sleep pattern
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2022 ◽  
Vol 97 (1) ◽  
pp. 68-77 ◽  
Tingting Geng ◽  
Xiang Li ◽  
Hao Ma ◽  
Yoriko Heianza ◽  
Lu Qi

Shao-Yu Tsai ◽  
Yi-Ching Tung ◽  
Wei-Wen Wu ◽  
Chien-Chang Lee

2021 ◽  
Vol 12 (1) ◽  
pp. 17
Tamar Basishvili ◽  
Nikoloz Oniani ◽  
Irine Sakhelashvili ◽  
Marine Eliozishvili ◽  
Manana Khizanashvili ◽  

Studies performed across the COVID-19 pandemic waves point to the persistent impact of the pandemic on sleep and mental health. We expand these data by examining insomnia, pre-sleep arousal, psychosocial factors, and retrospective changes in sleep pattern during the COVID-19 second wave lockdown period in Georgia. Data were collected through an online survey (n = 1117). The prevalence rate of probable insomnia disorder was 24.2%. Clinically relevant somatic and cognitive pre-sleep arousal was present in 49.8% and 58.0% of participants, and high levels of anxiety, depression and social isolation were found in 47.0%, 37.3%, 47.2% of respondents, respectively. We observed high prevalence rates of worse sleep quality, delayed bedtimes and risetimes, longer sleep latencies, higher awakenings and shorter sleep durations, relative to the pre-pandemic period. COVID-19-infected subjects showed more severe sleep and mental problems. Specific predictors differentially affected insomnia, somatic and cognitive pre-sleep arousal. Depression and COVID-19 infection emerged as vulnerability factors for pre-sleep arousal, which, in turn, wasassociated with a higher predisposition to insomnia disorder. We confirm the strong deteriorating impact of the COVID-19 pandemic on sleep and psychosocial well-being during the second wave lockdown period. The specific association between pre-sleep arousal, insomnia, and psychosocial factors is of clinical relevance for the prevention of severity and persistence of sleep and mental problems across the repeated lockdown/reopening waves. Modulation of pre-sleep arousal may prove beneficial to implement targeted interventions.

2021 ◽  
Vol 18 ◽  
Kangzhi Chen ◽  
Yefan Lv ◽  
Xiaoyan Long ◽  
Weiping Liu ◽  
Jinxia Zhou

: The prevalence of sleep disorders and cognitive dysfunction has overwhelmingly increased, with insomnia and Alzheimer’s disease (AD) being the most common form. A multitude of studies have linked the alterations in sleep continuity or sleep architecture with cognitive impairment bilaterally, but the management of disrupted sleep patterns in preclinical AD could be more beneficial since there is no cure for AD. This review mainly focuses on the altered sleep patterns in insomnia, and summarizes potential pathways underlying the relationship between insomnia and cognitive impairment, aiming to establish certain sleep pattern changes as biomarkers for cognitive decline and explore potential therapeutic targets based on evidence from research advances.

2021 ◽  
Vol 20 (1) ◽  
Zimin Song ◽  
Ruotong Yang ◽  
Wenxiu Wang ◽  
Ninghao Huang ◽  
Zhenhuang Zhuang ◽  

Abstract Background Evidence is limited regarding the association of healthy lifestyle including sleep pattern with the risk of complicated type 2 diabetes mellitus (T2DM) among patients with hypertension. We aimed to investigate the associations of an overall healthy lifestyle including a healthy sleep pattern with subsequent development of T2DM among participants with hypertension compared to normotension, and to estimate how much of that risk could be prevented. Methods This study examined six lifestyle factors with T2DM cases among hypertension (227,966) and normotension (203,005) and their interaction in the UK Biobank. Low-risk lifestyle factors were defined as standard body mass index (BMI), drinking alcohol in moderation, nonsmoking, engaging in moderate- to vigorous-intensity physical activity, eating a high-quality diet, and maintaining a healthy sleep pattern. Results There were 12,403 incident T2DM cases during an average of 8.63 years of follow-up. Compared to those with 0 low-risk lifestyle factors, HRs for those with 5–6 were 0.14 (95% CI 0.10 to 0.19) for hypertensive participants, 0.13 (95% CI 0.08 to 0.19) for normotensive participants, respectively (ptrend < 0.001). 76.93% of hypertensive participants were considerably less likely to develop T2DM if they adhered to five healthy lifestyle practices, increased to 81.14% if they followed 6-factors (with a healthy sleep pattern). Compared with hypertension adults, normotensive people gain more benefits if they stick to six healthy lifestyles [Population attributable risk (PAR%) 83.66%, 95% CI 79.45 to 87.00%, p for interaction = 0.0011]. Conclusions Adherence to a healthy lifestyle pattern including a healthy sleep pattern is associated with lower risk of T2DM in hypertensives, and this benefit is even further in normotensives.

2021 ◽  
Vol 12 (4) ◽  
pp. 570-584
Aziza Youniss Ahmed El-ghiety ◽  
Manal Saad shaker Soliman ◽  
Amira Mohammed Ali Hassan

Mari Hysing ◽  
Tor Strand ◽  
Ram K. Chandyo ◽  
Manjeswori Ulak ◽  
Suman Ranjitkar ◽  

2021 ◽  
Vol 9 (2) ◽  
pp. 85-92
Warsini Warsini

Latar belakang : Saat ini Negara Indonesia sedang dilanda pandemi Covid-19 yang mengakibatkan perubahan baik secara fisik maupun psikologi, baik pada usia muda maupun pada lanjut usia. Kondisi ini tidak hanya berdampak pada kesehatan fisik namun juga mempengaruhi kondisi mentalitas individu, termasuk pada golongan Lansia. Hasil penelitian menunjukkan bahwa mayoritas Lansia mengalami kecemasan di masa pandemi dengan mayoritas termasuk dalam kategori sedang (48,1%). Kondisi ini bukanlah hal yang dapat dianggap sederhana karena kecemasan dikhawatirkan dapat menimbulkan ketakutan hebat dan menetap pada Lansia sehingga dapat menimbulkan gangguan baik secara fisik maupun psikologis. Tujuan : Mengetahui hubungan tingkat kecemasan dengan pola tidur pada Lansia di Panti Wredha Widhi Asih. Subyek dan Metode : Jenis penelitian ini adalah analitik observasional dengan desain korelasional melalui pendekatan crossectional. Populasi penelitian adalah semua Lansia di Panti Wredha Widhi Asih. Teknik sampling yang digunakan adalah jenuh. Data dianalisis menggunakan uji korelasi Spearman. Hasil : Skor tingkat kecemasan lansia paling banyak 4 dengan kategori ringan yaitu 19%. Namun demikian ditemukan pula lansia yang mendapatkan skor tingkat kecemasan 20 yaitu 4,8%. Pola tidur responden bervariasi, dilihat dari kuantitas tidurnya yaitu antara 5-9 jam dengan mayoritas kuantitas tidur paling sedikit 5-5,5 jam (4,8%) dan paling banyak 8 jam (38,1%). Hasil analisis uji korelasi Spearman menunjukkan korelasi antara tingkat kecemasan dengan pola tidur adalah tidak bermakna. Nilai korelasi Spearman sebesar -0,313 menunjukkan arah korelasi negatif dengan kekuatan korelasi lemah. Kesimpulan : Hubungan antara tingkat kecemasan dengan pola tidur adalah tidak bermakna. Nilai korelasi Spearman sebesar -0,313 menunjukkan arah korelasi negatif dengan kekuatan korelasi lemah.   Kata Kunci : kecemasan, lansia, pola tidur     RELATIONSHIP BETWEEN ANXIETY LEVELS AND SLEEP PATTERNS IN THE ELDERLY   Background: Currently, the State of Indonesia is being hit by the Covid-19 pandemic which causes changes both physically and psychologically, both at a young age and in the elderly. This condition not only has an impact on physical health but also affects the mental condition of individuals, including the elderly. The results showed that the majority of the elderly experienced anxiety during the pandemic with the majority being in the moderate category (48.1%). This condition is not something that can be considered simple because it is feared that anxiety can cause severe and permanent fear in the elderly so that it can cause disturbances both physically and psychologically. Objective: To determine the relationship between anxiety levels and sleep patterns in the elderly at the Wredha Widhi Asih Home. Subjects and Methods: This type of research is analytic observational with a correlational design through a cross-sectional approach. The population of the study were all the elderly at the Wredha Widhi Asih Nursing Home. The sampling technique used is saturated. Data analysis using Spearman Correlation Test. Result: The highest score of anxiety level is 4 (19%) in the mild category. However, the elderly who got a level 20 score of 4.8% were found. The respondent's sleep pattern varies, seen from the quantity of sleep, which is between 5-9 hours, with a minimum sleep quantity of 5-5.5 hours (4.8%) and a maximum of 8 hours (38.1%). The results of the Spearman correlation test analysis showed that the correlation between anxiety levels and sleep patterns was not significant. Spearman correlation value of -0.313 indicates the direction of negative correlation with weak correlation strength. Conclusion: the correlation between anxiety levels and sleep patterns is not significant. Spearman correlation value of -0.313 indicates the direction of negative correlation with weak correlation strength. Keywords: anxiety, elderly, sleep pattern

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