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SLEEP AND PHYSICAL PERFORMANCE IN DISABLED LOW-INCOME OLDER WOMEN
Journal article   Open access   Peer reviewed

SLEEP AND PHYSICAL PERFORMANCE IN DISABLED LOW-INCOME OLDER WOMEN

S Okoye, S Szanton, M Nkimbeng, N Perrin and A Spira
Innovation in aging, v 2(Suppl 1), pp 520-520
11 Nov 2018
url
https://doi.org/10.1093/geroni/igy023.1924View
Published, Version of Record (VoR) Open

Abstract

Abstracts
Sleep disturbances are common in older adults and have been associated with indicators of physical disability, including slower gait speed and difficulty with self-care activities. Further understanding of the relationship between sleep disturbances and disability may contribute to development of interventions to reduce or prevent later-life disability. Few studies have examined the relationship between sleep disturbances and physical disability in low-income, or African-American older adults using objective measures of both sleep and physical performance. We determined the cross-sectional association between sleep parameters, measured by wrist actigraphy, and scores on the Short Physical Performance Battery (SPPB) in a sample of 129 disabled, low-income, predominantly African-American older women (92.25% African-American; 75.0 ± 7.4 years of age, 81% high school education or less) with Mini Mental Status Examination scores ≥24. Primary predictors were total sleep time (TST; total number of minutes in bed spent asleep), wake time after sleep onset (WASO; total number of minutes spent awake after initially falling asleep), and sleep efficiency (SE; % time in bed spent asleep); SPPB scores were the outcome. Each 30-minute increase in TST was associated with a 0.23-point better score on SPPB after adjustment for demographic characteristics and health conditions (b = 0.23, p=0.01). Neither WASO nor SE were significantly associated with SPPB scores. Findings suggest objectively measured longer TST is associated with better physical performance in disabled, low-income older women. Further research should examine longitudinal associations between sleep disturbances and disability in low-income and African-American older adults.

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