Moreno-Tamayo K, Ramírez-García E, Sánchez-García S

Idioma: Español
Referencias bibliográficas: 29
Paginas: 38-44
Archivo PDF: 331.97 Kb.

RESUMEN

Introducción: el sueño es importante para una buena salud. Las dificultades como dormir mal, de manera insuficiente o excesiva, entre otras, traen consigo diversos desenlaces adversos para la salud. El objetivo fue analizar la asociación entre las dificultades del sueño y la presencia de fragilidad de adultos mayores de la Ciudad de México.
Métodos: el diseño del estudio fue transversal. Se evaluaron 1252 personas de 60 años o más con base en los criterios de Fried para definir fragilidad. Las dificultades del sueño (dormir sin descansar, dormir más de lo habitual y dificultad para dormir) se recolectaron mediante un cuestionario de entrevista directa. La asociación entre dificultades del sueño y fragilidad se estimó con regresión logística ordinal controlada por covariables.
Resultados: se encontró que 6.9% de personas mayores reportaron que dormían más de lo habitual, 18.9% dormía sin descansar y a 16.3% le costaba mucho dormir. Se observó una asociación estadísticamente significativa entre dormir más de lo habitual (RM = 1.96; IC95%: 1.23-3.12) y la dificultad para dormir (RM = 1.53; IC 95%: 1.09-2.17) con la fragilidad.
Conclusiones: dormir más de lo habitual o presentar dificultad para dormir están asociadas con la presencia de fragilidad en los adultos mayores. mientras

REFERENCIAS (EN ESTE ARTÍCULO)

1. McCrae CS, Rowe MA, Tierney CG, Dautovich ND, Definis AL, McNamara JPH. Sleep complaints, subjective and objective sleep patterns, health, psychological adjustment, and daytime functioning in community- dwelling older adults. J Gerontol B Psychol Sci Soc Sci. 2005;60(4):P182-9.

2. Unruh ML, Redline S, An MW, Buysse DJ, Nieto FJ, Yeh JL, et al. Subjective and objective sleep quality and aging in the sleep heart health study. J Am Geriatr Soc. 2008;56(7):1218-27.

3. Ancoli-Israel S. Sleep and aging: Prevalence of disturbed sleep and treatment considerations in older adults. J Clin Psychiatry. 2005;66(Suppl9):S24-30.

4. Da Silva AA, de Mello RGB, Schaan CW, Fuchs FD, Redline S, Fuchs SC. Sleep duration and mortality in the elderly: a systematic review with meta-analysis. BMJ Open. 2016;6(2):e008119.

5. Piovezan R, Poyares D, Tufik S. Frailty and sleep disturbances in the elderly: possible connections and clinical implications. Sleep Sci. 2013;6(4):175-9.

6. Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392-7.

7. Ensrud KE, Blackwell TL, Redline S, Ancoli-Israel S, Paudel ML, Cawthon PM, et al. Sleep disturbances and frailty status in older community-dwelling men. J Am Geriatr Soc. 2009;57(11):2085-93.

8. Ensrud K, Blackwell T, Ancoli-Israel S, Redline S, Cawthon PM, Paudel M, et al. Sleep Disturbances and Risk of Frailty and Mortality in Older Men. Sleep Med. 2012;13(10):1217-25.

9. Del Brutto O, Mera R, Sedler J, Zambrano M, Nieves J, Cagino K, et al. The Effect of Age in the Association between Frailty and Poor Sleep Quality: A Population-Based Study in Community-Dwellers (The Atahualpa Project). J Am Med Dir Assoc. 2016; 17(3):269-71.

10. Nóbrega PV, Maciel ACC, de Almeida Holanda CM, Oliveira Guerra R, Araújo JF. Sleep and frailty syndrome in elderly residents of long-stay institutions: A cross-sectional study. Geriatr Gerontol Int. 2014; 14(3):605-12.

11. Moreno-Tamayo K, Manrique-Espinoza B, Rosas- Carrasco O, Pérez-Moreno A, Salinas-Rodríguez A. Sleep complaints are associated with frailty in Mexican older adults in a rural setting. Geriatr Gerontol Int. 2017;17(12):2573-8.

12. Sánchez-García S, García-Peña C, Salvà A, Sánchez- Arenas R, Cuadros-Moreno J, Velázquez- Olmedo L, et al. Frailty in community-dwelling older adults: association with adverse outcomes. Clin Interv Aging. 2017;12:1003-11.

13. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56.

14. Sánchez-García S, Juárez-Cedillo T, García- González JJ, Espinel-Bermúdez C, Gallo JJ, Wagner FA, et al. Usefulness of two instruments in assessing depression among elderly Mexicans in population studies and for primary care. Salud Publica Mex. 2008;50(6):447-56.

15. Washburn RA, McAuley E, Katula J, Mihalko SL, Boileau RA. The physical activity scale for the elderly (PASE): evidence for validity. J Clin Epidemiol. 1999;52(7):643-51.

16. Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS. Active life expectancy. N Engl J Med. 1983;309(20):1218-24.

17. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86.

18. Reyes-Beaman S, Beaman PE, Garcia-Peña C, Jagger C, Villa MA, Heres J, et al. Validation of a Modified Version of the Mini-Mental State Examination (MMSE) in Spanish. Aging Neuropsychol Cogn. 2004;11(1):1-11.

19. Sinoff G, Liora O, Zlotogorsky D, Tamir A. Short anxiety screening test - A brief instrument for detecting anxiety in the elderly. Int J Geriatr Psychiatry. 1999; 14(12):1062-71.

20. Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001;285(19):2486-97.

21. Vaz Fragoso CA, Gahbauer EA, Van Ness PH, Gill TM. Sleep-wake disturbances and frailty in community- living older persons. J Am Geriatr Soc. 2009;57 (11):2094-100.

22. Buckley TM, Schatzberg AF. On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: Normal HPA axis activity and circadian rhythm, exemplary sleep disorders. J Clin Endocrinol Metab. 2005:90(5)3106-14.

23. Prather AA, Vogelzangs N, Penninx BWJH. Sleep duration, insomnia, and markers of systemic inflammation: Results from the Netherlands Study of Depression and Anxiety (NESDA). J Psychiatr Res. 2015;60: 95-102.

24. Hofman MA, Swaab DF. Living by the clock: the circadian pacemaker in older people. Ageing Res Rev. 2006;5(1):33-51.

25. Trevisan C, Veronese N, Maggi S, Baggio G, De Rui M, Bolzetta F, et al. Marital Status and Frailty in Older People: Gender Differences in the Progetto Veneto Anziani Longitudinal Study. J Womens Health (Larchmt). 2016;25(6):630-7.

26. Waldron I, Hughes ME, Brooks TL. Marriage Protection and Marriage Selection- Prospective Evidence for Reciprocal Effects of Marital Status and Health. Soc Sci Med. 1996;43(1):113-23.

27. García-Esquinas E, García-García FJ, León-Muñoz LM, Carnicero JA, Guallar-Castillón P, Gonzalez- Colaço Harmand M, et al. Obesity, fat distribution, and risk of frailty in two population-based cohorts of older adults in Spain. Obesity. 2015;23(4):847-55.

28. Herr M, Robine JM, Pinot J, Arvieu JJ, Ankri J. Polypharmacy and frailty: prevalence, relationship, and impact on mortality in a French sample of 2350 old people. Pharmacoepidemiol Drug Saf. 2015;24(6):637-46.

29. Uchmanowicz I, Gobbens RJJ. The relationship between frailty, anxiety and depression, and healthrelated quality of life in elderly patients with heart failure. Clin Interv Aging. Dove Medical Press. 2015; 10:1595-600.