Sleep disturbances and falls in older people
Sleep disturbances and falls in older people
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DOI：
10.1093/gerona/62.1.62
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发表时间：
2007-01-01
影响因子：
5.1
通讯作者：
Le Couteur, David G.
中科院分区：
文献类型：
--
作者：
Hill, Elizabeth Latimer;Cumming, Robert G.;Le Couteur, David G.
背景。睡眠障碍在老年人中很常见，可能会增加跌倒的风险。方法。横断面研究是在旅馆中进行的，并通过互联网进行了调查。对宿舍参与者进行了跌倒和睡眠障碍的问卷调查，并进行了认知、活动能力、血压和视力的临床测量。结果。有 150 名宿舍参与者（平均年龄 81 +/- 8 岁）和 150 名互联网调查受访者（平均年龄 70 +/- 5 岁）。在宿舍和互联网研究中，大多数参与者都报告了睡眠障碍。在宿舍参与者中，跌倒与睡眠质量差（比值比 4.5，95% 置信区间，1.9-12.2；p = 0.002）和夜间觉醒次数相关（2.5 +/- 1.5 vs 2.0 +/- 1.4，p.04）。这些人跌倒的其他危险因素包括老年抑郁量表评分、疼痛、定时起床和行走测试评分以及利尿剂的使用。在互联网受访者中，跌倒的危险因素包括健康状况不佳以及使用眼镜、双光眼镜和助行器；那些没有任何睡眠障碍的参与者报告的跌倒次数较少。结论。睡眠障碍在老年人中很常见，并且与他们失败的风险有关。基于互联网的调查可能是老年人研究的有用辅助方法。
Background. Sleep disturbances are common in older people and may contribute to risk of falling.Methods. Cross-sectional studies were performed in hostels and with an Internet-based survey. Questionnaires on falls and sleep disturbances were undertaken with clinical measures of cognition, mobility, blood pressure, and vision in the participants in hostels.Results. There were 150 participants in hostels (mean age 81 +/- 8 years) and 150 respondents to the Internet survey (mean age 70 +/- 5 years). Sleep disturbances were reported by most participants in both the hostel and Internet studies. In hostel participants, falls were associated with poor sleep quality (odds ratio 4.5, 95% confidence interval, 1.9-12.2; p =.002) and number of nocturnal awakenings (2.5 +/- 1.5 vs 2.0 +/- 1.4, p.04). Other risk factors for falls in these persons included Geriatric Depression Scale score, pain, Timed Get Up and Go Test score, and the use of diuretics. In the Internet respondents, risk factors for falls included poor health rating and the use of spectacles, bifocals, and walking aids; fewer falls were reported by those participants without any sleep disturbances.Conclusions. Sleep disturbances are common in older people and are associated with their risk of failing. Internet-based surveys may be a useful adjunct method for research in older people.