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2024, Number 3

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Aten Fam 2024; 31 (3)

Sleep Quality and Frailty Association in the Elderly

Vicente-Guerra EA, Hernández-Ramírez C, Mirón-Velázquez JA, Velázquez-Yáñez LG, Pérez-Orozco LH
Full text How to cite this article

Language: Spanish
References: 40
Page: 147-152
PDF size: 214.79 Kb.


Key words:

Frailty Syndrome, Aged, Sleep Quality, Sleep Disorders, Aging.

ABSTRACT

Objective: To analyze the association between sleep quality and frailty syndrome in the elderly who are attending a general hospital. Methods: Crosssectional analytical study conducted at the General Hospital of the Zone No. 27 of the Mexican Institute of Social Security from November 2022 to April 2023, in Mexico City, Mexico; 170 adults ≥ 60 years of age attending geriatric consultation participated, non-probability sampling was used. The Pittsburgh Sleep Quality and frail for frailty questionnaires were used; to exclude other factors that could influence the development of frailty, the Geriatric Depression Scale, and the Mini Nutritional Assessment were used. Descriptive statistics, χ2 test to evaluate significant differences between groups, prevalence ratio (PR) to evaluate the likelihood of frailty with poor sleep quality, and binary linear regression to explore the influence of other variables on frailty were performed. Results: The mean age was 79.6 ± 8 years, women represented 71.2% (n= 121) of the sample. It was reported that 48.2% (n= 82) of the patients showed frailty, and 68.8% (n= 117) poor sleep quality, regarding the evaluation of confounding variables, 55.8% (n= 95) showed depression, and 3.5% (n= 6) malnutrition. An association was found between sleep quality and frailty (p ‹ 0.001), the pr for frailty was 14.52 (CI 5.72-36.83). The linear regression model for sleep quality was 10.33 (95% CI: 3.92-27.25), and for depression 2.34 (95% CI: 1.10-4.94). Conclusion: an association was found between poor sleep quality and frailty, with a 14.52-fold increase in the probability of presenting frailty in those with poor sleep quality.


REFERENCES

  1. Neubauer DN. Sleep problems in the elderly. AmFam Physician. 1999;59(9):2551-2558.

  2. Mander BA, Winer JR, Walker MP. Sleep and humanaging. Neuron. 2017;94(1):19-36.

  3. Nelson KL, Davis JE, Corbett CF. Sleep quality:an evolutionary concept analysis. Nurs Forum.2022;57(1):144-151.

  4. Miró E, Cano-Lozano MC, Buela-Casal G.Sueño y calidad de vida. Rev Colomb Psicol.2005;(14):11-27.

  5. Moreno-Tamayo K, Ramírez-García E, Sánchez-García S. Trastornos del sueño en personas mayores.¿Cómo duermen las personas mayores de laCiudad de México? Rev Med Inst Mex Seguro Soc.2021;59(6):551-9.

  6. Oliveira FMRL, Barbosa KTF, Rodrigues MMP,Fernandes MGM. Frailty syndrome in the elderly:conceptual analysis according to Walker and Avant.Rev Bras Enferm. 2020;73(3):1-8.

  7. Ferrucci L, Walston JD. Frailty. En: Halter JB,Ouslander JG, Studenski S, High KP, Asthana S,Supiano MA, et al., editores. Hazzard’s GeriatricMedicine and Gerontology [Internet]. 8.a ed. NewYork, NY: McGraw-Hill Education; 2022

  8. Rodríguez-García R. Reserva homeostática. En:García RM del CR, Botello GAL, editores. Prácticade la Geriatría, 3e [Internet]. New York, NY: Mc-Graw-Hill Education; 2015 [citado 9 de noviembrede 2023].

  9. Alvarado BE, Zunzunegui MV, Béland F, BamvitaJM. Life course social and health conditions linkedto frailty in Latin American older men and women.J Gerontol A Biol Sci Med Sci. 2008;63(12):1399-1406.

  10. Guía de Práctica Clínica. Prevención, diagnósticoy tratamiento del síndrome de fragilidad en elanciano México: Instituto Mexicano del SeguroSocial, 2011.

  11. Fried LP, Tangen CM, Walston J, Newman AB,Hirsch C, Gottdiener J, et al. Frailty in older adults:evidence for a phenotype. J Gerontol A Biol SciMed Sci. 2001;56(3):146-157.

  12. Sun XH, Ma T, Yao S, Chen ZK, Xu WD, Jiang XY,et al. Associations of sleep quality and sleep durationwith frailty and pre-frailty in an elderly populationRugao longevity and ageing study. BMC Geriatr.diciembre de 2020;20(1):1-9.

  13. Balomenos V, Ntanasi E, Anastasiou CA, CharisisS, Velonakis G, Karavasilis E, et al. Association betweensleep disturbances and frailty: evidence froma population-based study. J Am Med Dir Assoc.2021;22(3):551-558.

  14. Moreno‐Tamayo K, Manrique‐Espinoza B, Rosas‐Carrasco O, Pérez‐Moreno A, Salinas‐Rodríguez A.Sleep complaints are associated with frailty in Mexicanolder adults in a rural setting. Geriatr GerontolInt. 2017;17(12):2573-2578.

  15. Alqahtani BA. Association between physical frailtyand sleep quality among saudi older adults: a community-based, cross-sectional study. Int J EnvironRes Public Health. 2021;18(23):1-8.

  16. Piovezan RD, Abucham J, Dos Santos RVT, MelloMT, Tufik S, Poyares D. The impact of sleep onage-related sarcopenia: Possible connections andclinical implications. Ageing Res Rev. 2015;23(PtB):210-220.

  17. Martínez De La Iglesia J, Onís VMC, DueñasHR, Albert CC, Aguado TC, Luque LR. Versiónespañola del cuestionario de Yesavage abreviado(GDS) para el despistaje de depresión en mayoresde 65 años: adaptación y validación. Medifam.2002;12(10):620-630.

  18. Abrishami A, Khajehdehi A, Chung F. A systematicreview of screening questionnaires for obstructivesleep apnea. Can J Anaesth. 2010;57(5):423-438.

  19. Katz S, Branch LG, Branson MH, Papsidero JA,Beck JC, Greer DS. Active Life Expectancy. N EnglJ Med. 1983;309(20):1218-1224.

  20. Rosas-Carrasco O, Cruz-Arenas E, Parra-RodríguezL, García-González AI, Contreras-González LH,Szlejf C. Cross-cultural adaptation and validation ofthe FRAIL scale to assess frailty in mexican adults. JAm Med Dir Assoc. 2016;17(12):1094-1098.

  21. Montejano LAR, Ferrer DRM, Clemente MG,Martínez-Alzamora N, Sanjuan QA, Ferrer FE.Factores asociados al riesgo nutricional en adultosmayores autónomos no institucionalizados. Nutr.Hosp. 2014;30(4):858-869.

  22. Buysse DJ, Reynolds CF, Monk TH, Berman SR,Kupfer DJ. The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research.Psychiatry Res. 1989;28(2):193-213.

  23. Royuela RA, Macías-Fernández JA. Propiedades clinimétricasde la versión castellana del cuestionariode Pittsburgh. Vigilia-Sueño. 1997;9(2):81-94.

  24. Baker FM, Espino DV. A spanish version of the geriatricdepression scale in mexican-american elders.Int J Geriatr Psychiatry. 1997;12(1):21-25.

  25. INEGI. Cuéntame de México. Población [Internet].[Citado 21 de febrero de 2024]. Disponibleen: https://cuentame.inegi.org.mx/poblacion/habitantes.aspx?tema=P

  26. INEGI. Población. Esperanza de vida [Internet].[Citado 17 de octubre de 2023]. Disponible en:https://cuentame.inegi.org.mx/poblacion/esperanza.aspx

  27. Ng TP, Feng L, Nyunt MSZ, Larbi A, Yap KB.Frailty in older persons: multisystem risk factors andthe Frailty Risk Index (FRI). J Am Med Dir Assoc.2014;15(9):635-642.

  28. Acosta-Benito MA, Martín-Lesende I. Fragilidad enatención primaria: diagnóstico y manejo multidisciplinar.Aten Primaria. 2022;54(9):102395.

  29. Kojima G, Taniguchi Y, Kitamura A, FujiwaraY. Is living alone a risk factor of frailty? A systematicreview and meta-analysis. Ageing Res Rev.2020;59:101048.

  30. Guerrero-Zúñiga S, Gaona-Pineda EB, Cuevas-Nasu L, Torre-Bouscoulet L, Reyes-Zúñiga M, Shamah-Levy T, et al. Prevalencia de síntomas de sueñoy riesgo de apnea obstructiva del sueño en México.Salud Pública Mex. 2018;60(3):347-355.

  31. Collado OMA, Sánchez EO, Almanza IJA, TiradoEA, Arana LY. Epidemiología de los trastornos delsueño en población mexicana: seis años de experienciaen un centro de tercer nivel. An Med (Mex).2016;61(2):87-92.

  32. Arrona-Palacios A, Gradisar M. Self-reportedsleep duration, sleep quality and sleep problems inMexicans adults: Results of the 2016 Mexican NationalHalfway Health and Nutrition Survey. SleepHealth. 2021;7(2):246-253.

  33. Li Y, Buys N, Li L, Sun J. Sleep quality and Its determinantsamong Type 2 Diabetes patients with comorbidmetabolic syndrome. Diabetes Metab SyndrObes. 2022;15:3469-3482.

  34. Jiang H, Ye L, Zhang S, Jin M, Wang J, Tang M, etal. The association between nutritional status andsleep quality of Chinese community-dwelling olderadults. Aging Clin Exp Res. 2023;35(9):1945-1954.

  35. Tuna F, Üstündağ A, Başak Can H, Tuna H. Rapidgeriatric assessment, physical activity, and sleepquality in adults aged more than 65 years: a preliminarystudy. J Nutr Health Aging. 2019;23(7):617-22.

  36. Liu X, Wang C, Qiao X, Si H, Jin Y. Sleepquality, depression and frailty among Chinesecommunity-dwelling older adults. Geriatr Nur.2021;42(3):714-720.

  37. Frohnhofen H, Popp R, Stieglitz S, Netzer N,Danker-Hopfe H. Assessment of sleep and sleepdisorders in geriatric patients. Z Gerontol Geriatr.2020;53(2):100-104.

  38. Nemoto Y, Sato S, Kitabatake Y, Nakamura M,Takeda N, Maruo K, et al. Bidirectional relationshipbetween insomnia and frailty in older adults:A 2-year longitudinal study. Arch Gerontol Geriatr.2021;97:104519.

  39. Mc Carthy CE. Sleep disturbance, Sleep disordersand co-morbidities in the care of the older person.Med Sci. 2021;9(2):31.

  40. Mutz J, Choudhury U, Zhao J, Dregan A. Frailtyin individuals with depression, bipolar disorder andanxiety disorders: longitudinal analyses of all-causemortality. BMC Med. 2022;20(1):274.




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Aten Fam. 2024;31