scholarly journals Poor Diet, Long Sleep, and Lack of Physical Activity Are Associated with Inflammation among Non-Demented Community-Dwelling Elderly

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 143
Author(s):  
Maria Basta ◽  
Christina Belogianni ◽  
Mary Yannakoulia ◽  
Ioannis Zaganas ◽  
Symeon Panagiotakis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Inflammatory Response ◽  
Sleep Duration ◽  
Vegetable Consumption ◽  
Large Population ◽  
Community Dwelling ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Poor Diet ◽  
Long Sleep

Inflammation in elderly is associated with physical and cognitive morbidity and mortality. We aimed to explore the association of modifiable lifestyle parameters with inflammation among non-demented, community-dwelling elderly. A sub-sample of 117 patients with mild cognitive impairment (MCI, n = 63) and cognitively non-impaired controls (CNI, n = 54) were recruited from a large, population-based cohort in Crete, Greece, of 3140 elders (> 60 years old). All participants underwent assessment of medical history/physical examination, extensive neuropsychiatric/neuropsychological evaluation, diet, three-day 24-h actigraphy, subjective sleep, physical activity, and measurement of IL-6 and TNFα plasma levels. Associations between inflammatory markers and diet, objective sleep duration, subjective sleep quality, and lack of physical activity were assessed using multivariate models. Regression analyses in the total group revealed significant associations between TNF-α and low vegetable consumption (p = 0.003), and marginally with objective long nighttime sleep duration (p = 0.04). In addition, IL-6 was associated with low vegetable consumption (p = 0.001) and lack of physical activity (p = 0.001). Poor diet and lack of physical activity appear to be modifiable risk factors of inflammation, whereas long sleep appears to be a marker of increased inflammatory response in elderly. Our findings may have clinical implications given the association of inflammatory response with morbidity, including cognitive decline, and mortality in elderly.

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 Association of Long Sleep and Physical Inactivity with Incident Disability in Community-Dwelling Older Adults: A 5-Year Longitudinal Study

2021 ◽  
Author(s):  
Sho Nakakubo ◽  
Takehiko Doi ◽  
Kota Tsutsumimoto ◽  
Satoshi Kurita ◽  
Hideaki Ishii ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sleep Duration ◽  
Physical Inactivity ◽  
Community Dwelling ◽  
Baseline Assessment ◽  
Term Care ◽  
Personal Support ◽  
Long Sleep ◽  
Community Dwelling Older Adults

Abstract Background Good sleep durations and physical activity are essential factor for maintaining good health. This study examined whether sleep duration and physical inactivity were associated with incident disability among community-dwelling older adults. Methods A total of 4,372 adults aged ≥ 70 years participated in a baseline assessment. We also assessed self-reported sleep duration and physical activity using the International Physical Activity Questionnaire – Short Form at baseline assessment. We measured monthly incident disability, defined as the onset of being certified for personal support or care as required by Japanese public long-term care insurance over 5 years. The Cox proportional hazard regression analysis estimated hazard ratios (HRs) and 95% confidence intervals (CIs) for incident disability according to long sleep duration (≥ 9 h) and physical inactivity. Results Long sleep duration (HR 1.32, CI 95% 1.05–1.67) and physical inactivity (HR 1.33, CI 95% 1.13–1.57) were associated with incident disability in multivariate analyses. These results were also sustained in the model where both long sleep duration and physical inactivity were simultaneously submitted as independent variables. Furthermore, coexistence of long sleep duration and physical inactivity had higher risk of incident disability than each factor individually (HR 1.69, CI 95% 1.11–2.58), even though the synergistic interaction was mildly effective. Conclusions This study revealed that long sleep duration and physical inactivity were independently associated with the risk of incident disability among older adults. More attention should be paid to both sleep duration and physical activity in order to prevent incident disability.

scholarly journals Physical Activity and Inhibitory Control: The Mediating Role of Sleep Quality and Sleep Efficiency

2021 ◽  
Vol 11 (5) ◽  
pp. 664
Author(s):  
Lin Li ◽  
Qian Yu ◽  
Wenrui Zhao ◽  
Fabian Herold ◽  
Boris Cheval ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Inhibitory Control ◽  
Sleep Efficiency ◽  
Equation Modeling ◽  
Control Performance ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Sleep Parameters ◽  
The Relationship

Objectives: the current study aimed to investigate the relationship between physical activity (PA) level and inhibitory control performance and then to determine whether this association was mediated by multiple sleep parameters (i.e., subjective sleep quality, sleep duration, sleep efficiency, and sleep disturbance). Methods: 180 healthy university students (age: 20.15 ± 1.92 years) from the East China Normal University were recruited for the present study. PA level, sleep parameters, and inhibitory control performance were assessed using the International Physical Activity Questionnaire (IPAQ), the Pittsburgh Sleep Quality Index Scale (PSQI), and a Stroop test, respectively. The data were analyzed using structural equation modeling. Results: A higher level of PA was linked to better cognitive performance. Furthermore, higher subjective sleep quality and sleep efficiency were associated with better inhibitory control performance. The mediation analysis revealed that subjective sleep quality and sleep efficiency mediated the relationship between PA level and inhibitory control performance. Conclusion: our results are in accordance with the literature and buttress the idea that a healthy lifestyle that involves a relatively high level of regular PA and adequate sleep patterns is beneficial for cognition (e.g., inhibitory control performance). Furthermore, our study adds to the literature that sleep quality and sleep efficiency mediates the relationship between PA and inhibitory control performance, expanding our knowledge in the field of exercise cognition.

scholarly journals Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes

2018 ◽  
Vol 15 (11) ◽  
pp. 2512 ◽  
Author(s):  
Lovro Štefan ◽  
Goran Vrgoč ◽  
Tomislav Rupčić ◽  
Goran Sporiš ◽  
Damir Sekulić
Keyword(s):  
Physical Activity ◽  
Nursing Homes ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Short Sleep Duration ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Short Sleep ◽  
Long Sleep ◽  
Good Sleep

The main purpose of the study was to explore the associations of sleep duration and sleep quality with physical activity (PA). In this cross-sectional study, participants were 894 elderly individuals (mean age 80 ± 3 years; 56.0% women) living in nursing homes. PA, sleep duration, and sleep quality (based on the Pittsburgh Sleep Quality Index (PSQI)) were self-reported. The associations of sleep duration and sleep quality with PA at the nursing home level were analyzed using generalized estimating equations with clustering. Participants reporting short sleep duration (<6 h; OR = 0.45; 95% CI 0.25–0.80) were less likely to report sufficient PA, yet those reporting long sleep duration (>9 h; OR = 2.61; 95% CI 1.35–5.02) and good sleep quality (<5 points; OR = 1.59; 95% CI 1.19–2.12) were more likely to report sufficient PA. When sleep duration and sleep quality were entered into the same model, the same associations remained. This study shows that elderly individuals who report short sleep duration are less likely to meet PA guidelines, while those who report long sleep duration and good sleep quality are more likely to meet PA guidelines. Strategies aiming to improve sleep duration and sleep quality are warranted.

scholarly journals Mobile App Use for Insomnia Self-Management in Urban Community-Dwelling Older Korean Adults: Retrospective Intervention Study (Preprint)

2020 ◽  
Author(s):  
Kyungmi Chung ◽  
Seoyoung Kim ◽  
Eun Lee ◽  
Jin Young Park
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Sleep Problems ◽  
Mobile App ◽  
Community Dwelling ◽  
Intervention Period ◽  
Post Intervention ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Self Help

BACKGROUND As an evidence-based psychotherapy for treating insomnia, cognitive behavioral therapy for insomnia (CBT-I), which helps people with sleep problems to change their unhelpful sleep-related beliefs and habits, has been well-established in older adults. Recently, the utilization of mobile CBT-I apps has been getting attention from mental health professionals and researchers; however, whether mobile CBT-I apps are usable among older users has yet to be determined. OBJECTIVE The aims of this study were to explore the relationships between subjective sleep quality and subjective memory complaints and depressive symptoms; to explore the relationship between perceived difficulty in mobile app use and usability of the mobile phone–based self-help CBT-I app, named MIND MORE, in urban community-dwelling Korean older adults; to compare changes in subjective sleep quality from pre-intervention to post-intervention, during which they used the mobile app over a 1-week intervention period; and evaluate adherence to the app. METHODS During the 2-hour training program delivered on 1 day titled “Overcoming insomnia without medication: How to use the ‘MIND MORE’ mobile app for systematic self-management of insomnia” (pre-intervention), 41 attendants were asked to gain hands-on experience with the app facilitated by therapists and volunteer workers. They were then asked to complete questionnaires on sociodemographic characteristics, subjective evaluation of mental health status (ie, depression, memory loss and impairment, and sleep problems), and app usability. For the 1-week home-based self-help CBT-I using the app (post-intervention), 9 of the 41 program attendants, who had already signed up for the pre-intervention, were guided to complete the given questionnaires on subjective evaluation of sleep quality after the 1-week intervention, specifically 8 days after the training program ended. RESULTS Due to missing data, 40 of 41 attendants were included in the data analysis. The main findings of this study were as follows. First, poor subjective sleep quality was associated with higher ratings of depressive symptoms (40/40; ρ=.60, <i>P</i>&lt;.001) and memory complaints (40/40; ρ=.46, <i>P</i>=.003) at baseline. Second, significant improvements in subjective sleep quality from pre-intervention to post-intervention were observed in the older adults who used the MIND MORE app only for the 1-week intervention period (9/9; <i>t</i><sub>8</sub>=3.74, <i>P</i>=.006). Third, apart from the program attendants who did not have a smartphone (2/40) or withdrew from their MIND MORE membership (3/40), those who attended the 1-day sleep education program adhered to the app from at least 2 weeks (13/35, 37%) to 8 weeks (2/35, 6%) without any further contact. CONCLUSIONS This study provides empirical evidence that the newly developed MIND MORE app not only is usable among older users but also could improve subjective sleep quality after a 1-week self-help intervention period.

scholarly journals Mobile App Use for Insomnia Self-Management in Urban Community-Dwelling Older Korean Adults: Retrospective Intervention Study

10.2196/17755 ◽  
2020 ◽  
Vol 8 (8) ◽  
pp. e17755
Author(s):  
Kyungmi Chung ◽  
Seoyoung Kim ◽  
Eun Lee ◽  
Jin Young Park
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Sleep Problems ◽  
Mobile App ◽  
Community Dwelling ◽  
Intervention Period ◽  
Post Intervention ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Self Help

Background As an evidence-based psychotherapy for treating insomnia, cognitive behavioral therapy for insomnia (CBT-I), which helps people with sleep problems to change their unhelpful sleep-related beliefs and habits, has been well-established in older adults. Recently, the utilization of mobile CBT-I apps has been getting attention from mental health professionals and researchers; however, whether mobile CBT-I apps are usable among older users has yet to be determined. Objective The aims of this study were to explore the relationships between subjective sleep quality and subjective memory complaints and depressive symptoms; to explore the relationship between perceived difficulty in mobile app use and usability of the mobile phone–based self-help CBT-I app, named MIND MORE, in urban community-dwelling Korean older adults; to compare changes in subjective sleep quality from pre-intervention to post-intervention, during which they used the mobile app over a 1-week intervention period; and evaluate adherence to the app. Methods During the 2-hour training program delivered on 1 day titled “Overcoming insomnia without medication: How to use the ‘MIND MORE’ mobile app for systematic self-management of insomnia” (pre-intervention), 41 attendants were asked to gain hands-on experience with the app facilitated by therapists and volunteer workers. They were then asked to complete questionnaires on sociodemographic characteristics, subjective evaluation of mental health status (ie, depression, memory loss and impairment, and sleep problems), and app usability. For the 1-week home-based self-help CBT-I using the app (post-intervention), 9 of the 41 program attendants, who had already signed up for the pre-intervention, were guided to complete the given questionnaires on subjective evaluation of sleep quality after the 1-week intervention, specifically 8 days after the training program ended. Results Due to missing data, 40 of 41 attendants were included in the data analysis. The main findings of this study were as follows. First, poor subjective sleep quality was associated with higher ratings of depressive symptoms (40/40; ρ=.60, P<.001) and memory complaints (40/40; ρ=.46, P=.003) at baseline. Second, significant improvements in subjective sleep quality from pre-intervention to post-intervention were observed in the older adults who used the MIND MORE app only for the 1-week intervention period (9/9; t8=3.74, P=.006). Third, apart from the program attendants who did not have a smartphone (2/40) or withdrew from their MIND MORE membership (3/40), those who attended the 1-day sleep education program adhered to the app from at least 2 weeks (13/35, 37%) to 8 weeks (2/35, 6%) without any further contact. Conclusions This study provides empirical evidence that the newly developed MIND MORE app not only is usable among older users but also could improve subjective sleep quality after a 1-week self-help intervention period.

scholarly journals Bidirectional Day-to-Day Associations of Reported Sleep Duration With Accelerometer Measured Physical Activity and Sedentary Time Among Dutch Adolescents: An Observational Study

2020 ◽  
Vol 3 (4) ◽  
pp. 304-314
Author(s):  
Nathalie Berninger ◽  
Gregory Knell ◽  
Kelley Pettee Gabriel ◽  
Guy Plasqui ◽  
Rik Crutzen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Duration ◽  
Developmental Stages ◽  
Linear Mixed Effects ◽  
Physical Behavior ◽  
Sleep Diaries ◽  
Compositional Approach ◽  
Bidirectional Association ◽  
Long Sleep ◽  
Intensity Physical Activity

Objectives: To examine the bidirectional association of sleep duration with proportions of time spent in physical behaviors among Dutch adolescents. Methods: Adolescents (n = 294, 11–15 years) completed sleep diaries and wore an accelerometer (ActiGraph) over 1 week. With linear mixed-effects models, the authors estimated the association of sleep categories (short, optimal, and long) with the following day’s proportion in physical behaviors. With generalized linear mixed models with binomial distribution, the authors estimated the association of physical behavior proportions on sleep categories. Physical behavior proportions were operationalized using percentages of wearing time and by applying a compositional approach. All analyses were stratified by gender accounting for differing developmental stages. Results: For males (number of observed days: 345, n = 83), short as compared with optimal sleep was associated with the following day’s proportion spent in sedentary (−2.57%, p = .03, 95% confidence interval [CI] [−4.95, −0.19]) and light-intensity activities (1.96%, p = .02, 95% CI [0.27, 3.65]), which was not significant in the compositional approach models. Among females (number of observed days: 427, n = 104), long sleep was associated with the proportions spent in moderate- to vigorous-intensity physical activity (1.69%, p < .001, 95% CI [0.75, 2.64]) and in sedentary behavior (−3.02%, p < .01, 95% CI [−5.09, −0.96]), which was replicated by the compositional approach models. None of the associations between daytime activity and sleep were significant (number of obs.: 844, n = 204). Conclusions: Results indicate partial associations between sleep and the following day’s physical behaviors, and no associations between physical behaviors and the following night’s sleep.

scholarly journals Long Sleep Duration Is Associated With Increased Frailty Risk in Older Community-Dwelling Adults

2018 ◽  
Vol 32 (1-2) ◽  
pp. 42-51 ◽  
Author(s):  
Lynn M. Baniak ◽  
Kyeongra Yang ◽  
JiYeon Choi ◽  
Eileen R. Chasens
Keyword(s):  
Risk Factors ◽  
Sleep Duration ◽  
Community Dwelling ◽  
Multinomial Regression ◽  
Data Set ◽  
Frailty Status ◽  
Health And Nutrition ◽  
Long Sleep ◽  
Multicomponent Interventions ◽  
Shared Risk

Objective: To examine whether sleep duration is correlated with increased frailty risk and investigate the determinants of frailty status. Method: Data on 3,632 participants from the 2011 to 2014 National Health and Nutrition Examination Survey (NHANES, community-dwelling >60 years, 52.1% prefrail, 13.6% frail, 55% women) were used. Frailty status was categorized by Fried Phenotype (robust, prefrail, and frail) with customized criteria for the NHANES data set. Hours of self-reported sleep duration were categorized as short (⩽6), normal (7-9), and long (⩾10). Multinomial regression analysis identified risk factors for each frailty state. Results: Only long sleep duration was associated with increased odds (2.86 [1.09-7.50]) of being characterized as frail but not prefrail. Frail and prefrail states had shared risk factors but also had many distinct to each state. Discussion: Sleep duration is a potential, modifiable therapeutic target for frailty management. Multicomponent interventions should be tailored for frailty status.

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