Seniors and Sleep Health: An Eye-opener Study from the North of India (original) (raw)
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International Journal Of Community Medicine And Public Health
Background: Studies have shown that effects of low sleep quality can include cognitive decline, sleepiness during the day, and decreased quality of life. Problems with sleep have also been associated with an increased risk of hospitalization and increased mortality. Therefore, the present study was envisaged to assess the sleep quality index and the factors associated with it among the elderly. Methods: This cross-sectional study was conducted in rural and urban setting of Delhi. We selected 115 participants in each area using systematic random sampling. We used a semi structured questionnaire and validated sleep quality index to collect the data. Results: In the present study, only 41 (17.8%) out of 230 individuals were having normal sleep quality and 189 out of 230 individuals were having poor sleep quality. 105 (55.5%) in the rural area (Fatehpur Beri), and 84 (44.5%) in the urban area (Aliganj) were having poor sleep quality respectively. In the rural area, taking sleeping pills...
National Journal of Community Medicine, 2020
Context: Elderly have increased frequency of awakenings of longer durations, lower sleep efficiency, early bedtimes and wake times as compared to younger subjects. The study was conducted to assess the quality of sleep using Pittsburgh Sleep Quality Index (PSQI), sleeping habits and changing sleep pattern among elderly and their associated factors. Material and Methods: A cross-sectional study was conducted for a period of 3 months among all the elderly population residing in village Thano situated in Raipur block of district Dehradun, Uttarakhand. A total of 96 elderly were surveyed. Data was collected on sociodemographic characters of elderly as well as questions on Quality of sleep was asked based on PSQI questionnaire. Data was collected using Epi-collect5 application on phone. Data was analysed and presented utilizing appropriate statistical methods. Results: Among the 96 elderly, 57.3% of the participants were females and 40.6% were from 60-69-year age group. The mean PSQI sco...
Quality of Sleep among Elderly Population at Selected Community in Chennai
International Journal of Innovative Science and Research Technology. , 2024
Background: Our daily lives depend on sleep, and as we age, our sleep patterns tend to change as well. Most people discover that getting older makes it more difficult for them to fall asleep. Chronic sleep disorders are thought to affect 40-70% of older persons, and up to 50% of cases go misdiagnosed. The purpose of this study was to ascertain the causes of insomnia and the quality of sleep in order to develop strategies for promoting sleep among the senior population in a particular Chennai community .Materials and procedure: The study, which involved 100 senior citizens living in Mel Ayanambakkam, was carried out using a descriptive correlational research design. Pretested and validated instruments, such as the Insomnia Severity Scale, the Health variables proforma, and the Demographic Variables Proforma, were used to gather data. Results: The levels of insomnia, 39% of the elderly population did not have insomnia, 28% of the elderly population had sub threshold insomnia and moderate level of insomnia, only 5% of the elderly population had severe insomnia. There was no significant association between demographic variables such as age, gender, marital status, type of family, leisure time activities and monthly income and quality of sleep (p<0.05).Conclusion: The elderly who experience sleep disturbances will increase the amount of sleep during the daytime, attention and memory problems, depression. Health care professionals especially the nurses, play a vital role in educating the community on importance of sleep among elderly population.
National Journal of Physiology, Pharmacy and Pharmacology, 2018
Background: Sleep disturbances are particularly common among even the apparently healthy aging population, and its role as a cause or consequence of chronic illness makes it an issue worth addressing. Aims and Objectives: (i) To record and score the sleep architecture in familial senior citizens using polysomnography, (ii) to compare the score with the normative data provided by American Academy of Sleep Medicine for the same age group, and (iii) to compare the polysomnographic recordings of male and female subjects. Materials and Methods: The study was done on apparently healthy 30 non-institutionalized senior citizens (15 males and 15 females) residing with their families in residential areas of Bengaluru city. Eligible subjects underwent overnight polysomnography. The recorded sleep parameters included total sleep time (TST), sleep latency (SL), rapid eye movement (REM) latency (RL), wake after sleep onset, sleep efficiency (SE), and stages N1%, N2%, N3%, and REM%. The data were manually scored, tabulated, and compared with normative data using the appropriate statistical tools. Results: On statistical analysis, TST was not significantly altered. The SL, RL, wake time after sleep onset, N1%, and N2% were significantly (P < 0.05) increased in the study group compared to normative data. SE, N1%, and N2% are significantly decreased compared to the normative data. Furthermore, males had longer RL and females had greater percentage of N1% compared to each other. Conclusion: The sleep architecture of the senior citizens under study is significantly deviate from the normative data and the causes for this may be altered circadian rhythm, nutritional, hormonal, or psychosocial factors.
ASSESSMENT OF QUALITY OF SLEEP AMONG SENIOR CITIZENS AT SELECTED OLD AGE HOME, CHENNAI
International Journal of Scientific Research in Engineering and Management (IJSREM), 2024
Background Sleep problems are very common among senior citizens. Moreover, people living in old age homes were being deprived of love from their families and do not report impaired sleep patterns due to various reasons. Early detection of poor sleep quality and disturbed sleep pattern among senior citizens can prevent or slow down the progression of morbidity and mortality and help them to have a good quality of life. Objective To assess the quality of sleep among senior citizens living in selected old age homes in Chennai. Methods A quantitative research approach was used for this study. Sixty older adults who fulfilled the inclusion criteria were used. Nonprobability convenient sampling technique was used for this study. Standardized instrument-the Athens Insomnia Scale (AIS) was used to assess quality of sleep, respectively. Results Participants were 60 senior citizens residing in old age home were selected. Further, 6 (10.0%) of the samples had poor quality of sleep, 46 (76.7%) of the samples had fair quality of sleep and 14 (23.3%) of them had good quality of sleep.
Prevalence of insomnia and its associated factors among rural elderly: a community based study
International Journal of Advanced Nursing Studies, 2017
Background: Insomnia is a common problem among older adults and can lead to several complications affecting the quality of life of elderly people. Aim: To estimate the prevalence of insomnia and its associated factors among community-dwelling elderly. Study design: This is a cross-sectional descriptive study carried out on 1059 elderly living in three villages affiliated to Mansoura District, Egypt. Data collected during an interview included: socio-demographic and clinical features, habits before sleeping, environmental factors that could affect sleeping, the geriatric depression scale and Athens insomnia scale. Logistic regression analysis was done to find out the independent predictors of insomnia. Results: The prevalence of insomnia was 62.1%. The logistic regression revealed that insomnia is less likely among elderly of 75 and more (AOR=0.3) compared to those aged 60-75 years. The risk of insomnia is high among those with depression (AOR=6.4 and 14.6 for mild and moderate/severe depression; respectively), fear of death (AOR=14.7), life stressors (AOR=7.1), presence of musculoskeletal disorders (AOR=5.6), respiratory disorders (AOR=4.5), worry about children (AOR=4.5) and cold bedroom (AOR=2.7). Conclusion: Slightly less than two-thirds of the studied subjects have insomnia, and most of the associated factors are preventable and/or controllable. Recommendations: According to the results of the present study, the following recommendations are suggested: Design educational program for elders to enhance sleep through emphasizing on the importance of sleep hygiene practice, behavioral and nonpharmacological interventions, and healthy lifestyle.
Sleep Quality in the Admitted Elderly: A Prospective Observational Study in Eastern India
Bengal Physician Journal
Background: With declining age, elderly admissions are encountered with sleep disturbances during the hospital stay. Poor sleep health can adversely affect many organ functions causing a weakened immune system, increased adverse cardiovascular events, impaired cognitive function, and increased fall risk and frailty in the elderly. The present study tried to address the issue of sleep quality in admitted elderly patients in a hospital setup. Materials and methods: A prospective observational study was conducted among the elderly inpatients of a few tertiary care setups in Eastern India. Patients were personally interviewed to evaluate the history of sleep quality at home, sleep quality after the first and the third days of admission, and potential associated factors. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep quality in the subjects. Patient-reported factors contributing to poor sleep health were noted. Data were statistically analyzed. Results: Sleep efficiency is significantly affected by hospital stay. The global PSQI score conferred poor sleep quality in 51.05% elderly in baseline, 58.64% after the first night of hospitalization, and 62.86% after the third night of hospitalization. Sleep quality was assessed using PSQI questionnaire. Prolonged sleep latency and decreased total sleep duration were noted among study participants at the third time point in comparison with the first. Factors like doctor-nurse interruption, pain, light, and noise as some of the most frequently reported factors contributed to poorer sleep. Higher age, infrequent physical activity, previous history of hospitalization, anxiety, and depressive state were significantly associated with higher odds of poor sleep quality. Conclusion: The study demonstrated that overall sleep quality was significantly affected during hospital stay in older adults. Patient-reported factors contributing toward poorer sleep health must be intervened in order to achieve better treatment outcomes in the elderly.
Prevalence of Insomnia among Elderly Residing in Urban Area-A Pilot Study
Insomnia in elderly is very essential part of research. The considerations of physiological changes during the vulnerable phase of life, elderly are prone for many risk factors. The research aims on identifying the prevalence of insomnia among elderly residing in urban area. Majority 22(44%) of participants were had sub threshold insomnia, 21(42%) of participants were had no clinically significant insomnia and remaining 7(14%) of participants were had clinical insomnia. Insomnia is commonest sought everyday problem among elderly which goes unnoticed.
Sleep quality in elderly individuals and related factors
Journal of Clinical and Analytical Medicine
Aim:The aim of the present study is to evaluate sleep quality in the elderly living in Kırşehir city center and to identify related factors. Material and Method: Subjects of this descriptive study included elderly individuals registered in family health centers in Kırşehir city center. The sample included 700 elderly individuals selected using stratified sampling method. Data were collected via face-to-face interviews conducted on December 3%u201331, 2016, using a questionnaire on sociodemographic characteristics, Pittsburgh Sleep Quality Index, and UCLA Loneliness Scale. Ethics committee approval and informed consent of patients were obtained. Numbers, percentages and mean values, as well as logistic regression (enter method) were used in statistical analysis. Results:The mean sleep quality score was 7.63 ± 3.23, and 70.4% of them had poor sleep quality. According to the logistic regression analysis, risk factors that had a negative effect on sleep quality were female sex, low educational level, being single/divorced, having no children, negative perception of economic status, presence of a chronic disease, regular medication use, daytime sleepiness, and feelings of loneliness. Discussion: According to the findings of the study, elderly individuals had poor sleep quality, and several factors such as demographic and socioeconomic factors had a negative effect on sleep quality. According to the results of the present study, we suggest conducting community-based studies to evaluate risk factors that have a negative effect on sleep quality in elderly individuals, while considering psychological and social care, support, and care and management of chronic illnesses.
Sleep complaints among elderly persons: an epidemiologic study of three communities
Sleep, 1995
The frequencies of five common sleep complaints--trouble falling asleep, waking up, awaking too early, needing to nap and not feeling rested--were assessed in over 9,000 participants aged 65 years and older in the National Institute on Aging's multicentered study entitled "Established Populations for Epidemiologic Studies of the Elderly" (EPESE). Less than 20% of the participants in each community rarely or never had any complaints, whereas over half reported at least one of these complaints as occurring most of the time. Between 23% and 34% had symptoms of insomnia, and between 7% and 15% percent rarely or never felt rested after waking up in the morning. In multivariate analyses, sleep complaints were associated with an increasing number of respiratory symptoms, physical disabilities, nonprescription medications, depressive symptoms and poorer self-perceived health. Sleep disturbances, particularly among older persons, oftentimes may be secondary to coexisting diseas...