Cited by 277Sleep and related disordersSleep and Work-Related FatigueCircadian rhythm and melatonin

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Poor Sleep is Associated with Poorer Physical Performance and Greater Functional Limitations in Older Women

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Goldman, Suzanne E., Stone, Katie L., Ancoli-Israel, Sonia, Blackwell, Terri, Ewing, Susan K., Boudreau, Robert, Cauley, Jane A., Hall, Martica, Matthews, Karen A., Newman, Anne B.·2007·SLEEP

DOI 10.1093/sleep/30.10.1317PMC PMC2266278

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Abstract

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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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: Stone, Katie L.
Blackwell, Terri
Ewing, Susan K.
Boudreau, Robert
Cauley, Jane A.
Hall, Martica
Matthews, Karen A.
Newman, Anne B.
Venue: SLEEP
Publisher: Oxford University Press (OUP)
Published: 2007-10
Volume: 30
Issue: 10
Pages: 1317-1324
ISSN: 0161-8105 (ISSN-L)
1550-9109
DOI: 10.1093/sleep/30.10.1317
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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Poor Sleep is Associated with Poorer Physical Performance and Greater Functional Limitations in Older Women

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