Duration and quality of sleep and risk of physical function impairment and disability in older adults: Results from the ENRICA and ELSA Cohorts
Entity
UAM. Departamento de Medicina Preventiva y Salud Pública y MicrobiologíaPublisher
Aging and Disease EditorialDate
2019-06Citation
10.14336/AD.2018.0611
Aging and Disease 10.3 (2019): 557-569
ISSN
2152-5250DOI
10.14336/AD.2018.0611Funded by
The Seniors-ENRICA study was supported by FIS grants 13/0288, 16/609 and 16/1512 (Instituto de Salud Carlos III, State Secretary of R+D+I, and FEDER/FSE), the FRAILOMIC Initiative (FP7-HEALTH-2012-Proposal no. 305483-2), the ATHLOS project (EU H2020- Project ID: 635316) and the JPI HDHL (SALAMANDER project)Project
Gobierno de España. FIS 13/0288; Gobierno de España. FIS 16/609; Gobierno de España. FIS 16/1512; info:eu-repo/grantAgreement/EC/FP7/305483-2; info:eu-repo/grantAgreement/EC/H2020/635316/EU//ATHLOSEditor's Version
http://dx.doi.org/10.14336/AD.2018.0611Subjects
Physical function; Sleep; Physical activity; MedicinaRights
© 2018 Campanini MZ et al.Abstract
Sleep duration and quality have been associated with poor physical function, but both the temporality of the association and the independence of sleep duration and quality are unclear. We examined the prospective association of sleep duration and quality with physical function impairment and disability in older adults. Data were taken from participants in the Seniors-ENRICA (2012-2015, n= 1,773) and in the ELSA cohort (waves 4 and 6, n=4,885) aged ≥60 years. Sleep duration and quality were self-reported. Physical function impairment and disability was obtained either from self-reports (ENRICA and ELSA) or from performance assessment (ENRICA). Logistic regression models were adjusted for potential confounders. After a follow-up of 2.0-2.8 years, no association was found between changes in sleep duration and physical function impairment or disability. However, in both studies, poor general sleep quality was linked to higher risk of impaired agility [OR: 1.93 (95% CI: 1.30-2.86) in Seniors-ENRICA and 1.65 (1.24-2.18) in ELSA study] and mobility [1.46 (0.98-2.17) in Seniors-ENRICA and 1.59 (1.18-2.15) in ELSA study]. Poor general sleep quality was also associated with decreased physical component summary (PCS) [1.39 (1.05-1.83)], disability in instrumental activities of daily living [1.59 (0.97-2.59)] and in basic activities of daily living [1.73 (1.14-2.64)] in Seniors-ENRICA. In addition, compared to those with no sleep complaints, participants with 2 or more sleep complaints had greater risk of impaired agility, impaired mobility, decreased PCS and impaired lower extremity function in both cohorts. Poor sleep quality was associated with higher risk of physical impairment and disability in older adults from Spain and from England
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Google Scholar:Campanini, Marcela Z.
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Mesas, Arthur E.
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Carnicero-Carreño, José Antonio
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Rodríguez Artalejo, Fernando
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López García, Esther
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