OBJECTIVES: To determine the association between objectively measured sleep and subsequent placement in a nursing home or a personal care home. DESIGN: Prospective cohort. SETTING: Participants' homes and sites of the Study of Osteoporotic Fractures. PARTICIPANTS: One thousand six hundred sixty-four community-dwelling women with a mean age of 83 ± 4. MEASUREMENTS: At baseline, participants completed an average of 4 nights of wrist actigraphy; they provided data on place of residence at baseline and at follow-up, 5 years later. RESULTS: At baseline, participants had a mean total sleep time of 408 ± 72 minutes, mean wake after sleep onset of 71 ± 43 minutes, and mean sleep efficiency of 79 ± 11%. At follow-up, 71 (4%) were residing in a nursing home, and 127 (8%) were in a personal care home. Women with the most wake after sleep onset (by quartile) had more than twice the odds as those with the least of placement in a nursing home (adjusted odds ratio (AOR) = 2.94, 95% confidence interval (CI) = 1.34-6.44) or a personal care home (AOR = 2.33, 95% CI = 1.26-4.30). Similarly, women with the lowest sleep efficiency had more than three times the odds as those with the highest of nursing home placement (AOR = 3.25, 95% CI = 1.35, 7.82) and more than twice the odds of placement in a personal care home (AOR = 2.38, 95% CI = 1.33, 4.24). There was no association between sleep duration and placement. CONCLUSION: In very old community-dwelling women, greater wake after sleep onset and lower sleep efficiency are risk factors for placement in a nursing home or personal care home. Sleep duration alone does not appear to increase the risk of placement in these long-term care settings.
OBJECTIVES: To determine the association between objectively measured sleep and subsequent placement in a nursing home or a personal care home. DESIGN: Prospective cohort. SETTING:Participants' homes and sites of the Study of Osteoporotic Fractures. PARTICIPANTS: One thousand six hundred sixty-four community-dwelling women with a mean age of 83 ± 4. MEASUREMENTS: At baseline, participants completed an average of 4 nights of wrist actigraphy; they provided data on place of residence at baseline and at follow-up, 5 years later. RESULTS: At baseline, participants had a mean total sleep time of 408 ± 72 minutes, mean wake after sleep onset of 71 ± 43 minutes, and mean sleep efficiency of 79 ± 11%. At follow-up, 71 (4%) were residing in a nursing home, and 127 (8%) were in a personal care home. Women with the most wake after sleep onset (by quartile) had more than twice the odds as those with the least of placement in a nursing home (adjusted odds ratio (AOR) = 2.94, 95% confidence interval (CI) = 1.34-6.44) or a personal care home (AOR = 2.33, 95% CI = 1.26-4.30). Similarly, women with the lowest sleep efficiency had more than three times the odds as those with the highest of nursing home placement (AOR = 3.25, 95% CI = 1.35, 7.82) and more than twice the odds of placement in a personal care home (AOR = 2.38, 95% CI = 1.33, 4.24). There was no association between sleep duration and placement. CONCLUSION: In very old community-dwelling women, greater wake after sleep onset and lower sleep efficiency are risk factors for placement in a nursing home or personal care home. Sleep duration alone does not appear to increase the risk of placement in these long-term care settings.
Authors: Sari Stenholm; Erkki Kronholm; Päivi Sainio; Katja Borodulin; Pertti Era; Mikael Fogelholm; Timo Partonen; Tarja Porkka-Heiskanen; Seppo Koskinen Journal: J Gerontol A Biol Sci Med Sci Date: 2010-02-16 Impact factor: 6.053
Authors: Constance H Fung; Camille P Vaughan; Alayne D Markland; Alison J Huang; Michael N Mitchell; Donald L Bliwise; Sonia Ancoli-Israel; Susan Redline; Cathy A Alessi; Katie Stone Journal: J Am Geriatr Soc Date: 2017-09-15 Impact factor: 5.562
Authors: Lyndsey M Miller; Nathan F Dieckmann; Nora C Mattek; Karen S Lyons; Jeffrey A Kaye Journal: Res Gerontol Nurs Date: 2014-01-21 Impact factor: 1.571
Authors: Jaime M Hughes; Yeonsu Song; Constance H Fung; Joseph M Dzierzewski; Michael N Mitchell; Stella Jouldjian; Karen R Josephson; Cathy A Alessi; Jennifer L Martin Journal: Clin Gerontol Date: 2017-12-28 Impact factor: 2.619
Authors: Christopher N Kaufmann; Sarah L Canham; Ramin Mojtabai; Amber M Gum; Natalie D Dautovich; Robert Kohn; Adam P Spira Journal: J Gerontol A Biol Sci Med Sci Date: 2013-05-09 Impact factor: 6.053