scholarly journals Correlates of excessive daytime sleepiness in community-dwelling older adults: an exploratory study

2015 ◽  
Vol 18 (3) ◽  
pp. 607-617 ◽  
Author(s):  
Camila Astolphi Lima ◽  
Wuber Jefferson de Souza Soares ◽  
Tereza Loffredo Bilton ◽  
Rosângela Corrêa Dias ◽  
Eduardo Ferrioll ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Urinary Incontinence ◽  
Older People ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Community Dwelling ◽  
Physical And Mental Health ◽  
Self Rated Health ◽  
Community Dwelling Older Adults

Excessive daytime sleepiness (EDS) imposes a wide range of adverse health-related outcomes in older people, such as disability, which impair everyday activities and may increase the risk of fall. Few studies have explored EDS in Brazilian older people living in the community who are typically cared in primary health services. This study aims to investigate the prevalence of EDS and its sociodemographic, physical and mental health correlates among community-dwelling older adults. This is an exploratory, population-based study derived from Frailty in Brazilian Older Adults (FIBRA) study including adults aged 65 years and older. Participants with a score ≥ 11 points on the Epworth Sleepiness Scale were considered as having excessive daytime sleepiness. A structured, multidimensional questionnaire was used to investigate sociodemographic, physical and mental health, and self-rated health variables. The sample was composed of 776 older adults, of whom 21% (n = 162) presented excessive daytime sleepiness. Multivariate regression analysis revealed that EDS is associated with obesity (OR = 1.50; 95%CI 1.02 - 2.20), urinary incontinence (OR = 1.53; 95%CI 1.01 - 2.31), poor self-rated health (OR = 1.54; 95%CI 1.06 - 2.24), and depression symptoms (OR = 1.49; 95%CI 1.00 - 2.20). Our results suggest that healthcare professionals should identify older adults with EDS and implement intervention strategies to minimize the negative impact of the co-occurrence of this condition with obesity, depression and urinary incontinence over health and quality of life.

scholarly journals Insomnia Subtypes and Their Relationship to Excessive Daytime Sleepiness in Brazilian Community-Dwelling Older Adults

SLEEP ◽  
2011 ◽  
Vol 34 (8) ◽  
pp. 1111-1117 ◽  
Author(s):  
Cláudia Hara ◽  
Robert Stewart ◽  
Maria Fernanda Lima-Costa ◽  
Fábio Lopes Rocha ◽  
Cíntia Fuzikawa ◽  
...  
Keyword(s):  
Older Adults ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Physical and Mental Health, Technology Use, and Loneliness in Older Adults During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 585-585
Author(s):  
Martha Coates ◽  
Zachary Hathaway ◽  
Katelyn Moore ◽  
Yaegin Park ◽  
Jenny Tsui ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Technology Use ◽  
Electronic Device ◽  
Community Dwelling ◽  
Retirement Community ◽  
Physical And Mental Health ◽  
Exact Test ◽  
Community Dwelling Older Adults

Abstract Social isolation is a negative outcome of COVID-19. This study examined patterns of physical and mental health and technology use in older adults, and loneliness during the COVID-19 pandemic. We recruited 115 community-dwelling older adults 65 and older (72% female) from the Pennsylvania region via Research Match (N=84) or from a retirement community (N=31). A significant association between loneliness and worsening of health during the pandemic was observed, Fisher’s Exact Test 6.90, p=.03. Those who were lonely demonstrated significantly lower Mental Component Summary Scores (M = 42.75, SD = 11.55) compared to those who were not lonely (M= 55.34, SD= 7.66), t(49) = 5.84, p <.01. Those reporting loneliness were more likely to use a new electronic device to communicate with family during COVID-19 pandemic, X2, (1, N= 107) = 6.24, p =.01. These findings suggest the important role of technology to decrease loneliness in older adults during a pandemic.

The Association Between Excessive Daytime Sleepiness and Gait Parameters in Community-Dwelling Older Adults: Cross-Sectional Findings From the Obu Study of Health Promotion for the Elderly

2016 ◽  
Vol 30 (2) ◽  
pp. 213-228 ◽  
Author(s):  
Sho Nakakubo ◽  
Takehiko Doi ◽  
Hiroyuki Shimada ◽  
Rei Ono ◽  
Hyuma Makizako ◽  
...  
Keyword(s):  
Older Adults ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Gait Speed ◽  
Sleep Disturbances ◽  
Stride Length ◽  
The Elderly ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Community Dwelling Older Adults

Objective: This study examined the association between excessive daytime sleepiness (EDS) and gait characteristics (e.g., speed, variability) in community-dwelling older adults. Method: This cross-sectional study included 3,901 individuals aged ≥65 years. Participants answered questions about EDS, sleep duration, and other sleep-related symptoms. Gait speed, stride length, and the variability in stride length were assessed by using a stopwatch and a WalkWay device. Results: EDS was significantly associated with slower gait speed among younger subjects (<75 years, p = .021) and with both slower gait speed ( p = .045) and greater variability in stride length among older subjects (≥75 years, p = .048) in a multivariate analysis adjusted for age, sex, body mass index, medication, number of comorbidities, and education. Discussion: EDS associates with gait ability, particularly in older old adults. Further prospective studies are needed to determine the causal association between gait ability and sleep disturbances, including EDS.

scholarly journals Prevalence of excessive daytime sleepiness in Brazilian community-dwelling older adults with very low levels of schooling, and its association with sociodemographic characteristics and lifestyle: the Bambuí Health and Ageing Study (BHAS)

2008 ◽  
Vol 57 (2) ◽  
pp. 91-97 ◽  
Author(s):  
Cláudia Hara ◽  
Fábio Lopes Rocha ◽  
Érico de Castro e Costa ◽  
Cíntia Fuzikawa ◽  
Elizabeth Uchoa ◽  
...  
Keyword(s):  
Older Adults ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Skin Color ◽  
Female Gender ◽  
Developed Countries ◽  
Community Dwelling ◽  
Sociodemographic Characteristics ◽  
Low Levels ◽  
Community Dwelling Older Adults

OBJECTIVE: Population-based studies on excessive daytime sleepiness (EDS) in older adults living in less developed countries are scarce. The purpose of this paper was to estimate the prevalence of EDS and its association with sociodemographic characteristics and lifestyle factors in Brazilian community-dwelling older adults. METHODS: The study was carried out in Bambuí, a city in the state of Minas Gerais, Brazil. EDS was defined as the presence of sleepiness in the last month occurring three or more times per week, with any interference in usual activities. The exploratory variables were: gender, age, skin color, marital status, schooling level, current employment status, religion, recent migration, smoking, binge drinking and physical activities during leisure time. RESULTS: Of 1,742 residents aged > 60 years, 1,514 (86.9%) participated. The prevalence of EDS was 13%. After adjustment for confounders, female gender and low schooling level remained positively and independently associated with EDS. CONCLUSIONS: The prevalence of EDS in the study population was within the range observed in studies carried out in developed countries. The most impressive finding was the association of EDS with schooling, indicating that even in a population with low levels of schooling, this was an important factor to explain the distribution of EDS.

scholarly journals CHI study: protocol for an observational cohort study on ageing and mental health in community-dwelling older adults

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035003 ◽  
Author(s):  
Rachael Zhi Yi Lee ◽  
Junhong Yu ◽  
Iris Rawtaer ◽  
Patrick Finbarr Allen ◽  
Zhiming Bao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older Adults ◽  
Cohort Study ◽  
Controlled Trial ◽  
Healthcare Utilisation ◽  
Community Dwelling ◽  
Physical And Mental Health ◽  
Community Dwelling Older Adults

IntroductionAgeing is associated with a multitude of healthcare issues including dementia, depression, frailty, morbidity associated with chronic disease and high healthcare utilisation. With Singapore’s population projected to age significantly over the next two decades, it has become increasingly important to understand the disease burden and etiological process among older adults. The Community Health and Intergenerational study aims to holistically examine ageing in place by investigating the resilience and vulnerability factors of the ageing process in the biological, psychological and social domains within the environment.Methods and analysisUsing a cohort multiple randomised controlled trial design, comprehensive health profiles of community-dwelling older adults will be collected. The objective is to recruit 1000 participants (aged 60–99 years) living in the western region of Singapore within a period of 3 years (2018–2020). Assessments include basic sociodemographic, physical health and function (cardiac, oral and blood profiles and visual function), cognitive functioning, daily functioning, physical fitness, emotional state, free-flowing speech, sleep quality, social connectedness, caregiver burden, intergenerational communication, quality of life, life satisfaction, attitudes to ageing and gratitude and compassion. Results from the cohort will enable future studies to identify at-risk groups and develop interventions to improve the physical and mental health and quality of life of older adults.Ethics and disseminationApproval of the cohort study by the National University of Singapore Institutional Review Board (NUS-IRB Reference code: H-17-047) was obtained on 12 October 2017. Written consent will be obtained from all participants. Findings from the cohort study will be disseminated by publication of peer-reviewed manuscripts, presentations at scientific meetings and conferences with local stakeholders.

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