyzed with frequencies for age, sex, and sources of sleep information, and ANOVA to determine gender differences using SPSS (V24) with significance set at p<.05. Results Participants (N=158; 68% women) were 56 years and older residing in a retirement community. Pre-test means±standard deviations showed women versus men had greater knowledge of Insomnia (3.5±1.3 vs. 2.9±1.0, p=.004) whereas men showed more knowledge of DD (3.2±1.1 vs. 2.6±1.3, p=.01). A trend was noted for women to have greater knowledge of SSD (3.6±1.2 vs. 3.2±1.0, p=.05). Post-test ANOVA showed a further increase in Insomnia knowledge for women versus men (4.4±0.8 vs. 4.1±0.7, p=.04); however, overall pre/post-test scores for each of the sleep disorders across men and women increased significantly at the p<.001 level. Notably, more women to men reported accessing various resources for sleep information: newspapers/magazines (46:7), friends/family (29:9), the internet (25:11), TV (37:7), and physicians/nurses (45:20). Conclusion Findings indicate, prior to sleep training, women have greater knowledge of insomnia and short sleep duration, while men have more knowledge of drowsy driving. Women’s greater understanding of insomnia persists even after sleep training; however, pre- to post-test scores for both sexes across sleep disorders show significant learning outcomes. One possible reason for women’s greater knowledge of insomnia and short sleep could be their greater likelihood to access information on health and healthy lifestyle factors, including sleep, as well as their greater health care utilization. Support N/A

Long and Short Sleep Duration and Physical Frailty in Community-Dwelling Older Adults

2018 ◽  
Vol 22 (9) ◽  
pp. 1066-1071 ◽  
Author(s):  
Sho Nakakubo ◽  
H. Makizako ◽  
T. Doi ◽  
K. Tsutsumimoto ◽  
R. Hotta ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Duration ◽  
Community Dwelling ◽  
Physical Frailty ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Community Dwelling Older Adults

scholarly journals Short Sleep Duration, Glucose Dysregulation and Hormonal Regulation of Appetite in Men and Women

SLEEP ◽  
2012 ◽  
Vol 35 (11) ◽  
pp. 1503-1510 ◽  
Author(s):  
Marie-Pierre St-Onge ◽  
Majella O'Keeffe ◽  
Amy L. Roberts ◽  
Arindam RoyChoudhury ◽  
Blandine Laferrère
Keyword(s):  
Sleep Duration ◽  
Hormonal Regulation ◽  
Short Sleep Duration ◽  
Men And Women ◽  
Short Sleep ◽  
Glucose Dysregulation

Sympathetic neural responses to sleep disorders and insufficiencies

2022 ◽  
Author(s):  
Ian M. Greenlund ◽  
Jason R. Carter
Keyword(s):  
Sleep Deprivation ◽  
Sleep Disorders ◽  
Sleep Duration ◽  
Muscle Sympathetic Nerve Activity ◽  
Experimental Models ◽  
Plasma Norepinephrine ◽  
Poor Sleep ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Obstructive Sleep

Short sleep duration and poor sleep quality are associated with cardiovascular risk, and sympathetic nervous system (SNS) dysfunction appears to be a key contributor. The present review will characterize sympathetic function across several sleep disorders and insufficiencies in humans, including sleep deprivation, insomnia, narcolepsy, and obstructive sleep apnea (OSA). We will focus on direct assessments of sympathetic activation (e.g., plasma norepinephrine and muscle sympathetic nerve activity), but include heart rate variability (HRV) when direct assessments are lacking. The review also emphasizes sex as a key biological variable. Experimental models of total sleep deprivation and sleep restriction are converging to support epidemiological studies reporting an association between short sleep duration and hypertension, especially in women. A systemic increase of SNS activity via plasma norepinephrine is present with insomnia, and has also been confirmed with direct, regionally-specific evidence from microneurographic studies. Narcolepsy is characterized by autonomic dysfunction via both HRV and microneurographic studies, but with opposing conclusions regarding SNS activation. Robust sympathoexcitation is well documented in OSA, and is related to baroreflex and chemoreflex dysfunction. Treatment of OSA with continuous positive airway pressure results in sympathoinhibition. In summary, sleep disorders and insufficiencies are often characterized by sympathoexcitation and/or sympathetic/baroreflex dysfunction, with several studies suggesting women may be at heightened risk.

scholarly journals 1137 Sleep Duration, Physical Activity And Cognitive Decline In Chinese Older Adults: Findings From The CHARLS

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A433-A433
Author(s):  
J Li ◽  
A J Alfini ◽  
F Yu ◽  
J A Schrack ◽  
V Cotter ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Decline ◽  
Sleep Duration ◽  
Community Dwelling ◽  
Cognitive Outcomes ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Long Sleep

Abstract Introduction Lack of physical activity and disturbed sleep have been linked to older adult’s poor cognitive outcomes; however, little is unknown how they interact to affect cognition long-term. The purpose of this study was to examine the association of baseline sleep duration and physical activity (PA) with change in cognition independently and interactively over four years. Methods The sample included 1126 community-dwelling older adults aged 60+ (mean age 67.1±5.9 years, 51% female) from the 2011 baseline and 2015 follow-up data of the China Health and Retirement Longitudinal Study (CHARLS). All variables were assessed through interviews. Sleep duration was measured with hours per 30-minute interval and categorized as very-short (<5h), short (5-6.5h), normal (7-8.5h), and long (≥9h). PA was calculated based on PA intensity, duration, and number of days. Cognition was a composite score of mental capacity, episodic memory, and visuospatial abilities. Data were analyzed using multiple regression (primary outcome: change in cognition; main independent variables: baseline sleep, PA, and sleep PA interaction). Results At baseline, 19% of participants had very-short sleep duration, 34.4% had short sleep, 39.2% had normal sleep, and 7.2% had long sleep. At follow-up, 57.5% of participants experienced cognitive decline (-3.5±2.5). After controlling for age, gender, education, region, body mass index, smoking, drinking, number of chronic conditions, pain, depression, and cognition at baseline, compared to participants reporting 7-8.5h sleep, those with ≥9h sleep had significantly greater decline in cognition [β=-1.4, 95% CI=2.4, -0.4], while those with <5h sleep [β=-0.5, 95% CI=-1.2, 0.2] and 5-6.5h sleep did not [β=-0.1, 95% CI=-0.7, 0.5]. PA was neither associated with cognitive decline, nor moderated the relationship between sleep duration and cognitive decline. Conclusion Long sleep might be a marker of cognitive decline in older adults. Prospective analysis, using objectively measured PA and sleep should be conducted to further examine these associations. Support National Institute of Nursing Research R00NR016484

scholarly journals Sleep Disorders, Mental Health, and Dry Eye Disease: A Population-Based Study in South Korea

2021 ◽  
Author(s):  
Youngju An ◽  
Hyojin Kim
Keyword(s):  
Mental Health ◽  
Sleep Disorders ◽  
Sleep Duration ◽  
Dry Eye ◽  
Multiple Logistic Regression Analysis ◽  
Population Based ◽  
Dry Eye Disease ◽  
Eye Disease ◽  
Short Sleep Duration ◽  
Short Sleep

Abstract Dry eye disease (DED) is a multifactorial disease of the ocular surface that causes severe discomfort, mild ocular irritation, fatigue, pain, visual disturbance, and a foreign body sensation. Stress, depression, and sleep disorders are considered risk factors for DED. Our aim was to investigate the association between mental health, sleep disorders, and DED in Korean adults. This population-based, cross-sectional study examined ophthalmologic data of 16,471 Koreans aged ≥20 years from the 2010–2012 Korea National Health and Nutrition Examination Survey (KNHANES). DED was based on a medical diagnosis by a doctor, and data on mental health and sleep disorders were obtained using questionnaires. Multiple logistic regression analysis was conducted to examine the association between mental health, sleep disorders, and DED, and we also adjusted for possible covariates. Short sleep duration (≤5 h/night), stress perception (yes), and depressive symptoms (yes) were significantly associated with the risk of DED even after correcting for demographic factors, lifestyle factors, and medical factors. Combined short sleep duration, stress, and depression were most strongly associated with DED, and thus ophthalmologists must be aware of the possibility of a higher prevalence of sleep disorders, stress, and depression in patients with DED.

scholarly journals 0405 Sleep Duration and Sleep Disturbance Related to Obesity, Health, Motor Vehicle Safety, and Daytime Functioning in Israel: Data From the 2017 Israel Social Survey

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A155-A155
Author(s):  
E Rosenberg ◽  
M L Perlis ◽  
S Parthasarathy ◽  
S Chakravorty ◽  
M A Grandner
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Motor Vehicle ◽  
Vehicle Safety ◽  
Short Sleep Duration ◽  
Drowsy Driving ◽  
Short Sleep ◽  
Israeli Population ◽  
Motor Vehicle Safety ◽  
Post Hoc

Abstract Introduction Previous studies suggest the Israeli population exhibits relatively short sleep duration and experiences sleep difficulties. This analysis evaluates the relationships between habitual sleep and outcomes of interest in this population. Methods Data were obtained from 7,230 Israeli individuals. The sample consisted a 2017 population-based survey of households, conducted by the Israeli Bureau of Statistics. All variables were self-reported. Outcomes of interest included drowsy driving, sleep medication use, functional impairment, sleepiness, overall health, 1-year health change, and obesity. Predictors included categories of sleep duration (<=5, 6, 7, 8 [reference], or >=9 hours) and sleep disturbance in the past month (none [reference], mild [1/week], moderate [2-3/week], or severe [>3/week]). Covariates included age, sex, ethnic group, and financial status. Binary and ordinal logistic regressions were employed to evaluate the relationship between them and post-hoc analyses evaluated the relationships between subgroups. Results Drowsy driving was associated with <=5h, 6h, and 7h sleep duration categories, and severe sleep disturbance. The use of sleep medication use was associated with <=5h and >=9h, and all levels of sleep disturbance. Functional impairment and sleepiness were both associated with <=5h, 6h, 7h, and >=9h, and all levels of sleep disturbance. Their reported overall health was linked to sleep duration of <=5h and >=9h, and all levels of sleep disturbance. Worsening health was associated with <=5h and all levels of sleep disturbance. Obesity was associated with <=5h and severe sleep disturbance. In post-hoc analyses restricted to individuals with no sleep disturbance, habitual sleep duration was still statistically significantly related to drowsy driving, sleep medications, sleepiness, and health change. Conclusion Short sleep duration and sleep disturbance are associated with worse motor vehicle safety, health, and functioning in the Israeli population. Effects of sleep duration were generally maintained even for those without sleep disturbance. These results may help focus public health efforts on improving sleep health. Support Dr. Grandner is supported by R01MD011600

scholarly journals The Association of Sleep Duration with Visual Impairment in Middle-aged and Elderly Adults: The China Health and Retirement Longitudinal Baseline

2021 ◽  
Author(s):  
Mengsha Sun ◽  
Qiyu Bo ◽  
Bing Lu ◽  
Xiaodong Sun ◽  
minwen zhou
Keyword(s):  
Logistic Regression ◽  
Visual Impairment ◽  
Sleep Disorders ◽  
Sleep Duration ◽  
Regression Models ◽  
Multilevel Logistic Regression ◽  
Short Sleep Duration ◽  
Logistic Regression Models ◽  
Short Sleep ◽  
Long Sleep

Abstract Background Sleep disorders may heighten the risk of visual impairment to further impact health outcomes. Little is known regarding the association of visual impairment with sleep disorders in China. Our objective was to examine the association of visual impairment with sleep disorders. Methods This cross-sectional study used the data from 13264 respondents to the 2011 survey of the China Health and Retirement Longitudinal Study, a nationally representative survey of adults aged 45 years or older. Visual impairment (VI) and sleep duration were examined using self-reported questionnaires. Respondents were identified as having VI if they reported blindness or partial blindness. With regards to sleep duration, participants were categorized into three groups: 1) those reporting short sleep duration (≤ 6 hours/night), 2) those reporting long sleep duration (> 8 hours/night), and 3) those reporting 6 to 8 hours of sleep per night (used as the reference group). Weighted multilevel logistic regression models, adjusting for sociodemographic characteristics, health behaviors, and medical history, were used. Results Of 13,264 respondents, 6,880 (51.9%) were women. The mean, standard deviation (SD) age was 59.39 (9.71) years. A total of 842 (6.3%) of respondents reported VI. The prevalence of short and long sleep duration was significantly higher among respondents with VI than those without VI (P < 0.001). The associations also persisted after stratifying the sample by age or sex. Multilevel logistic regression models showed that compared with 6–8 h/night of sleep, sleep duration of ≤ 6h/night was associated with a 1.19-fold (95% confidence interval (CI) = 1.02–1.40) higher VI risk, and sleep duration of > 8 h/night was associated with a 1.36-fold (95% CI = 1.05–1.75) higher VI risk. Higher risk of VI was associated with short (odds ratio [OR] = 1.34, 95% CI: 1.04–1.73) and long (OR = 1.60, 95% CI: 1.04–2.44) sleep durations in middle-aged respondents, as well as short sleep duration (OR = 1.27, 95% CI: 1.05–1.55) in elderly respondents. However, the association between VI and long sleep duration (OR = 1.34, 95% CI = 0.97–1.84) was absent in elderly respondents. Conclusion In this study, both short and long sleep durations were associated with VI. More comprehensive and integrated health care and rehabilitation systems covering vision and sleep are needed to address age-related VI.

scholarly journals Short sleep duration, sleep disorders, and traffic accidents

2013 ◽  
Vol 37 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Yoko Komada ◽  
Shoichi Asaoka ◽  
Takashi Abe ◽  
Yuichi Inoue
Keyword(s):  
Sleep Disorders ◽  
Sleep Duration ◽  
Traffic Accidents ◽  
Short Sleep Duration ◽  
Short Sleep

scholarly journals Associations of impaired glucose tolerance and sleep disorders with mortality among the US general population

2021 ◽  
Vol 9 (1) ◽  
pp. e002047
Author(s):  
Kosuke Inoue ◽  
Eriko Semba ◽  
Tadashi Yamakawa ◽  
Yasuo Terauchi
Keyword(s):  
General Population ◽  
Glucose Tolerance ◽  
Impaired Glucose Tolerance ◽  
Sleep Disorders ◽  
Sleep Duration ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
The Us ◽  
All Cause Mortality ◽  
Glucose Tolerance Status

IntroductionSleep disorders and short sleep duration are common symptoms among people with diabetes. However, the evidence is limited about the associations of post-challenge hyperglycemia and sleep quality or quantity with all-cause mortality in the US general population.Research design and methodsOur study included 8795 adults from the National Health and Nutrition Examination Survey 2005–2014. Mortality data were ascertained through 2015. Multivariable Cox proportional-hazards models were used to estimate adjusted HRs (aHRs) for all-cause mortality according to 2-hour plasma glucose levels during the 75 g oral glucose tolerance test—normal glucose tolerance (NGT), <140 mg/dL; impaired glucose tolerance (IGT), 140–199 mg/dL; and diabetes, ≥200 mg/dL. We then examined the associations of glucose tolerance status and self-reported physician-diagnosed sleep disorders (yes vs no) or sleep duration (<7 vs ≥7 hours) with all-cause mortality.ResultsDuring follow-up (median, 5.6 years), the diabetes group had a higher risk of all-cause mortality compared with the NGT group (aHR (95% CI)=1.93 (1.41 to 2.64)), but not the IGT group (aHR (95% CI)=1.19 (0.90 to 1.59)). When we categorized participants according to glucose tolerance status and sleep disorders, the IGT group with sleep disorders had a higher risk of all-cause mortality (aHR (95% CI)=2.03 (1.24 to 3.34)) compared with the NGT group without sleep disorders. Both diabetes groups with and without sleep disorders also showed high mortality risks. The results were consistent when we used sleep duration instead of sleep disorders.ConclusionsUsing the most updated US national data, we found a high risk of all-cause mortality among individuals with IGT having sleep disorders or short sleep duration as well as those with diabetes. Future investigations are needed to identify whether and what kind of sleep management is beneficial for people with impaired glucose metabolism to prevent early death.

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