Sleep disturbances and chronic disease in older adults
Abstract
Objective To assess the association between sleep problems and chronic disease in older adults.Methods Self-reported standardized questionnaire data from 1506 community-dwelling men and women aged 55-84 years in the continental United States who completed a 20-min telephone interview when contacted from lists of randomly selected telephone numbers.Results A majority of the participants (83%) reported one or more of 11 medical conditions and nearly one in four elderly respondents (age 65-84 years) had major comorbidity (i.e. four or more conditions). Depression, heart disease, bodily pain and memory problems were associated with more prevalent symptoms of insomnia. Other conditions such as obesity, arthritis, diabetes, lung diseases, stroke and osteoporosis were associated with other sleep-related problems such as breathing pauses, snoring, daytime sleepiness, restless legs or insufficient sleep (<6 h nightly).Conclusions Poll findings are consistent with epidemiological studies of sleep, aging and chronic disease. These results suggest that the sleep complaints common in older adults are often secondary to their comorbidities and not to aging per se. These types of studies may be useful in promoting sleep awareness among health professionals and among older adults, especially those with heart disease, depression, chronic bodily pain or major comorbidity.
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In older adults, poor sleep is associated with reduced physical function.
“In older adults poor sleep has been associated with reduced physical function.(Foley, Ancoli-Israel, Britz, and Walsh 2004)”
From Successful aging: Advancing the science of physical independence in older adults (2015) · cites this paper as Foley et al. 2004
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- Authors
- Foley, D., Ancoli-Israel, S., Britz, P., & Walsh, J.
- Affiliations
- Substance Abuse and Mental Health Services Administration (US)
- St. Luke's Hospital (US)
- Corresponding author
- Foley, Daniel
- ORCID
- Foley, Daniel
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2004-05
- Volume
- 56
- Issue
- 5
- Pages
- 497-502
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1894310296
- Cited by
- 1,203
- References
- 31
- Citations by year
- 2026: 38 · 2025: 31 · 2024: 44 · 2023: 52 · 2022: 63 · 2021: 64 · 2020: 62 · 2019: 85 · 2018: 67 · 2017: 86 · 2016: 65 · 2015: 75 · 2014: 73 · 2013: 66 · 2012: 55
- FWCI
- 45.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep disorders, chronic disease, older adults, comorbidities, insomnia, heart disease, depression, bodily pain, snoring, daytime sleepiness, restless legs syndrome, insufficient sleep, aging, sleep awareness
- MeSH terms
- Aged, Aged, 80 and over, Aging, Chronic Disease, Female, Health Surveys, Humans, Male, Middle Aged, Sleep Wake Disorders, United States, Comorbidity, Epidemiologic Studies
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