TY - JOUR
T1 - Association between insomnia symptoms and functional status in U.S. older adults
AU - Spira, Adam P.
AU - Kaufmann, Christopher N.
AU - Kasper, Judith D.
AU - Ohayon, Maurice M.
AU - Rebok, George W.
AU - Skidmore, Elizabeth
AU - Parisi, Jeanine M.
AU - Reynolds, Charles F.
N1 - Funding Information:
Funding Funding was provided by the National Institute on Aging through U01-AG032947 and P30-AG012846. Additional funding was provided by NIA grants 1K01AG033195 (A. P. Spira), and F31AG044052 (C. N. Kaufmann) and by the National Institute of Mental Health through P30 MH90333 (C. F. Reynolds). The views expressed are those of the authors alone and do not represent their employers or the funding agency.
Publisher Copyright:
© The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - OBJECTIVES: We studied the association between insomnia symptoms and late-life functioning, including physical capacity, limitations in household activities, and participation in valued activities.METHODS: Participants were 6,050 adults independent in self-care activities from a representative sample of older Medicare beneficiaries. They completed objective measures of physical capacity and self-report measures of insomnia symptoms, help and difficulty with household activities, and participation in valued activities.RESULTS: After adjustment, insomnia symptoms were associated with a greater odds of receiving help or having difficulty with selected household activities (laundry, shopping), greater odds of help or difficulty with ≥ 1 household activity [1 symptom vs. 0, odds ratio (OR)=1.27, p < .05; 2 symptoms vs. 0, OR = 1.35, p < .01), and of restricted participation in specific valued activities (attending religious services, going out for enjoyment) and in ≥ 1 valued activity (1 symptom vs. 0, OR = 1.29, p < .05; 2 symptoms vs. 0, OR = 1.50, p < .01). There was no independent association between insomnia symptoms and physical capacity.DISCUSSION: Among older adults, insomnia symptoms are associated with a greater odds of limitation in household activities and of restricted participation in valued activities. Insomnia interventions may improve functioning and quality of life among elders.
AB - OBJECTIVES: We studied the association between insomnia symptoms and late-life functioning, including physical capacity, limitations in household activities, and participation in valued activities.METHODS: Participants were 6,050 adults independent in self-care activities from a representative sample of older Medicare beneficiaries. They completed objective measures of physical capacity and self-report measures of insomnia symptoms, help and difficulty with household activities, and participation in valued activities.RESULTS: After adjustment, insomnia symptoms were associated with a greater odds of receiving help or having difficulty with selected household activities (laundry, shopping), greater odds of help or difficulty with ≥ 1 household activity [1 symptom vs. 0, odds ratio (OR)=1.27, p < .05; 2 symptoms vs. 0, OR = 1.35, p < .01), and of restricted participation in specific valued activities (attending religious services, going out for enjoyment) and in ≥ 1 valued activity (1 symptom vs. 0, OR = 1.29, p < .05; 2 symptoms vs. 0, OR = 1.50, p < .01). There was no independent association between insomnia symptoms and physical capacity.DISCUSSION: Among older adults, insomnia symptoms are associated with a greater odds of limitation in household activities and of restricted participation in valued activities. Insomnia interventions may improve functioning and quality of life among elders.
KW - Function
KW - Insomnia
KW - Sleep
KW - Valued activities.
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U2 - 10.1093/geronb/gbu116
DO - 10.1093/geronb/gbu116
M3 - Article
C2 - 25342821
AN - SCOPUS:84922332594
VL - 69
SP - S35-S41
JO - Journals of Gerontology - Series B Psychological Sciences and Social Sciences
JF - Journals of Gerontology - Series B Psychological Sciences and Social Sciences
SN - 1079-5014
ER -