Poor sleep is associated with poorer physical performance and greater functional limitations in older women
Open accessAbstract
STUDY OBJECTIVES: This study examined the association between disturbed sleep and poorer daytime function in older women. DESIGN: Observational study. PARTICIPANTS: 2,889 women, mean age 83.5 years, participating in the 2002-2004 examination of the Study of Osteoporotic Fractures. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Participants wore actigraphs for an average +/- SD of 4.1 +/- 0.83 24-hour periods. Actigraphy measured sleep variables were total sleep time and hours awake after sleep onset during the night and daytime napping behavior. Neuromuscular performance measurements included gait speed, chair stands, and grip strength. Functional limitations were assessed as self-reported difficulty with one or more of 6 instrumental activities of daily living (IADL). In fully adjusted, multivariable models, women who slept <6 hours per night walked 3.5% slower than those who slept 6.0-6.8 hours. Those who slept > or =7.5 hours took 4.1% longer to complete 5 chair stands than those who slept 6.8-7.5 hours. With higher wake after sleep onset (> or =1.6 hours compared to <0.7 hours) gait speed was 9.1% slower; it took 7.6% longer to complete 5 chair stands, and odds of functional limitation were 1.8 (95% CI: 1.4, 2.4) higher. Women with 1.0-1.8 hours of daytime sleep had higher odds (1.4 [95% CI: 1.1, 1.8]) of a functional limitation than those with <0.5 hours. Sleep variables did not appear to be associated with grip strength. CONCLUSIONS: Objectively measured poorer sleep was associated with worse physical function. Future research is needed to identify the underlying mechanisms for the association between poor sleep and functional decline.
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Poor sleep as measured by actigraphy may be associated with functional limitations.
“poor sleep as measured by actigraphy may be associated with functional limitations.(Goldman, Stone, Ancoli-Israel, Blackwell, Ewing, Boudreau, Cauley, Hall, Matthews, and Newman 2007)”
From Successful aging: Advancing the science of physical independence in older adults (2015) · cites this paper as Goldman et al. 2007
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- Authors
- Goldman, S. E., Stone, K. L., Ancoli-Israel, S., Blackwell, T., Ewing, S. K., Boudreau, R., Cauley, J. A., Hall, M., Matthews, K. A., & Newman, A. B.
- Affiliations
- University of Pittsburgh (US)
- California Pacific Medical Center (US)
- University of California, San Francisco (US)
- Corresponding author
- Stone, Katie L.
- ORCID
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-10
- Volume
- 30
- Issue
- 10
- Pages
- 1317-1324
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC2266278
- OpenAlex
- W2100700514
- Cited by
- 277
- References
- 40
- Citations by year
- 2026: 9 · 2025: 19 · 2024: 19 · 2023: 10 · 2022: 20 · 2021: 30 · 2020: 20 · 2019: 15 · 2018: 19 · 2017: 16 · 2016: 13 · 2015: 14 · 2014: 15 · 2013: 7 · 2012: 12
- FWCI
- 9.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Pfizer
- Neurocrine Biosciences
- National Institutes of Health ((AR35582, AG05407, AR35583, AG05394, AG08415, AR35584, AG000181)
- National Institute on Aging (R01AG005394, R01AG008415, AG05394, R01AG005407, AG 08415, AG-05407, R01AG026720, T32AG000181)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR035584, AR35583, AR-35584, AR 35582, R01AR035582, R01AR035583)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, sleep disorders, wake after sleep onset, daytime napping, physical performance, functional limitations, older women, walking speed, chair stand, grip strength, instrumental activities of daily living, actigraphy, Study of Osteoporotic Fractures
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Arousal, Cognition Disorders, Female, Humans, Male, Psychomotor Disorders, Surveys and Questionnaires, Regression Analysis, Severity of Illness Index, Sleep Wake Disorders, Task Performance and Analysis, Cohort Studies, Comorbidity, Causality, Confidence Intervals, Odds Ratio, Women's Health, Polysomnography
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