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Titolo:
CORRELATES OF DAYTIME SLEEPINESS IN 4578 ELDERLY PERSONS - THE CARDIOVASCULAR HEALTH STUDY
Autore:
WHITNEY CW; ENRIGHT PL; NEWMAN AB; BONEKAT W; FOLEY D; QUAN SF;
Indirizzi:
UNIV ARIZONA,HLTH SCI CTR,RESP SCI CTR,RM 2342,1501 N CAMPBELL AVE TUCSON AZ 85724 UNIV ARIZONA,HLTH SCI CTR,RESP SCI CTR TUCSON AZ 85724 UNIV WASHINGTON,DEPT BIOSTAT SEATTLE WA 98195 ALLEGHENY GEN HOSP,MED COLL PENN & HAHNEMANN UNIV,DEPT MED PITTSBURGHPA 15212 UNIV CALIF DAVIS,DEPT MED DAVIS CA 95616 NIA BETHESDA MD 20892
Titolo Testata:
Sleep
fascicolo: 1, volume: 21, anno: 1998,
pagine: 27 - 36
SICI:
0161-8105(1998)21:1<27:CODSI4>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
OLDER ADULTS; CIGARETTE-SMOKING; SCALE; DISTURBANCE; COMMUNITY; APNEA; RISK; POPULATION; PREVALENCE; COMPLAINTS;
Keywords:
DAYTIME SOMNOLENCE; SLEEP DISORDERS; ELDERLY; MAGNETIC RESONANCE IMAGING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
52
Recensione:
Indirizzi per estratti:
Citazione:
C.W. Whitney et al., "CORRELATES OF DAYTIME SLEEPINESS IN 4578 ELDERLY PERSONS - THE CARDIOVASCULAR HEALTH STUDY", Sleep, 21(1), 1998, pp. 27-36

Abstract

To describe the prevalence of self-reported daytime sleepiness in older men and women and to describe their relationships with demographic factors, nocturnal complaints, health status, and cardiovascular diseases (CVD). Design: Cross-sectional survey and clinical exam. Setting: Participants in the Cardiovascular Health Study, 4578 adults aged 65 and older, recruited from a random sample of non-institutionalized Medicare enrollees in four U.S, communities. Measures: Daytime sleepiness measured by the Epworth Sleepiness Scale (ESS), magnetic resonance imaging of the brain (MRI), cognitive function tests, and standardized questionnaires for cardiopulmonary symptoms and diseases, depressive symptoms, social support, activities of daily living, physical activity, and current medications. Results: Approximately 20% of the participants reported that they were ''usually sleepy in the daytime. '' Although elderly black men were less likely to report frequent awakenings than those in the other three race and gender groups, they had significantly higher mean ESS scores. The following were independently associated with higher ESS scores in gender-specific models: non-white race, depression, loud snoring, awakening with dyspnea or snorting, frequent nocturnal awakenings, medications used to treat congestive heart failure,non-use of sleeping pills, a sedentary lifestyle, and limitation of activities of daily living in both men and women; additional correlatesincluded hip circumference and current smoking in men, and hayfever in women. The following were not independently associated with ESS in the models: age, education, use of wine or beer to aid sleep, use of tricyclic antidepressants, long-or short-acting benzodiazepines, asthma,angina, myocardial infarction, congestive heart failure itself, forced vital capacity, social support, cognitive function, or MRI evidence of global brain atrophy or white matter abnormality. Conclusions: Daytime sleepiness is common in the elderly, probably due to nocturnal disturbances such as frequent awakenings and snoring. The occasional use of sleeping pills for insomnia is associated with reduced daytime sleepiness in the elderly, while the use of medications for congestive heart failure is associated with daytime sleepiness. Surprisingly, anatomic abnormalities such as evidence of previous strokes and brain atrophy (as seen on brain MRI scans) were not associated with daytime sleepiness in these non-institutionalized elderly persons.

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Documento generato il 02/12/20 alle ore 14:18:33