In a study of residents of Assisted Living Facilities (ALFs) in Los Angeles showed that 65% had clinically significant sleeping problems and that poor sleep was associated with declining quality of life and increased depression over a six month follow-up period. This study is published today in the Journal of the American Geriatrics Society.
Older people increasingly reside in ALFs when they are unable to live independently, but do not require nursing home level care. The specific services offered vary, but typically include congregate meals, housekeeping, and personal care assistance. Compared to nursing home residents, ALF residents typically function more independently and have greater autonomy in their daily living. Estimates of the number of ALFs vary based on how facilities are defined, ranging from 11,500 to 50,000 facilities in the USA with residents in the region of 611,000 to over one million. Evidence suggests that ALF residents are at a very vulnerable period in their lives, with a high risk for further functional decline and subsequent nursing home placement.
This study looked at the sleep habits of 121 older people living in ALFs in the Los Angeles area and found that on average they slept about six hours per night and for about one and a half hours during the day. 74% had resided in an ALF for two years or less. 65% of participants were suffering significant sleep disturbance as measured on the Pittsburgh Sleep Quality Index. The most commonly reported factors contributing to "trouble sleeping" included waking up in the middle of the night or early morning (60.3%) and the inability to fall asleep within 30 minutes (59.5%).
At the initial study visit, sleeping poorly was associated with lower health-related quality of life, needing more help with activities of daily living (e.g., bathing, dressing, grooming), and more symptoms of depression. Participants were visited again three and six months later, and the researchers discovered that sleeping poorly at the initial visit predicted a worsening of quality of life, needing even more help with activities of daily living and even worse symptoms of depression.
"We cannot conclude that poor sleep truly causes these negative changes; however, future studies should evaluate ways to improve sleep in ALFs to see if sleeping better might improve quality of life, delay functional decline and reduce risk of depression," said lead author Jennifer Martin, PhD, of the University of California, Los Angeles and VA Greater Los Angeles Healthcare System.
"Our study has shown that sleep disturbance may result in negative consequences among this vulnerable group of older people. Unlike some predictors of functional decline and depression, there are established, effective treatments to improve sleep," said Martin. "These treatments have not been formally assessed within the population of older adults residing in ALFs, and future research should adapt behavioural strategies used with older adults in the community, environmental interventions used in nursing homes (like bright light therapy) and other treatments for use in the ALF setting."
Jennifer Beal | EurekAlert!
The personality factor: How to foster the sharing of research data
06.09.2017 | ZBW – Leibniz-Informationszentrum Wirtschaft
Europe’s Demographic Future. Where the Regions Are Heading after a Decade of Crises
10.08.2017 | Berlin-Institut für Bevölkerung und Entwicklung
Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!
When x-rays shine onto solid materials or large molecules, an electron is pushed away from its original place near the nucleus of the atom, leaving a hole...
For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.
Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...
MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems Holding GmbH about commercial use of a multi-well tissue plate for automated and reliable tissue engineering & drug testing.
MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems...
Pathogenic bacteria are becoming resistant to common antibiotics to an ever increasing degree. One of the most difficult germs is Pseudomonas aeruginosa, a...
Scientists from the MPI for Chemical Energy Conversion report in the first issue of the new journal JOULE.
Cell Press has just released the first issue of Joule, a new journal dedicated to sustainable energy research. In this issue James Birrell, Olaf Rüdiger,...
19.09.2017 | Event News
12.09.2017 | Event News
06.09.2017 | Event News
19.09.2017 | Event News
19.09.2017 | Physics and Astronomy
19.09.2017 | Power and Electrical Engineering