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Randomized Controlled Trial
. 2015 Aug;63(8):1622-7.
doi: 10.1111/jgs.13527. Epub 2015 Jul 22.

Association Between Sleep and Physical Function in Older Veterans in an Adult Day Healthcare Program

Yeonsu Song  1 , Joseph M Dzierzewski  1   2 , Constance H Fung  1   2 , Juan C Rodriguez  1   2   3 , Stella Jouldjian  1 , Michael N Mitchell  1 , Karen R Josephson  1 , Cathy A Alessi  1   2 , Jennifer L Martin  1   2
Affiliations
Randomized Controlled Trial

Association Between Sleep and Physical Function in Older Veterans in an Adult Day Healthcare Program

Yeonsu Song et al. J Am Geriatr Soc. 2015 Aug.

Abstract

Objectives: To examine whether sleep disturbance is associated with poor physical function in older veterans in an adult day healthcare (ADHC) program.

Design: Cross-sectional.

Setting: One ADHC program in a Veterans Affairs Ambulatory Care Center.

Participants: Older veterans (N = 50) enrolled in a randomized controlled trial of a sleep intervention program who had complete baseline data.

Measurements: Information on participant characteristics (e.g., age, depression, relationship to caregiver, pain, comorbidity) was collected using appropriate questionnaires. Physical function was measured using activity of daily living (ADL) and instrumental ADL (IADL) total scores from the Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire. Sleep was assessed subjectively (Pittsburgh Sleep Quality Index, Insomnia Severity Index) and objectively (wrist actigraphy).

Results: Participants required substantial assistance with ADLs and IADLs. A regression model showed that participant characteristics (marital status, use of sleep medication, comorbidity, posttraumatic stress disorder) and living arrangement (living with a spouse or others) were significantly associated with poor physical function. Poorer objective sleep (total sleep time, total numbers of awakenings, total wake time) was significantly associated with poor physical function, accounting for a significant proportion of the variance other than participant characteristics.

Conclusion: Objective measures of nighttime sleep disturbance were associated with poor physical function in older veterans in an ADHC program. Further research is needed to determine whether interventions to improve sleep will delay functional decline in this vulnerable population.

Keywords: adult day health care; elderly adults; physical function; sleep; veterans.

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References

    1. The MetLife Mature Market Institute. The MetLife National Study of Adult Day Services: providing support to individualz and their family caregivers. New York, NY: MetLife Mature Market Institute; 2010.
    1. Schmitt EM, Sands LP, Weiss S, Dowling G, Covinsky K. Adult day health center participation and health-related quality of life. The Gerontologist. 2010;50:531–540. - PMC - PubMed
    1. Department of Veterans Affairs. VHA Handbook: Adult day health care. Washington, DC: Department of Veterans Affairs, Veterans Health Administration; 2009.
    1. Rothman ML, Hedrick SC, Bulcroft KA, Erdly WW, Nickinovich DG. Effects of VA adult day health care on health outcomes and satisfaction with care. Medical care. 1993;31:SS38–49. - PubMed
    1. Droes RM, Breebaart E, Meiland FJ, Van Tilburg W, Mellenbergh GJ. Effect of Meeting Centres Support Program on feelings of competence of family carers and delay of institutionalization of people with dementia. Aging & mental health. 2004;8:201–211. - PubMed

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