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Frailty is associated with poor sleep quality in the oldest old.

PMID: 32950043 (view PubMed database entry)
DOI: 10.3906/sag-2001-168 (read at publisher's website )

ÇaĞatay ÇavuŞoĞlu, Olgun Denİz, Rana Tuna DoĞrul, SÜheyla ÇÖtelİ, Alİ ÖncÜl, Muhammet Cemal KizilarslanoĞlu, Berna GÖker,

BACKGROUND/AIM:Sleep disorders and frailty increase with advancing age, along with physical disabilities, cognitive dysfunction, mood disorders, and social vulnerability. Thus, the study objective was to evaluate the relationship between frailty and sleep quality in the oldest old patients. MATERIALS AND METHODS:One hundred patients aged ? 80 years were included and assessed using comprehensive geriatric assessment (CGA) including basic activities of daily living (ADL), instrumental ADL, handgrip strength, geriatric depression scale-15, mini-mental state examination, and mini-nutritional assessment?short form. The patients? sleep quality and frailty status were evaluated using the Pittsburgh sleep quality index (PSQI) and Fried frailty index, respectively. RESULTS:The median age of the participants was 84 years (80?92); 55% of them were women, and 41% of them were frail. There was no statistically significant difference between frail and non-frail groups in terms of age, gender, and co-morbidities (p-value > 0.050). Frail patients scored poorly according to the CGA tests when compared to the non-frail ones (p-value <0.050). The median score for the PSQI was significantly higher in the frail group 12 points (3?19) versus 6 points (1?19) in non-frail patients (p-value < 0.001). The PSQI score (odds ratio [OR] of 1.308, 95% confidence interval [CI]: 1.092?1.566, p-value = 0.004), female gender (OR of 5.489, 95% CI: 1.063?28.337; p-value = 0.042), and basic ADL score (OR of 0.383; 95% CI: 0.207?0.706; p-value = 0.002) were found to be independently associated with frailty using multivariate analysis. CONCLUSION:Sleep quality was significantly decreased in the oldest old frail patients compared to non-frail ones, and poor sleep quality was independently associated with frailty. Evaluating the sleep patterns of the oldest old patients with CGA in daily geriatric practice might help to improve the quality of life of frail patients.

Turk J Med Sci (Turkish journal of medical sciences)
[2020, :]

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