The Effect of Sleep Medication Use and Poor Sleep Quality on Risk of Falls in Community-Dwelling Older Adults in the US: A Prospective Cohort Study

Drugs & Aging
Yaena MinPatricia W Slattum

Abstract

Sleep complaints and the consumption of medications for sleep are common in older adults. Falls are also a significant concern for older adults and sedative use has been identified as a risk factor for falls. Sleep quality is a potential confounder in studies evaluating the relationship between sleep medication use and falls. However, very few studies have assessed the combined impact of sleep medication use and sleep quality on the risk of falls. The objective of this study was to evaluate the association between sleep medication use, poor sleep quality, and falls in community-dwelling older adults. This was a multicenter, 6-month prospective cohort study conducted in senior housings settings in central Virginia, USA. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and a medication review was conducted. Data regarding falls were collected over 6 months by use of a diary. Logistic regression modeling was used to examine the effects of poor sleep quality, sleep medication use, and both, on the risk of falls. Among 113 independently living older adults (mean age ± standard deviation 81.1 ± 8.6), 46.9 % fell at least once during a 6-month period; 62.8 % (n = 71) had poor sleep quality, and 44.2 % (n = 50...Continue Reading

References

Jan 1, 1990·British Journal of Clinical Pharmacology·G A FordT F Blaschke
Dec 29, 1988·The New England Journal of Medicine·M E TinettiS F Ginter
Sep 29, 1994·The New England Journal of Medicine·M E TinettiR I Horwitz
Oct 19, 2000·Journal of the American Geriatrics Society·G S BrassingtonD L Bliwise
Dec 13, 2000·International Journal of Geriatric Psychiatry·C JonkerB Schmand
Feb 24, 2001·Aging : Clinical and Experimental Research·J P JanssensJ P Michel
Jun 7, 2005·Journal of the American Geriatrics Society·Alon Y AvidanRonald D Chervin
Mar 7, 2006·The Australian Journal of Physiotherapy·Joy S H TeoRichard L Prince
Jun 6, 2009·The New England Journal of Medicine·Sharon K InouyeMary E Tinetti
Oct 2, 2009·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Hsu-Ko KuoChing-Yu Chen
Nov 26, 2009·Archives of Internal Medicine·John C WoolcottCarlo A Marra
Jul 16, 2010·Journal of Sleep Research·Arthur Eumann MesasFernando Rodríguez-Artalejo
Sep 10, 2010·The American Journal of Emergency Medicine·Roos C van NieuwenhuizenUNKNOWN CAREFALL study group
Oct 16, 2010·Journal of Aging and Health·Frédéric BlochGilles Kemoun
Feb 15, 2011·Journal of the American Geriatrics Society·Nalaka S GooneratneKathy C Richards
Mar 2, 2012·Journal of the American Geriatrics Society·UNKNOWN American Geriatrics Society 2012 Beers Criteria Update Expert Panel

❮ Previous
Next ❯

Citations

Apr 7, 2017·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Yaena Min, Patricia W Slattum
Apr 24, 2018·Oncology Nursing Forum·Janine OvercashAnne M Noonan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
Meng-Yueh Chien, Hsi-Chung Chen
The Director : Official Publication of the National Association of Directors of Nursing Administration in Long Term Care
Carole Smyth
Journal of Gerontological Nursing
Carole Smyth
BMC Public Health
Noriyuki OkuboHirosaki University Graduate School of Medicine
© 2021 Meta ULC. All rights reserved