Self-Reported Sleep Duration and Time in Bed as Predictors of Physical Function Decline: Results from the InCHIANTI Study
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STUDY OBJECTIVES: To characterize elderly persons into sleep/rest groups based on their self-reported habitual total sleeping time (TST) and habitual time in bed (TIB) and to examine the prospective association between sleep/rest behavior on physical function decline. DESIGN: Population-based InCHIANTI study with 6 years follow-up (Tuscany, Italy). SETTING: Community. PARTICIPANTS: Men and women aged ≥ 65 years (n = 751). MEASUREMENTS AND RESULTS: At baseline, participants were categorized into 5 sleep/rest behavior groups according to their self-reported TST and TIB, computed from bedtime and wake-up time. Physical function was assessed at baseline and at 3- and 6-year follow-ups as walking speed, the Short Physical Performance Battery (SPPB), and self-reported mobility disability (ability to walk 400 m or climb one flight of stairs). Both long (≥ 9 h) TST and long TIB predicted accelerated decline in objectively measured physical performance and greater incidence in subjectively assessed mobility disability, but short (≤ 6 h) TST did not. After combining TST and TIB, long sleepers (TST and TIB ≥ 9 h) experienced the greatest decline in physical performance and had the highest risk for incident mobility disability in comparison to mid-range sleepers with 7-8 h TST and TIB. Subjective short sleepers reporting short (≤ 6 h) TST but long (≥ 9 h) TIB showed a greater decline in SPPB score and had a higher risk of incident mobility disability than true short sleepers with short (≤ 6 h) TST and TIB ≤ 8 hours. CONCLUSIONS: Extended time in bed as well as long total sleeping time is associated with greater physical function decline than mid-range or short sleep. TIB offers important additive information to the self-reported sleep duration when evaluating the consequences of sleep duration on health and functional status.
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In InCHIANTI, TNF but not IL-6 or CRP was increased at extremes of both short and long sleep compared with 7-8 h.
“In the population-based InCHIANTI study (n = 751), levels of TNF, but not IL-6 or CRP, were increased at extremes of both short and long sleep as compared with those who slept 7-8 h (Stenholm et al, 2011)”
From Sleep health: Reciprocal regulation of sleep and innate immunity (2017) · cites this paper as Stenholm et al, 2011
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- Authors
- Stenholm, S., Kronholm, E., Bandinelli, S., Guralnik, J. M., & Ferrucci, L.
- Affiliations
- Finnish Institute for Health and Welfare (FI)
- Azienda Sanitaria di Firenze (IT)
- National Institutes of Health (US)
- National Institute on Aging (US)
- Corresponding author
- Stenholm, Sari
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-11
- Volume
- 34
- Issue
- 11
- Pages
- 1583-1593
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC3198213
- OpenAlex
- W2008398124
- Cited by
- 88
- References
- 37
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 8 · 2023: 4 · 2022: 2 · 2021: 8 · 2020: 8 · 2019: 4 · 2018: 12 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 7 · 2012: 1
- FWCI
- 6.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (N.1‐AG‐1‐2111, N.1-AG-1-1, N01 AG-5-0002)
- National Institute on Minority Health and Health Disparities (263MD9164, 263MD 821336, R01MD009164)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Keywords
- sleep duration, time in bed, physical function decline, mobility impairment, older adults, short sleepers, long sleepers, walking speed, Short Physical Performance Battery, InCHIANTI cohort
- MeSH terms
- Activities of Daily Living, Aged, C-Reactive Protein, Female, Health Status, Humans, Male, Physical Fitness, Rest, Sleep, Sleep Deprivation, Tumor Necrosis Factor-alpha, Interleukin-6
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