ABSTRACT
La evidencia reciente muestra que los patrones de sueño nocturno pueden ser un factor que contribuye a la epidemia de obesidad, sin embargo no se ha explorado esta asociación en adultos mayores (AM). El objetivo del presente estudio es determinar la asociación entre cantidad de sueño nocturno y obesidad en AM autónomos chilenos. Se evaluaron 1.706 AM autónomos de ambos sexos, de la ciudad de Santiago de Chile, 59,9% mujeres. Se les aplicó a cada uno la encuesta de sueño de Pittsburg y una evaluación antropométrica. El 84,0% de los AM duerme menos que lo recomendado. Dormir menos horas de las recomendadas se asocia con obesidad, (OR=1,49 (IC95% 1,04- 2,13)). Sin embargo al ajustar por tabaco y medicamentos esta asociación pierde significancia ((OR=1,50 (IC95% 0,95-2,38)). Se observa una asociación entre menos horas de sueño nocturno y obesidad en AM autónomos(AU)
Nocturnal sleep patterns maybe a contributing factor for the epidemic of obesity. Epidemiologic and experimental studies have reported that sleep restriction is an independent risk factor for weight gain and obesity, but has not been explored this association in elderly. The objetive is to determine the association between the sleep durationand obesity in elderly Chilean autonomous.1,706 AM autonomous 59.9% women, of the city of Santiago, of Chile, was applied to each survey dream of Pittsburg and anthropometric evaluation.84.0% of the elderly population sleeps less than recommended. Sleeping less hours than recommended is associated with an increased risk of obesity. (OR=1,49 (IC95% 1.04 - 2.13)) However, without adjusting for tobacco and medicine consumption, this association loses its significance ((OR=1,50 (IC95% 0,95-2,38)). An association between less sleep hours and an increased risk of obesity in the autonomous elderly is observed(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged , Nutritional Status/physiology , Sleep Initiation and Maintenance Disorders , Obesity/etiology , Social Welfare , Motor ActivityABSTRACT
Objetivo. Determinar la prevalencia de somnolencia leve y excesiva y qué factores están asociados a la presencia de somnolencia diurna en adultos mayores. Métodos. Participaron 1.780 adultos mayores de 60 años, autónomos, de ambos sexos, de los cuales completaron toda la información 1.704 (70,9 ± 7,9 años; 62% mujeres). A cada uno de ellos se les realizó la encuesta de somnolencia de Epworth (ESE), el cuestionario de calidad de sueño de Pittsburg, además de solicitar información sobre consumo de tabaco, horario de cena, y una evaluación antropométrica. Una puntuación en ESE > 10 se consideró somnolencia y puntuaciones >15 somnolencia excesiva o severa. Resultados. Entre los menores de 80 años un 5,3% presentaron un ESE >15 y un 26,2% un ESE >10. En mayores de 80 años la prevalencia de somnolencia fue del 6,3% para ESE >15 y del 32,5% para ESE >10. En el modelo ajustado los factores asociados a incremento del riesgo de somnolencia (ESE > 10) fueron la edad mayor de 80 años (OR = 1,58; IC 95% = 1,14-2,19), y cenar después de las 21 horas (OR = 1,3; IC 95% = 1,01-1,68). Por el contrario, solo la edad mayor de 80 años se asociaba de manera independiente a somnolencia severa (OR = 1,81; IC 95% = 1,01-3,29). Conclusiones. Cenar después de las 21 horas y una edad por encima de los 80 años se asocian con mayor probabilidad de somnolencia diurna. En cambio solo la edad mayor de 80 años se asocia a somnolencia diurna severa (AU)
Aim. To determine the prevalence of mild and excessive somnolence and the associated factors with the presence of daytime sleepiness in the elderly. Methods. A total of 1780 independent individuals 60 years and olderof both sexes (70.9 ± 7.9 years old; females 62%), were included, of which 1704 of them completed all the information. All of them were assessed using an Epworth sleepiness scale (ESE), an Pittsburgh sleep quality index, plus information of cigarettes smoking, dinner time, and an anthropometric evaluation. An ESE score > 10 was considered drowsiness and scores > 15 excessive or severe drowsiness. Results. Among the population under 80 years, 5.3% showed ESE score > 15 and 26.2% an ESE score > 10. For over 80 years, the prevalence of sleepiness was 6.3% for an ESE score > 15 and 32.5% for an ESE score > 10. In the adjusted model, the factors associated with increased risk of sleepiness (ESE > 10) were age older than 80 years (OR = 1.58; 95% CI = 1.14 to 2.19) and dinner after 21 hours (OR = 1.3; 95% CI = 1.01 to 1.68). By contrast, only age older than 80 years was independently associated with severe sleepiness (OR = 1.81; 95% CI = 1.01 to 3.29). Conclusions. Meals after 21 hours and age above 80 years are associated with increased likelihood of daytime sleepiness. Instead, only older than 80 years is associated with severe daytime sleepiness (AU)
Subject(s)
Aged, 80 and over , Aged , Female , Humans , Male , Middle Aged , Sleep Stages/physiology , Sleep-Wake Transition Disorders/complications , Sleep-Wake Transition Disorders/epidemiology , Sleep-Wake Transition Disorders/prevention & control , Nutritional Status/physiology , Anthropometry/methods , Sleep-Wake Transition Disorders/physiopathology , Surveys and Questionnaires , Health Surveys/statistics & numerical data , Body Mass Index , Logistic Models , Cohort StudiesABSTRACT
AIM: To determine the prevalence of mild and excessive somnolence and the associated factors with the presence of daytime sleepiness in the elderly. METHODS: A total of 1780 independent individuals 60 years and older of both sexes (70.9±7.9 years old; females 62%), were included, of which 1704 of them completed all the information. All of them were assessed using an Epworth sleepiness scale (ESE), an Pittsburgh sleep quality index, plus information of cigarettes smoking, dinner time, and an anthropometric evaluation. An ESE score>10 was considered drowsiness and scores>15 excessive or severe drowsiness. RESULTS: Among the population under 80 years, 5.3% showed ESE score>15 and 26.2% an ESE score>10. For over 80 years, the prevalence of sleepiness was 6.3% for an ESE score>15 and 32.5% for an ESE score>10. In the adjusted model, the factors associated with increased risk of sleepiness (ESE>10) were age older than 80 years (OR=1.58; 95% CI=1.14 to 2.19) and dinner after 21 hours (OR=1.3; 95% CI=1.01 to 1.68). By contrast, only age older than 80 years was independently associated with severe sleepiness (OR=1.81; 95% CI=1.01 to 3.29). CONCLUSIONS: Meals after 21 hours and age above 80 years are associated with increased likelihood of daytime sleepiness. Instead, only older than 80 years is associated with severe daytime sleepiness.
