Association of sleep condition and social frailty in community‐dwelling older people

Geriatrics and Gerontology International - Tập 19 Số 9 - Trang 885-889 - 2019
Sho Nakakubo1, Takehiko Doi1, Hyuma Makizako2,1, Kota Tsutsumimoto1, Satoshi Kurita1, Minji Kim1, Hideaki Ishii1, Takao Suzuki3, Hiroyuki Shimada1
1Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan
2Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
3Research Institute of Aging and Development, Oberlin University, Tokyo, Japan

Tóm tắt

AimThis cross‐sectional study examined whether sleep duration and excessive daytime sleepiness (EDS) were associated with social frailty in community‐dwelling older people.MethodsA total of 4427 community‐dwelling older people (51.4% women, mean age 71.9 years) who met the entry criteria were included in this study. Social frailty was assessed by five questions, relating to going out less frequently than last year, not visiting friends sometimes, not feeling helpful to friends or family, living alone and not talking with someone every day. Participants with two or more components were defined as having social frailty. Sleep duration and EDS were assessed by self‐reported questionnaire. Logistic regression analysis estimated odds ratios and 95% confidence intervals of social frailty according to EDS or the three categories of sleep duration (short ≤6.0 h, medium 6.1–8.9 h, long ≥9.0 h), and we used medium‐duration sleepers as the reference group.ResultsAmong all participants, the prevalence of social frailty in each sleep duration group was as follows: long 18.3%, short 9.9% and medium 9.7% (P < 0.001). The prevalence of social frailty in participants with EDS was 17.1% (no EDS 10.2%, P < 0.001). Long sleep duration (odds ratio 1.46, 95% confidence interval 1.14–1.84) and presence of EDS (hazard ratio 1.32, 95% confidence interval 1.02–1.71) were associated with higher rates of social frailty after adjustments for several covariates.ConclusionsLong sleep duration and EDS were associated with social frailty; thus, older people with both sleep patterns would have a higher risk of progression of social frailty. Geriatr Gerontol Int 2019; 19: 885–889.

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