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Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults

STUDY OBJECTIVES: Poor sleep quality, a frequent problem in older adults, has been shown to be associated with reduced physical function and wellbeing. However, little is known about the relationship between sleep quality and the recovery of physical function following hospitalization. Thus, we cond...

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Autores principales: Arentson-Lantz, Emily J., Deer, Rachel R., Kokonda, Manasa, Wen, Chelsey L., Pecha, Thomas A., Carreon, Samantha A., Ngyen, Trung M., Volpi, Elena, Nowakowski, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217784/
https://www.ncbi.nlm.nih.gov/pubmed/37251511
http://dx.doi.org/10.3389/frsle.2022.1011930
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author Arentson-Lantz, Emily J.
Deer, Rachel R.
Kokonda, Manasa
Wen, Chelsey L.
Pecha, Thomas A.
Carreon, Samantha A.
Ngyen, Trung M.
Volpi, Elena
Nowakowski, Sara
author_facet Arentson-Lantz, Emily J.
Deer, Rachel R.
Kokonda, Manasa
Wen, Chelsey L.
Pecha, Thomas A.
Carreon, Samantha A.
Ngyen, Trung M.
Volpi, Elena
Nowakowski, Sara
author_sort Arentson-Lantz, Emily J.
collection PubMed
description STUDY OBJECTIVES: Poor sleep quality, a frequent problem in older adults, has been shown to be associated with reduced physical function and wellbeing. However, little is known about the relationship between sleep quality and the recovery of physical function following hospitalization. Thus, we conducted this study to examine the association between sleep quality and functional recovery after an acute hospitalization in community dwelling older adults. METHODS: Older adult patients (N = 23, mean age = 74 ± 9 years) were recruited during an acute hospitalization (average length of stay 3.9 days) with a cardiovascular (56%), pulmonary (22%), or metabolic (13%) admission diagnosis. Objective physical function was measured using the Short Physical Performance Battery (SPPB) and self-reported function was assessed with Katz Index of Independence in Activities of Daily Living (ADL) and Lawton Instrumental Activities of Daily Living Scale (IADL). Sleep quality was measured using Pittsburgh Sleep Quality Index (PSQI) global score and Iowa Fatigue Score (IFS). Testing was performed prior to discharge (baseline) and 4-weeks post-discharge (follow-up). RESULTS: Regression models showed PSQI Subjective Sleep Quality change scores from baseline to 4-week follow-up predicted a change in ADL (β = −0.22); PSQI Use of Sleep Medications change scores predicted a change in SPPB Total (β = 1.62) and SPPB Chair Stand (β = 0.63); IFS change scores predicted SPPB Total (β = −0.16) and SPPB Chair Stand performance (β = −0.07) change scores. CONCLUSIONS: For older adults, changes in sleep medication use, daytime dysfunction, and fatigue were associated with improvements in functional recovery (including physical performance and independence) from acute hospitalization to 4-week follow-up. These results suggest that interventions focused on improving sleep quality, daytime consequences, and fatigue might help enhance physical functioning following hospitalization. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02203656.
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spelling pubmed-102177842023-05-26 Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults Arentson-Lantz, Emily J. Deer, Rachel R. Kokonda, Manasa Wen, Chelsey L. Pecha, Thomas A. Carreon, Samantha A. Ngyen, Trung M. Volpi, Elena Nowakowski, Sara Front Sleep Article STUDY OBJECTIVES: Poor sleep quality, a frequent problem in older adults, has been shown to be associated with reduced physical function and wellbeing. However, little is known about the relationship between sleep quality and the recovery of physical function following hospitalization. Thus, we conducted this study to examine the association between sleep quality and functional recovery after an acute hospitalization in community dwelling older adults. METHODS: Older adult patients (N = 23, mean age = 74 ± 9 years) were recruited during an acute hospitalization (average length of stay 3.9 days) with a cardiovascular (56%), pulmonary (22%), or metabolic (13%) admission diagnosis. Objective physical function was measured using the Short Physical Performance Battery (SPPB) and self-reported function was assessed with Katz Index of Independence in Activities of Daily Living (ADL) and Lawton Instrumental Activities of Daily Living Scale (IADL). Sleep quality was measured using Pittsburgh Sleep Quality Index (PSQI) global score and Iowa Fatigue Score (IFS). Testing was performed prior to discharge (baseline) and 4-weeks post-discharge (follow-up). RESULTS: Regression models showed PSQI Subjective Sleep Quality change scores from baseline to 4-week follow-up predicted a change in ADL (β = −0.22); PSQI Use of Sleep Medications change scores predicted a change in SPPB Total (β = 1.62) and SPPB Chair Stand (β = 0.63); IFS change scores predicted SPPB Total (β = −0.16) and SPPB Chair Stand performance (β = −0.07) change scores. CONCLUSIONS: For older adults, changes in sleep medication use, daytime dysfunction, and fatigue were associated with improvements in functional recovery (including physical performance and independence) from acute hospitalization to 4-week follow-up. These results suggest that interventions focused on improving sleep quality, daytime consequences, and fatigue might help enhance physical functioning following hospitalization. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02203656. 2022 2022-10-14 /pmc/articles/PMC10217784/ /pubmed/37251511 http://dx.doi.org/10.3389/frsle.2022.1011930 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Article
Arentson-Lantz, Emily J.
Deer, Rachel R.
Kokonda, Manasa
Wen, Chelsey L.
Pecha, Thomas A.
Carreon, Samantha A.
Ngyen, Trung M.
Volpi, Elena
Nowakowski, Sara
Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
title Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
title_full Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
title_fullStr Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
title_full_unstemmed Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
title_short Improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
title_sort improvements in sleep quality and fatigue are associated with improvements in functional recovery following hospitalization in older adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217784/
https://www.ncbi.nlm.nih.gov/pubmed/37251511
http://dx.doi.org/10.3389/frsle.2022.1011930
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