scholarly journals The Effect Of Insomnia On Functional Status Of Community-Dwelling Older Adults

2021 ◽  
Author(s):  
Penney H. Deratnay
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Secondary Data ◽  
Community Dwelling ◽  
Psychological Function ◽  
Moderate Severity ◽  
Mediating Role ◽  
Community Dwelling Older Adults ◽  
The Relationship

This secondary data analysis examined the extent to which fatigue mediates the relationship between insomnia and the physical, social, and psychological domains of functional status in community-dwelling older adults. Data were obtained from 209 older adults with insomnia. Regression analysis was used to test the proposed mediating role of fatigue. Findings identified insomnia of moderate severity in community-dwelling older adults. Insomnia was directly associated with social function and indirectly associated with physical and psychological function. Fatigue mediated the relationship between insomnia and all three domains of functional status. The findings highlight the importance of successfully managing insomnia and fatigue to promote functioning in older adults.

scholarly journals The Effect Of Insomnia On Functional Status Of Community-Dwelling Older Adults

2021 ◽  
Author(s):  
Penney H. Deratnay
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Secondary Data ◽  
Community Dwelling ◽  
Psychological Function ◽  
Moderate Severity ◽  
Mediating Role ◽  
Community Dwelling Older Adults ◽  
The Relationship

This secondary data analysis examined the extent to which fatigue mediates the relationship between insomnia and the physical, social, and psychological domains of functional status in community-dwelling older adults. Data were obtained from 209 older adults with insomnia. Regression analysis was used to test the proposed mediating role of fatigue. Findings identified insomnia of moderate severity in community-dwelling older adults. Insomnia was directly associated with social function and indirectly associated with physical and psychological function. Fatigue mediated the relationship between insomnia and all three domains of functional status. The findings highlight the importance of successfully managing insomnia and fatigue to promote functioning in older adults.

scholarly journals Functional Status, Meanings of Life Activities, and COVID-19 Related Disruptions among Disabled Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 948-948
Author(s):  
Meng-Hsuan Yu ◽  
Shiau-Fang Chao
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Well Being ◽  
Community Dwelling ◽  
Daily Routine ◽  
Older Individuals ◽  
Research Findings ◽  
Community Dwelling Older Adults ◽  
The Relationship

Abstract Participating in meaningful activities has been proven beneficial to the well-being of disabled older adults. However, social distancing policies and restrictions on public activities have been implemented since the outbreak of COVID-19 at the beginning of 2020 in Taiwan. These restrictions not only prevent older individuals from performing meaningful activities but also have actual impacts on their daily life. This study aims to elucidate the intervening role of meanings of life activities on the relationship between functional status and COVID-19 disruptions. Data were collected from a sample of 526 community-dwelling older adults with disabilities in Taiwan between April and July, 2020. Utilizing Multiple Regression Analysis, the research findings were as follows. First, participants with better functional status experienced more COVID-19 related disruptions to their daily routine. In the meantime, they also valued their life activities as more meaningful than those with worse functional status. Second, higher levels of meanings in performing life activities also positively related to COVID-19 disruptions. Third, meanings of life activities fully mediated the relationship between functional status and COVID-19 disruptions. That is, disabled older individuals with better functional status may experience more COVID-19 related disruptions because their accessibility to meaningful activities was limited. Since preventive approaches to control the spread are necessary during COVID-19 epidemic, efforts should be made to sustain meaningful life activities participation among disabled older adults. Based on the findings of this study, this would be especially critical to the well-being of more capable older individuals with disabilities during the pandemic.

scholarly journals Declining Cognition and Falls: Role of Risky Performance of Everyday Mobility Activities

2014 ◽  
Vol 94 (3) ◽  
pp. 355-362 ◽  
Author(s):  
Barbara L. Fischer ◽  
Carey E. Gleason ◽  
Ronald E. Gangnon ◽  
Jodi Janczewski ◽  
Terry Shea ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Clinical Judgment ◽  
Physical Therapists ◽  
Secondary Analysis ◽  
Community Dwelling ◽  
Prospective Data ◽  
Community Dwelling Older Adults ◽  
The Relationship

Background Declining cognition is a risk factor for falls among older adults. The extent to which impaired judgment in performance of daily activities increases fall risk is unclear. Objective The aim of this study was to determine whether engagement in mobility activities in a risky manner explains the association between declining cognition and rate of falls. Design This study was a secondary analysis of baseline and prospective data from older adults enrolled in the intervention arm of a randomized clinical trial. Methods Two hundred forty-five community-dwelling older adults (79% female; mean age=79 years, SD=8.0) who were at risk for falls received physical, cognitive, and functional evaluations. Cognition was assessed with the Short Portable Mental Status Questionnaire (SPMSQ). Using interview and in-home assessment data, physical therapists determined whether participants were at risk for falls when performing mobility-related activities of daily living (ADL) and instrumental ADL (IADL). Falls were measured prospectively for 1 year using monthly falls diaries. Results Declining cognition was associated with increased number of mobility activities designated as risky (1.5% of mobility activities performed in a risky manner per SPMSQ point) and with increased rate of falls (rate ratio=1.16 for each unit change in SPMSQ score). Risky performance of mobility activities mediated the relationship between cognition and rate of falls. Limitations Risk assessment was based on the clinical judgment of experienced physical therapists. Cognition was measured with a relatively insensitive instrument, and only selected mobility activities were evaluated. Conclusions Engagement in mobility ADL and IADL tasks in a risky manner emerged as a link between declining cognition and increased number of falls, suggesting a mechanism through which the rate of falls may increase. Specifically, declining cognition is associated with performance of mobility activities in an unsafe manner, thereby increasing the risk for falls.

scholarly journals IS SOCIAL ENGAGEMENT RELATED TO FEWER HOSPITALIZATIONS IN COMMUNITY-DWELLING OLDER ADULTS?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S754-S754
Author(s):  
Bryan D James ◽  
Raj C Shah ◽  
Melissa Lamar ◽  
Lisa L Barnes ◽  
Robert S Wilson ◽  
...  
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Social Engagement ◽  
Regression Models ◽  
Community Dwelling ◽  
Social Activities ◽  
Linear Regression Models ◽  
Admission Type ◽  
Community Dwelling Older Adults ◽  
The Relationship

Abstract We tested the hypothesis that more socially engaged older adults experience fewer hospitalizations. Data came from 1,153 older adults (72.4% female, mean age 80.8, 14.6 years education at baseline), enrolled in the Rush Memory and Aging Project, with survey data linked to Medicare claims records (mean 5.0 [SD=3.1] years of Medicare coverage after study baseline). Linear regression models were fit with annual rate of hospitalization as outcome with terms for age, sex, and education. Engaging in more social activities (est=-0.16, SE=0.05, p=0.002) and larger life space (est=-0.08, SE=0.03, p=0.005) were associated with a lower rate of hospitalization, while a higher level of loneliness (est=0.18, SE=0.06, p=0.002) was associated with greater rate of hospitalization; size of social networks (est=-0.01, SE=0.01, p=0.069) was not associated with hospitalization. When examined separately by admission type, the same significant associations were found for nonelective (emergency and urgent) hospitalizations, but not for elective hospitalizations. After further adjusting for marital status, baseline levels of depressive symptoms, chronic medical conditions, physical activity, and ADL disabilities, only social activities were significantly related to hospitalization rate (total and nonelective). Adjusting for disability attenuated these associations the most, indicating that functional status may confound the relationship between social engagement and hospitalization. More research is necessary to determine if social engagement in older age can proactively help to keep older adults out of the hospital, or alternatively whether level of social engagement is a marker for functional status or other health factor that is directly related to risk of hospitalization.

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