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The impact of sleep duration on frailty in community-dwelling Turkish older adults

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Abstract

The aim of this study was to examine the association between sleep duration and frailty in community-dwelling Turkish older adults and to determine whether this association varies depending on gender. A cross-sectional study was conducted from August 2013 to December 2013 with 905 individuals, representative of the aged population ≥ 60 years in community-dwelling elderly. Self-reported sleep duration was classified as short sleep duration (≤ 6 h), middle sleep duration (6.1–8.9 h), and long sleep duration (≥ 9 h). Frailty was assessed according to the FRAIL scale (FRAIL: Fatigue, Resistance, Ambulation, Illness, Low weight).The study included 905 community-dwelling older adults (447 male and 458 female). The median (25p–75p) age of the study population was 71.0 years (67.0–75.0) (range 60–92 years). The number of patients according to the short, middle, and long sleep durations were 120 (13.3%), 341 (37.7%), and 433 (47.8%), respectively. The median duration of sleep time in the total study population was 8.5 (7.0–10.0) h. According to frailty status, the percent of robust subjects was higher in the group with mid sleep duration than the other two groups (p = 0.020). Short sleep duration was associated with frailty in the female gender in both the unadjusted model (OR 2.80, 95% CI 1.42–5.52) and the fully adjusted model (OR 3.42, 95% CI 1.50–7.77). Short sleep duration is independently associated with frailty in community-dwelling Turkish female older adults, thus frailty prevention interventions should consider sleep duration in females.

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References

  1. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233–43.

    Article  Google Scholar 

  2. Wolkove N, Elkholy O, Baltzan M, Palayew M. Sleep and aging: 1. Sleep disorders commonly found in older people. CMAJ. 2007;176:1299–304.

    Article  Google Scholar 

  3. da Silva AA, de Mello RG, Schaan CW, Fuchs FD, Redline S, Fuchs SC. Sleep duration and mortality in the elderly: a systematic review with meta-analysis. BMJ Open. 2016;6(2):e008119.

    Article  Google Scholar 

  4. Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010;33(5):585–92.

    Article  Google Scholar 

  5. Gallicchio L, Kalesan B. Sleep duration and mortality: a systematic review and meta-analysis. J Sleep Res. 2009;18(2):148–58.

    Article  Google Scholar 

  6. Ensrud KE, Blackwell TL, Redline S, Ancoli-Israel S, Paudel ML, Cawthon PM, et al. Sleep disturbances and frailty status in older community-dwelling men. J Am Geriatr Soc. 2009;57(11):2085–93.

    Article  Google Scholar 

  7. Rochat S, Cumming RG, Blyth F, Creasey H, Handelsman D, Le Couteur DG, et al. Frailty and use of health and community services by community-dwelling older men: the Concord Health and Ageing in Men Project. Age Ageing. 2010;39(2):228–33.

    Article  Google Scholar 

  8. Malmstrom TK, Miller DK, Morley JE. A comparison of four frailty models. J Am Geriatr Soc. 2014;62(4):721–6.

    Article  Google Scholar 

  9. Van Cauter E, Spiegel K, Tasali E, Leproult R. Metabolic consequences of sleep and sleep loss. Sleep Med. 2008;9:S23–S2828.

    Article  Google Scholar 

  10. Stenholm S, Kronholm E, Bandinelli S, et al. Self-reported sleep duration and time in bed as predictors of physical function decline. Results from the InCHIANTI Study. Sleep. 2011;34:1583–93.

    Article  Google Scholar 

  11. Nakakubo S, Doi T, Makizako H, Tsutsumimoto K, Hotta R, Ono R, Suzuki T, Shimada H. Sleep duration and excessive daytime sleepiness are associated with incidence of disability in community-dwelling older adults. J Am Med Dir Assoc. 2016;17(8):768.

    Article  Google Scholar 

  12. Nakakubo S, Makizako H, Doi T, Tsutsumimoto K, Hotta R, Lee S, Lee S, Bae S, Makino K, Suzuki T, Shimada H. Long and short sleep duration and physical frailty in community-dwelling older adults. J Nutr Health Aging. 2018;22(9):1066–71.

    Article  CAS  Google Scholar 

  13. Potvin O, Lorrain D, Forget H, Dubé M, Grenier S, Préville M, Hudon C. Sleep quality and 1-year incident cognitive impairment in community-dwelling older adults. Sleep. 2012;35(4):491–9.

    Article  Google Scholar 

  14. Lawton MP, Brody EM. Assessment of older people: self maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.

    Article  CAS  Google Scholar 

  15. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982–1983;17:37–49.

  16. Folstein MF, Folstein SE. McHugh PR ‘‘Mini-mental state’’ (2012) A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.

    Article  CAS  Google Scholar 

  17. Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012;16(7):601–8.

    Article  CAS  Google Scholar 

  18. Akın S, Mazıcıoglu MM, Mucuk S, Gocer S, Deniz Şafak E, Arguvanlı S, Ozturk A. The prevalence of frailty and related factors in community-dwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales. Aging Clin Exp Res. 2015;27(5):703–9.

    Article  Google Scholar 

  19. Wilson MM, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr. 2005;82:1074–81.

    Article  CAS  Google Scholar 

  20. Power M, Quinn K, Schmidt S, & The WHOQOL-OLD Group. Development of the WHOQOL-OLD module. Qual Life Res. 2005;14:2197–214.

    Article  Google Scholar 

  21. Baniak LM, Yang K, Choi J, Chasens ER. Long sleep duration ıs associated with ıncreased frailty risk in older community-dwelling adults. J Aging Health. 2018. https://doi.org/10.1177/0898264318803470.

    Article  PubMed  Google Scholar 

  22. Lee JS, Auyeung TW, Leung J, Chan D, Kwok T, Woo J, et al. Long sleep duration ıs associated with higher mortality in older people ındependent of frailty: a 5-year cohort study. J Am Med Direct Assoc. 2014;15(9):649–55.

    Article  Google Scholar 

  23. Cai H, Shu XO, Xiang YB, Yang G, Li H, Ji BT, et al. Sleep duration and mortality: a prospective study of 113 138 middle-aged and elderly Chinese men and women. Sleep. 2015;38:529–36.

    Article  Google Scholar 

  24. Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and metaanalysis of prospective studies. Sleep. 2010;33:585–92.

    Article  Google Scholar 

  25. Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: methodology and discussion. Sleep. 2015;38(8):1161–83.

    Article  Google Scholar 

  26. Kang I, Kim S, Kim BS, Yoo J, Kim M, Won CW. Sleep latency in men and sleep duration in women can be frailty markers in community-dwelling older adults: the Korean Frailty and Aging Cohort Study (KFACS). J Nutr Health Aging. 2019;23(1):63–7.

    Article  CAS  Google Scholar 

  27. Vaz Fragoso CA, Gahbauer EA, Van Ness PH, Gill TM. Sleep-wake disturbances and frailty in community-living older persons. J Am Geriatr Soc. 2009;57(11):2094–100.

    Article  Google Scholar 

  28. Irwin MR, Olmstead R, Carroll JE. Sleep disturbance, sleep duration, and ınflammation: a systematic review and meta-analysis of cohort studies and experimental sleep deprivation. Biol Psychiatry. 2016;80(1):40–52.

    Article  Google Scholar 

  29. Gale CR, Baylis D, Cooper C, Sayer AA. Inflammatory markers and incident frailty in men and women: the English Longitudinal Study of Ageing. Age (Dordr). 2013;35(6):2493–501.

    Article  CAS  Google Scholar 

  30. Del Brutto O, Mera R, Sedler J, Mera RM, Sedler MJ, Zambrano M, et al. The effect of age in the association between frailty and poor sleep quality: A population-based study in community-dwellers (the Atahualpa project). J Am Med Dir Assoc. 2016;17:269–71.

    Article  Google Scholar 

  31. Wilson D, Jackson T, Sapey E, Lord JM. Frailty and sarcopenia: the potential role of an aged immune system. Ageing Res Rev. 2017;36:1–10.

    Article  Google Scholar 

  32. Kwon Y, Jang S, Park E, Cho A, Shim J, Linton JA. Long sleep duration is associated with sarcopenia in Korean adults based on data from the 2008–2011 KNHANES. J Clin Sleep Med. 2017;13:1097–104.

    Article  Google Scholar 

  33. Lo JC, Groeger JA, Cheng GH, Dijk DJ, Chee MW. Self-reported sleep duration and cognitive performance in older adults: a systematic review and meta-analysis. Sleep Med. 2016;17:87–988.

    Article  Google Scholar 

  34. Nakakubo S, Doi T, Makizako H, Tsutsumimoto K, Hotta R, Kurita S, et al. Sleep condition and cognitive decline in Japanese community-dwelling older people: data from a 4-year longitudinal study. J Sleep Res. 2018;28(4):e12803. https://doi.org/10.1111/jsr.12803.

    Article  PubMed  Google Scholar 

  35. Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S. Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr. 2015;13(6):648–59.

    Article  Google Scholar 

  36. Narisawa H, Komada Y, Miwa T, Shikuma J, Sakurai M, Odawara M, Inoue Y. Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes. Neuropsychiatr Dis Treat. 2017;13:1873–80.

    Article  Google Scholar 

  37. Bruno RM, Palagini L, Gemignani A, Virdis A, Di Giulio A, Ghiadoni L, Riemann D, Taddei S. Poor sleep quality and resistant hypertension. Sleep Med. 2013;14(11):1157–63.

    Article  Google Scholar 

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Authors and Affiliations

  1. Division of Geriatrics, Department of Internal Medicine, Erciyes School of Medicine, Erciyes University, Melikgazi, 38090, Kayseri, Turkey

    Sibel Akın & Firüzan Fırat Özer

  2. Department of Biostatistics, Erciyes School of Medicine, Erciyes University, Melikgazi, 38090, Kayseri, Turkey

    Gözde Ertürk Zararsız

  3. Department of Familiy Medicine, Erciyes School of Medicine, Erciyes University, Melikgazi, 38090, Kayseri, Turkey

    Elif Deniz Şafak & Mümtaz Mazıcıoğlu

  4. Department of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey

    Salime Mucuk

  5. Department of Nursing, Faculty of Health Sciences, Muğla, Turkey

    Sibel Arguvanlı

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  1. Sibel Akın
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  2. Firüzan Fırat Özer
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Correspondence to Sibel Akın.

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Akın, S., Özer, F.F., Zararsız, G.E. et al. The impact of sleep duration on frailty in community-dwelling Turkish older adults. Sleep Biol. Rhythms 18, 243–248 (2020). https://doi.org/10.1007/s41105-020-00264-y

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