Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 1/2017

23-07-2016

Age- and gender-specific associations between insomnia and falls in Boston Puerto Rican adults

Auteurs: Yuan Zhang, Manuel Cifuentes, Xiang Gao, Gina Amaral, Katherine L. Tucker

Gepubliceerd in: Quality of Life Research | Uitgave 1/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

This study evaluated the age- and gender-specific associations between insomnia and falls in community-dwelling Puerto Rican adults, independently of multiple covariates.

Methods

Cross-sectional data were collected from 954 Puerto Ricans, aged 46–79 years, in Boston, Massachusetts. In-person interviews were conducted to collect information on sociodemographics and lifestyle, mental status, medication use, comorbidities, sleep duration, insomnia symptoms, and falls and fractures. Blood and urine samples, and bone density measures were collected to assess C-reactive protein, serum interleukin-6, urinary cortisol, and bone mineral density.

Results

Multivariate robust Poisson regressions suggested that adults with insomnia had a 32 % increased likelihood of having falls (PR 1.32, p < 0.05), after adjustment for multiple covariates. Age and gender modified the effect of insomnia on risk of falls. Insomnia was significantly associated with higher risk of falls in adults of 60 years or older (PR 1.49, p < 0.05) and in women (PR 1.36, p < 0.05), but not in adults younger than 60 years or in men. Insomnia was not associated with recurrent falls or fractures.

Conclusions

Age and gender need to be taken into account when considering treatment of insomnia in preventing geriatric falls. Well-designed evidence-based interventions to treat insomnia and improve sleep quality may reduce the risk of falls in this population.

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Literatuur
1.
go back to reference Tromp, A. M., Pluijm, S. M. F., Smit, J. H., Deeg, D. J., Bouter, L. M., & Lips, P. (2001). Fall-risk screening test: A prospective study on predictors for falls in community-dwelling elderly. Journal of Clinical Epidemiology, 54(8), 837–844. CrossRefPubMed Tromp, A. M., Pluijm, S. M. F., Smit, J. H., Deeg, D. J., Bouter, L. M., & Lips, P. (2001). Fall-risk screening test: A prospective study on predictors for falls in community-dwelling elderly. Journal of Clinical Epidemiology, 54(8), 837–844. CrossRefPubMed
6.
go back to reference Englander, F., Hodson, T. J., & Teregrossa, R. A. (1996). Economic dimensions of slip and fall injuries. Journal of Forensic Sciences, 41(5), 733–746. CrossRefPubMed Englander, F., Hodson, T. J., & Teregrossa, R. A. (1996). Economic dimensions of slip and fall injuries. Journal of Forensic Sciences, 41(5), 733–746. CrossRefPubMed
9.
go back to reference Canham, S. L., Kaufmann, C. N., Mauro, P. M., Mojtabai, R., & Spira, A. P. (2015). Binge drinking and insomnia in middle-aged and older adults: The Health and Retirement Study. International Journal of Geriatric Psychiatry, 30(3), 284–291. doi: 10.​1002/​gps.​4139. CrossRefPubMed Canham, S. L., Kaufmann, C. N., Mauro, P. M., Mojtabai, R., & Spira, A. P. (2015). Binge drinking and insomnia in middle-aged and older adults: The Health and Retirement Study. International Journal of Geriatric Psychiatry, 30(3), 284–291. doi: 10.​1002/​gps.​4139. CrossRefPubMed
13.
go back to reference Helbig, A. K., Döring, A., Heier, M., Emeny, R. T., Zimmermann, A. K., Autenrieth, C. S., et al. (2013). Association between sleep disturbances and falls among the elderly: Results from the German Cooperative Health Research in the Region of Augsburg-Age study. Sleep Medicine, 14(12), 1356–1363. doi: 10.​1016/​j.​sleep.​2013.​09.​004. CrossRefPubMed Helbig, A. K., Döring, A., Heier, M., Emeny, R. T., Zimmermann, A. K., Autenrieth, C. S., et al. (2013). Association between sleep disturbances and falls among the elderly: Results from the German Cooperative Health Research in the Region of Augsburg-Age study. Sleep Medicine, 14(12), 1356–1363. doi: 10.​1016/​j.​sleep.​2013.​09.​004. CrossRefPubMed
14.
go back to reference Kuo, H. K., Yang, C. C., Yu, Y. H., Tsai, K. T., & Chen, C. Y. (2009). Gender-specific association between self-reported sleep duration and falls in high-functioning older adults. The Journals of Gerontology Serials A: Biological Sciences and Medical Sciences, 65(2), 190–196. doi: 10.​1093/​gerona/​glp143. Kuo, H. K., Yang, C. C., Yu, Y. H., Tsai, K. T., & Chen, C. Y. (2009). Gender-specific association between self-reported sleep duration and falls in high-functioning older adults. The Journals of Gerontology Serials A: Biological Sciences and Medical Sciences, 65(2), 190–196. doi: 10.​1093/​gerona/​glp143.
16.
18.
go back to reference Stone, K. L., Blackwell, T. L., Ancoli-Israel, S., Cauley, J. A., Redline, S., Marshall, L. M., et al. (2014). Sleep disturbances and risk of falls in older community-dwelling men: The outcomes of sleep disorders in older men (MrOS Sleep) study. Journal of the American Geriatrics Society, 6(2), 299–305. doi: 10.​1111/​jgs.​12649. CrossRef Stone, K. L., Blackwell, T. L., Ancoli-Israel, S., Cauley, J. A., Redline, S., Marshall, L. M., et al. (2014). Sleep disturbances and risk of falls in older community-dwelling men: The outcomes of sleep disorders in older men (MrOS Sleep) study. Journal of the American Geriatrics Society, 6(2), 299–305. doi: 10.​1111/​jgs.​12649. CrossRef
20.
go back to reference Nebes, R. D., Buysse, D. J., Halligan, E. M., Houck, P. R., & Monk, T. H. (2009). Self-reported sleep quality predicts poor cognitive performance in healthy older adults. The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 64(2), 180–187. doi: 10.​1093/​geronb/​gbn037. CrossRef Nebes, R. D., Buysse, D. J., Halligan, E. M., Houck, P. R., & Monk, T. H. (2009). Self-reported sleep quality predicts poor cognitive performance in healthy older adults. The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 64(2), 180–187. doi: 10.​1093/​geronb/​gbn037. CrossRef
24.
go back to reference Landi, F., Onder, G., Cesari, M., Barillaro, C., Russo, A., Bernabei, R., et al. (2005). Psychotropic medications and risk for falls among community-dwelling frail older people: An observational study. The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 60(5), 622–626. doi: 10.​1093/​gerona/​60.​5.​622. CrossRef Landi, F., Onder, G., Cesari, M., Barillaro, C., Russo, A., Bernabei, R., et al. (2005). Psychotropic medications and risk for falls among community-dwelling frail older people: An observational study. The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 60(5), 622–626. doi: 10.​1093/​gerona/​60.​5.​622. CrossRef
26.
go back to reference Tucker, K. L., Mattei, J., Noel, S. E., Collado, B. M., Mendez, J., Nelson, J., et al. (2010). The Boston Puerto Rican health study, a longitudinal cohort study on health disparities, in Puerto Rican adults: Challenges and opportunities. BMC Public Health, 10, 107. doi: 10.​1186/​1471-2458-10-107. CrossRefPubMedPubMedCentral Tucker, K. L., Mattei, J., Noel, S. E., Collado, B. M., Mendez, J., Nelson, J., et al. (2010). The Boston Puerto Rican health study, a longitudinal cohort study on health disparities, in Puerto Rican adults: Challenges and opportunities. BMC Public Health, 10, 107. doi: 10.​1186/​1471-2458-10-107. CrossRefPubMedPubMedCentral
28.
go back to reference Paffenbarger, R. J., Wing, A. L., & Hyde, R. T. (1978). Physical activity as an index of heart attack in college alumni. American Journal of Epidemiology, 108(3), 161–175. PubMed Paffenbarger, R. J., Wing, A. L., & Hyde, R. T. (1978). Physical activity as an index of heart attack in college alumni. American Journal of Epidemiology, 108(3), 161–175. PubMed
29.
go back to reference Radloff, L. S., & Teri, L. (1986). The use of the Center for Epidemiological Studies-Depression scale with older adults. Clinical Gerontologist, 5(1/2), 119–136. CrossRef Radloff, L. S., & Teri, L. (1986). The use of the Center for Epidemiological Studies-Depression scale with older adults. Clinical Gerontologist, 5(1/2), 119–136. CrossRef
30.
go back to reference Rovner B. W., & Folstein, M. F. (1987). Mini-mental state exam in clinical practice. Hospital Practice ( Office ed.), 22(1A), 99, 103, 106, 110. Rovner B. W., & Folstein, M. F. (1987). Mini-mental state exam in clinical practice. Hospital Practice ( Office ed.), 22(1A), 99, 103, 106, 110.
31.
go back to reference Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. CrossRefPubMed Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. CrossRefPubMed
32.
33.
go back to reference Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186. CrossRefPubMed Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186. CrossRefPubMed
35.
go back to reference Burros, A. J. D., & Hirakata, V. N. (2003). Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology, 3, 21. doi: 10.​1186/​1471-2288-3-21. CrossRef Burros, A. J. D., & Hirakata, V. N. (2003). Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology, 3, 21. doi: 10.​1186/​1471-2288-3-21. CrossRef
36.
go back to reference Loredo, J. S., Soler, X., Bardwell, W., Ancoli-Israel, S., Dimsdale, J. E., & Palinkas, L. A. (2010). Sleep health in U.S. Hispanic population. Sleep, 33(7), 962–967. PubMedPubMedCentral Loredo, J. S., Soler, X., Bardwell, W., Ancoli-Israel, S., Dimsdale, J. E., & Palinkas, L. A. (2010). Sleep health in U.S. Hispanic population. Sleep, 33(7), 962–967. PubMedPubMedCentral
37.
40.
go back to reference Brassington, G. S., King, A. C., & Bliwise, D. L. (2000). Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64 to 99 years. Journal of the American Geriatrics Society, 48(10), 1234–1240. CrossRefPubMed Brassington, G. S., King, A. C., & Bliwise, D. L. (2000). Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64 to 99 years. Journal of the American Geriatrics Society, 48(10), 1234–1240. CrossRefPubMed
41.
go back to reference McCall, W. V. (2004). Sleep in the elderly: Burden, diagnosis, and treatment. The Primary Care Companion to the Journal of Clinical Psychology, 6(1), 9–20. CrossRef McCall, W. V. (2004). Sleep in the elderly: Burden, diagnosis, and treatment. The Primary Care Companion to the Journal of Clinical Psychology, 6(1), 9–20. CrossRef
42.
go back to reference Sarris, J., & Byrne, G. J. (2011). A systematic review of insomnia and complementary medicine. Sleep Medine Review, 15(2), 99–106. CrossRef Sarris, J., & Byrne, G. J. (2011). A systematic review of insomnia and complementary medicine. Sleep Medine Review, 15(2), 99–106. CrossRef
Metagegevens
Titel
Age- and gender-specific associations between insomnia and falls in Boston Puerto Rican adults
Auteurs
Yuan Zhang
Manuel Cifuentes
Xiang Gao
Gina Amaral
Katherine L. Tucker
Publicatiedatum
23-07-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1374-7