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Association between sleep disturbances and falls among the elderly : results from the German Cooperative Health Research in the Region of Augsburg-Age study
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 2290393
Author(s) Helbig, A Katharina; Döring, Angela; Heier, Margit; Emeny, Rebecca T; Zimmermann, Anja-Kerstin; Autenrieth, Christine S; Ladwig, Karl-Heinz; Grill, Eva; Meisinger, Christa
Author(s) at UniBasel Autenrieth, Christine
Year 2013
Title Association between sleep disturbances and falls among the elderly : results from the German Cooperative Health Research in the Region of Augsburg-Age study
Journal Sleep medicine
Volume 14
Number 12
Pages / Article-Number 1356-63
Keywords Falls, Older adults, Elderly, Sleep, Sleep disorders, Insomnia, Comorbidities
Abstract

We aimed to examine the association between various sleep disturbances and falls among older individuals from the general population while considering the influence of age and dizziness.; Data were derived from the population-based cross-sectional KORA (Cooperative Health Research in the Region of Augsburg)-Age study, whereby information was conducted in standardized telephone interviews with 4127 men and women aged ⩾65years in 2008 and 2009. Unstratified and stratified (by age and dizziness) multivariable logistic regression model analyses were performed.; The multivariable analysis showed a marginally significant association between trouble staying asleep and ⩾1 fall in the previous year (odds ratio [OR], 1.23 [95% confidence interval (CI), 1.01-1.50]). This association was more pronounced in participants older than the age of 75years (OR, 1.58 [95% CI, 1.16-2.16]) and in individuals without dizziness (OR, 1.35 [95% CI, 1.04-1.76]). There was no association between daytime sleepiness and falls in the fully-adjusted models, but the odds of falls in the previous year in individuals older than the age of 75years were significantly higher for individuals with difficulty falling asleep. Although sleep duration was not associated with falls in multivariable analyses when stratified by dizziness, sleep duration of 9h daily was significantly associated with higher odds of experiencing at least one fall in the previous year.; Our study suggested that the positive relationship between a trend towards longer sleep duration, trouble falling and staying asleep, and falls is strongest in older individuals and in individuals who did not experience dizziness in the previous year.

Publisher Elsevier
ISSN/ISBN 1389-9457
edoc-URL http://edoc.unibas.ch/dok/A6205624
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.sleep.2013.09.004
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/24157099
ISI-Number WOS:000327538300021
Document type (ISI) Journal Article
 
   

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