Abstract
Background: It was aimed to investigate the relationship between sleep duration and chronic diseases and geriatric syndromes in geriatric patients.
Materials and Methods: Our cross-sectional study included 174 patients admitted to the geriatric outpatient clinic for the first time between January 2024 and June 2024. Patients under 65 years of age, with active infection, terminal illness, diagnosis of malignancy, and history of trauma and infection in the last month were excluded from the study. In our study, in accordance with the recommendations of the ‘National Sleep Foundation’ and the ‘American Academy of Sleep Medi-cine (AASM)’, we considered sleep duration over 8 hours/day as long sleep in geriatric patients.
Results: In our study, 107 geriatric patients with no long sleep duration (≤8 hours) and 67 geriatric patients with long sleep duration (˃8 hours) were included. There was no significant difference between the two groups in terms of age and gender (p=0.174, p=0.739). There was no significant difference between the two groups in terms of chronic diseases, number of chronic diseases and number of medications. Sarcopenia (%49 vs %33, p=0.046) and malnutrition (%35 vs %21, p=0.041) were found to be significantly higher in patients with longer sleep duration. There was no statistically significant difference between the two groups in terms of frailty, depression, cogni-tive status, basic and instrumental activities of daily living (p=0.208, p=0.062, p=0.097, p=0.110, p=0.117).
Conclusions: Sarcopenia and malnutrition were observed at a higher rate in patients with long sleep duration. Based on this, sarcopenia and malnutrition screening should be emphasised in geriatric patients with long sleep duration.
Keywords
Ethical Statement
Ethical approval was obtained from the local ethics committee (Date 22.12.2023-Number 352).
References
- 1. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCar-los L, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233-43.
- 2. Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med. 15;11(6):591-92.
- 3. Grandner MA., Martin JL, Patel NP, Jackson NJ, Gehrman PR, Pien G, et al. Age and sleep disturbances among older adults. American Journal of Epidemiology, 173(3), 217-23.
- 4. Ates Bulut E, Soysal P, Isik AT. Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017. Clin Interv Aging. 2018;13:1899-905.
- 5. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric synd-romes: clinical, research, and policy implications of a core geri-atric concept. J Am Geriatr Soc. 2007;55:780-91.
- 6. Chen CY, Tseng CH. Association between sleep duration and sarcopenia among elderly adults in Taiwan: a population-based study. J Am Med Dir Assoc. 2018;19(8):696-700.
- 7. Patel SR, Malhotra A, White DP, Gottlieb DJ, Hu FB. Association between reduced sleep and weight gain in women. Am J Epi-demiol. 2006;164(10):947-54.
- 8. Foley DJ, Monjan A, Brown SL, Simonsick EM, Wallace R, Blazer DG. Sleep complaints among elderly persons: An epidemiologic study of three communities. Sleep, 18(6), 425-32.
- 9. Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61(1):56-60.
- 10. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Ceder-holm T, et al. Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWG-SOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31.
- 11. Hıymabaccus BAB, Doğrul RT, Balcı C, Kaya F, Karan MA. An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J. 2023;36(2):149-156.
- 12. Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr. 2015;61(3):344-50.
- 13. Guzel A, Ucan Yamac S, Turan S, Uner S. "Turkish validity and reliability of the Lawton instrumental activities of daily living scale." Turkish Journal of Public Health. 2024;22(1), 59-71.
- 14. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.
- 15. https://www.ibm.com/support/pages/how-cite-ibm-spss-statistics-or-earlier-versions-spss [cited 12 Nov 2024]
- 16. Li X, He J, Sun Q. Sleep Duration and Sarcopenia: An Updated Systematic Review and Meta-Analysis. J Am Med Dir Assoc. 2023;24(8):1193-1206.e5
- 17. Smith L, Shin JI, Veronese N, Soysal P, López Sánchez GF, Pizzol D, et al. Sleep duration and sarcopenia in adults aged ≥ 65 years from low and middle-income countries. Aging Clin Exp Res. 2022;34(7):1573-81.
- 18. Kwon YJ, Jang SY, Park EC, Cho AR, Shim JY, 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(9):1097-1104.
- 19. Zhao WY, Zhang Y, Jia SL, Ge ML, Hou LS, Xia X, et al. The associ-ation of sleep quality and sleep duration with nutritional status in older adults: Findings from the WCHAT study. Maturitas. 2021;3;145:1-5.
- 20. Kaluźniak-Szymanowska A, Krzymińska-Siemaszko R, Deskur-Śmielecka E, Lewandowicz M, Kaczmarek B, Wieczorowska-Tobis K. Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syn-drome in Older Adults with COPD. Nutrients. 2021;23;14(1):44.
- 21. Irwin MR, Olmstead R, Carroll JE. Sleep Disturbance, Sleep Duration, and Inflammation: A Systematic Review and Meta-Analysis of Cohort Studies and Experimental Sleep Deprivation. Biol Psychiatry. 2016;80(1):40-52.
- 22. Ding L, Zhang L, Cui Y, Gong Q, Ma J, Wang Y, et al. The associa-tion of sleep duration and quality with depressive symptoms in older Chinese women. PLoS One. 2022;5;17(3):e0262331.
- 23. Matsui K, Kuriyama K, Yoshiike T, Nagao K, Ayabe N, Komada Y, et al. The effect of short or long sleep duration on quality of life and depression: an internet-based survey in Japan. Sleep Med. 2020;12;76:80-85.
Abstract
Amaç: Geriatrik hastalarda uyku süresinin kronik hastalıklar ve geriatrik sendromlar ile ilişkisini araştırmak hedeflenmiştir.
Materyal ve Metod: Çalışmamız kesitsel olarak Ocak 2024-Haziran 2024 tarihleri arasında geriatri polikliniğe ilk kez kabul edilen 174 hastayı içermekteydi. 65 yaş altı, aktif enfeksiyonu, terminal dönem hastalığı, malignite tanısı, son bir ay içinde travma ve enfeksiyon öyküsü olan hastalar çalışma dışında bırakıldı. Çalışmamızda ‘National Sleep Foundation’ ve ‘American Academy of Sleep Medicine (AASM)’ önerileri doğrultusunda geriatrik hastalarda 8 saat/gün üzerindeki uyku süreleri-ni uzun uyku olarak aldık.
Bulgular: Çalışmamıza uyku süresi uzun olmayan (≤8 saat) 107 ve uyku süresi uzun olan (˃8 saat) 67 geriatrik hasta alındı. İki grup arasında yaş ve cinsiyet açısından anlamlı farklılık yoktu (p=0.174, p=0.739). İki grup arasında kronik hastalıklar, kronik hastalık sayısı ve ilaç sayısı açısından anlamlı farklılık yoktu. Uyku süresi uzun olanlarda sarkopeni (%49’a karşı %33, p=0.046) ve malnütrisyon (%35’e karşı %21, p=0.041) istatistiksel olarak anlamlı daha yüksek saptandı. İki grup arasında kırılganlık, depresyon, bilişsel durum, temel ve enstrümental günlük yaşam aktiviteleri açısından istatistiksel anlamlı farklılık yoktu (p=0.208, p=0.062, p=0.097, p=0.110, p=0.117).
Sonuç: Uyku süresi uzun olanlarda sarkopeni ve malnütrisyon daha yüksek oranda görülmüştür. Bundan yola çıkarak uyku süresi uzun olan geriatrik hastalarda sarkopeni ve malnütrisyon taraması-na önem verilmelidir
Keywords
Ethical Statement
Yerel etik kurulundan etik onayı alındı (Tarih 22.12.2023-Sayı 352).
References
- 1. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCar-los L, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233-43.
- 2. Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med. 15;11(6):591-92.
- 3. Grandner MA., Martin JL, Patel NP, Jackson NJ, Gehrman PR, Pien G, et al. Age and sleep disturbances among older adults. American Journal of Epidemiology, 173(3), 217-23.
- 4. Ates Bulut E, Soysal P, Isik AT. Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017. Clin Interv Aging. 2018;13:1899-905.
- 5. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric synd-romes: clinical, research, and policy implications of a core geri-atric concept. J Am Geriatr Soc. 2007;55:780-91.
- 6. Chen CY, Tseng CH. Association between sleep duration and sarcopenia among elderly adults in Taiwan: a population-based study. J Am Med Dir Assoc. 2018;19(8):696-700.
- 7. Patel SR, Malhotra A, White DP, Gottlieb DJ, Hu FB. Association between reduced sleep and weight gain in women. Am J Epi-demiol. 2006;164(10):947-54.
- 8. Foley DJ, Monjan A, Brown SL, Simonsick EM, Wallace R, Blazer DG. Sleep complaints among elderly persons: An epidemiologic study of three communities. Sleep, 18(6), 425-32.
- 9. Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61(1):56-60.
- 10. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Ceder-holm T, et al. Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWG-SOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31.
- 11. Hıymabaccus BAB, Doğrul RT, Balcı C, Kaya F, Karan MA. An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J. 2023;36(2):149-156.
- 12. Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr. 2015;61(3):344-50.
- 13. Guzel A, Ucan Yamac S, Turan S, Uner S. "Turkish validity and reliability of the Lawton instrumental activities of daily living scale." Turkish Journal of Public Health. 2024;22(1), 59-71.
- 14. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.
- 15. https://www.ibm.com/support/pages/how-cite-ibm-spss-statistics-or-earlier-versions-spss [cited 12 Nov 2024]
- 16. Li X, He J, Sun Q. Sleep Duration and Sarcopenia: An Updated Systematic Review and Meta-Analysis. J Am Med Dir Assoc. 2023;24(8):1193-1206.e5
- 17. Smith L, Shin JI, Veronese N, Soysal P, López Sánchez GF, Pizzol D, et al. Sleep duration and sarcopenia in adults aged ≥ 65 years from low and middle-income countries. Aging Clin Exp Res. 2022;34(7):1573-81.
- 18. Kwon YJ, Jang SY, Park EC, Cho AR, Shim JY, 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(9):1097-1104.
- 19. Zhao WY, Zhang Y, Jia SL, Ge ML, Hou LS, Xia X, et al. The associ-ation of sleep quality and sleep duration with nutritional status in older adults: Findings from the WCHAT study. Maturitas. 2021;3;145:1-5.
- 20. Kaluźniak-Szymanowska A, Krzymińska-Siemaszko R, Deskur-Śmielecka E, Lewandowicz M, Kaczmarek B, Wieczorowska-Tobis K. Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syn-drome in Older Adults with COPD. Nutrients. 2021;23;14(1):44.
- 21. Irwin MR, Olmstead R, Carroll JE. Sleep Disturbance, Sleep Duration, and Inflammation: A Systematic Review and Meta-Analysis of Cohort Studies and Experimental Sleep Deprivation. Biol Psychiatry. 2016;80(1):40-52.
- 22. Ding L, Zhang L, Cui Y, Gong Q, Ma J, Wang Y, et al. The associa-tion of sleep duration and quality with depressive symptoms in older Chinese women. PLoS One. 2022;5;17(3):e0262331.
- 23. Matsui K, Kuriyama K, Yoshiike T, Nagao K, Ayabe N, Komada Y, et al. The effect of short or long sleep duration on quality of life and depression: an internet-based survey in Japan. Sleep Med. 2020;12;76:80-85.
Details
| Primary Language | English |
|---|---|
| Subjects | Geriatrics and Gerontology |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | June 5, 2025 |
| Publication Date | |
| Submission Date | January 22, 2025 |
| Acceptance Date | May 9, 2025 |
| Published in Issue | Year 2025 Volume: 22 Issue: 2 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty