Differences Between Men and Women Aged 65 and Older in the Relationship Between Self-Reported Sleep and Cognitive Impairment: A Nationwide Survey in Taiwan
Objectives To examine the prevalence of self‐reported sleep disturbances and cognitive impairment in men and women aged 65 and older and to determine sex‐specific effects on the relationship between self‐reported sleep and cognitive impairment. Design A secondary data analysis from the 2009 Taiwan N...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2016-10, Vol.64 (10), p.2051-2058 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
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| creator | Chiu, Hsiao-Yean Lai, Fu-Chih Chen, Pin-Yuan Tsai, Pei-Shan |
| description | Objectives
To examine the prevalence of self‐reported sleep disturbances and cognitive impairment in men and women aged 65 and older and to determine sex‐specific effects on the relationship between self‐reported sleep and cognitive impairment.
Design
A secondary data analysis from the 2009 Taiwan National Health Interview Survey.
Participants
Individuals aged 65 and older (N = 2,413, n = 1,094 men, n = 1,319 women).
Measurements
Subjective sleep characteristics including sleep duration, difficulty initiating sleep, difficulty maintaining sleep, early‐morning awakening, daytime sleepiness, difficulty breathing during sleep, habitual snoring, and daytime napping were measured using survey questions. The Mini‐Mental State Examination was used to identify cognitive impairment.
Results
The prevalence of cognitive impairment was 16.3% for men and 27.1% for women. Men and women with cognitive impairment had higher prevalence of self‐reported sleep disturbances than those without. There was a significant effect of the interaction between sex and difficulty breathing during sleep on cognitive impairment (adjusted odds ratio (aOR) = 0.39, 95% confidence interval (CI) = 0.20–0.77). In men, difficulty breathing during sleep (aOR = 2.31, 95% CI = 1.39–3.84), habitual snoring (aOR = 2.30, 95% CI = 1.49–3.54), and prolonged sleep duration (> 8.5 hours) (aOR = 1.95, 95% CI = 1.11–3.43) correlated significantly with cognitive impairment. In women, only prolonged sleep duration (>8.5 hours) was associated with higher likelihood of cognitive impairment (aOR = 2.32, 95% CI = 1.33–4.03).
Conclusion
This nationwide survey confirmed sex differences in the association between various self‐reported sleep disturbances and cognitive impairment in people aged 65 and older. |
| doi_str_mv | 10.1111/jgs.14316 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837339487</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4220270651</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4246-d937d1e56755a838b6398ce118b1204db19b9620f654d9de25498e28050383fc3</originalsourceid><addsrcrecordid>eNqNkctuEzEUhi0EoqGw4AWQJTawmNaXscfDLk0hLZRWaooqsbGc8ZnUYW7YMw15Fl4WJ2mzQELC0pEt6_s_6ehH6DUlRzSe4-UiHNGUU_kEjajgLBEpFU_RiBDCEiVpeoBehLAkhDKi1HN0wDLJsjgj9PvUlSV4aAoI-AT6FUCDv8YxjcW3bR1f4wVYLMX256qy4LFrcH8H-Boq07u2CXeu22dnUJXJNXSt72NsVgF02-SkXTSud_eAz-vOOB_N_Qc8xpdbxcpZwLPB38N6Y78xbmWal-hZaaoArx7uQ_Tt08ebyVlycTU9n4wvkiJlqUxszjNLQchMCKO4mkueqwIoVfO4b2rnNJ_nkpFSitTmFphIcwVMEUG44mXBD9G7nbfz7c8BQq9rFwqoKtNAOwRNFc84z1OV_Q8qolZyEtG3f6HLdvBNXGRDEU4kESJS73dU4dsQPJS68642fq0p0ZtydSxXb8uN7JsH4zCvwe7JxzYjcLwDVq6C9b9N-vN09qhMdgkXevi1Txj_Q8uMZ0LfXk41O_tyMjn9znTO_wBncLrW</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1830306055</pqid></control><display><type>article</type><title>Differences Between Men and Women Aged 65 and Older in the Relationship Between Self-Reported Sleep and Cognitive Impairment: A Nationwide Survey in Taiwan</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Chiu, Hsiao-Yean ; Lai, Fu-Chih ; Chen, Pin-Yuan ; Tsai, Pei-Shan</creator><creatorcontrib>Chiu, Hsiao-Yean ; Lai, Fu-Chih ; Chen, Pin-Yuan ; Tsai, Pei-Shan</creatorcontrib><description>Objectives
To examine the prevalence of self‐reported sleep disturbances and cognitive impairment in men and women aged 65 and older and to determine sex‐specific effects on the relationship between self‐reported sleep and cognitive impairment.
Design
A secondary data analysis from the 2009 Taiwan National Health Interview Survey.
Participants
Individuals aged 65 and older (N = 2,413, n = 1,094 men, n = 1,319 women).
Measurements
Subjective sleep characteristics including sleep duration, difficulty initiating sleep, difficulty maintaining sleep, early‐morning awakening, daytime sleepiness, difficulty breathing during sleep, habitual snoring, and daytime napping were measured using survey questions. The Mini‐Mental State Examination was used to identify cognitive impairment.
Results
The prevalence of cognitive impairment was 16.3% for men and 27.1% for women. Men and women with cognitive impairment had higher prevalence of self‐reported sleep disturbances than those without. There was a significant effect of the interaction between sex and difficulty breathing during sleep on cognitive impairment (adjusted odds ratio (aOR) = 0.39, 95% confidence interval (CI) = 0.20–0.77). In men, difficulty breathing during sleep (aOR = 2.31, 95% CI = 1.39–3.84), habitual snoring (aOR = 2.30, 95% CI = 1.49–3.54), and prolonged sleep duration (> 8.5 hours) (aOR = 1.95, 95% CI = 1.11–3.43) correlated significantly with cognitive impairment. In women, only prolonged sleep duration (>8.5 hours) was associated with higher likelihood of cognitive impairment (aOR = 2.32, 95% CI = 1.33–4.03).
Conclusion
This nationwide survey confirmed sex differences in the association between various self‐reported sleep disturbances and cognitive impairment in people aged 65 and older.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.14316</identifier><identifier>PMID: 27627762</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Cognitive ability ; Cognitive Dysfunction - diagnosis ; Cognitive Dysfunction - epidemiology ; Cognitive Dysfunction - physiopathology ; cognitive impairment ; elderly people ; Female ; Gender differences ; Geriatrics ; Humans ; Likelihood Functions ; Male ; Neuropsychological Tests ; Prevalence ; Risk Assessment - methods ; Risk Assessment - statistics & numerical data ; Risk Factors ; Self Report ; sex difference ; Sex Factors ; sleep ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea Syndromes - epidemiology ; Sleep Apnea Syndromes - psychology ; Sleep deprivation ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - epidemiology ; Sleep Wake Disorders - psychology ; Surveys and Questionnaires ; Taiwan - epidemiology</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2016-10, Vol.64 (10), p.2051-2058</ispartof><rights>2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society</rights><rights>2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.</rights><rights>2016 American Geriatrics Society and Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4246-d937d1e56755a838b6398ce118b1204db19b9620f654d9de25498e28050383fc3</citedby><cites>FETCH-LOGICAL-c4246-d937d1e56755a838b6398ce118b1204db19b9620f654d9de25498e28050383fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.14316$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.14316$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27627762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiu, Hsiao-Yean</creatorcontrib><creatorcontrib>Lai, Fu-Chih</creatorcontrib><creatorcontrib>Chen, Pin-Yuan</creatorcontrib><creatorcontrib>Tsai, Pei-Shan</creatorcontrib><title>Differences Between Men and Women Aged 65 and Older in the Relationship Between Self-Reported Sleep and Cognitive Impairment: A Nationwide Survey in Taiwan</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
To examine the prevalence of self‐reported sleep disturbances and cognitive impairment in men and women aged 65 and older and to determine sex‐specific effects on the relationship between self‐reported sleep and cognitive impairment.
Design
A secondary data analysis from the 2009 Taiwan National Health Interview Survey.
Participants
Individuals aged 65 and older (N = 2,413, n = 1,094 men, n = 1,319 women).
Measurements
Subjective sleep characteristics including sleep duration, difficulty initiating sleep, difficulty maintaining sleep, early‐morning awakening, daytime sleepiness, difficulty breathing during sleep, habitual snoring, and daytime napping were measured using survey questions. The Mini‐Mental State Examination was used to identify cognitive impairment.
Results
The prevalence of cognitive impairment was 16.3% for men and 27.1% for women. Men and women with cognitive impairment had higher prevalence of self‐reported sleep disturbances than those without. There was a significant effect of the interaction between sex and difficulty breathing during sleep on cognitive impairment (adjusted odds ratio (aOR) = 0.39, 95% confidence interval (CI) = 0.20–0.77). In men, difficulty breathing during sleep (aOR = 2.31, 95% CI = 1.39–3.84), habitual snoring (aOR = 2.30, 95% CI = 1.49–3.54), and prolonged sleep duration (> 8.5 hours) (aOR = 1.95, 95% CI = 1.11–3.43) correlated significantly with cognitive impairment. In women, only prolonged sleep duration (>8.5 hours) was associated with higher likelihood of cognitive impairment (aOR = 2.32, 95% CI = 1.33–4.03).
Conclusion
This nationwide survey confirmed sex differences in the association between various self‐reported sleep disturbances and cognitive impairment in people aged 65 and older.</description><subject>Aged</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - diagnosis</subject><subject>Cognitive Dysfunction - epidemiology</subject><subject>Cognitive Dysfunction - physiopathology</subject><subject>cognitive impairment</subject><subject>elderly people</subject><subject>Female</subject><subject>Gender differences</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Likelihood Functions</subject><subject>Male</subject><subject>Neuropsychological Tests</subject><subject>Prevalence</subject><subject>Risk Assessment - methods</subject><subject>Risk Assessment - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>sex difference</subject><subject>Sex Factors</subject><subject>sleep</subject><subject>Sleep Apnea Syndromes - diagnosis</subject><subject>Sleep Apnea Syndromes - epidemiology</subject><subject>Sleep Apnea Syndromes - psychology</subject><subject>Sleep deprivation</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep Wake Disorders - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Taiwan - epidemiology</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctuEzEUhi0EoqGw4AWQJTawmNaXscfDLk0hLZRWaooqsbGc8ZnUYW7YMw15Fl4WJ2mzQELC0pEt6_s_6ehH6DUlRzSe4-UiHNGUU_kEjajgLBEpFU_RiBDCEiVpeoBehLAkhDKi1HN0wDLJsjgj9PvUlSV4aAoI-AT6FUCDv8YxjcW3bR1f4wVYLMX256qy4LFrcH8H-Boq07u2CXeu22dnUJXJNXSt72NsVgF02-SkXTSud_eAz-vOOB_N_Qc8xpdbxcpZwLPB38N6Y78xbmWal-hZaaoArx7uQ_Tt08ebyVlycTU9n4wvkiJlqUxszjNLQchMCKO4mkueqwIoVfO4b2rnNJ_nkpFSitTmFphIcwVMEUG44mXBD9G7nbfz7c8BQq9rFwqoKtNAOwRNFc84z1OV_Q8qolZyEtG3f6HLdvBNXGRDEU4kESJS73dU4dsQPJS68642fq0p0ZtydSxXb8uN7JsH4zCvwe7JxzYjcLwDVq6C9b9N-vN09qhMdgkXevi1Txj_Q8uMZ0LfXk41O_tyMjn9znTO_wBncLrW</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Chiu, Hsiao-Yean</creator><creator>Lai, Fu-Chih</creator><creator>Chen, Pin-Yuan</creator><creator>Tsai, Pei-Shan</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201610</creationdate><title>Differences Between Men and Women Aged 65 and Older in the Relationship Between Self-Reported Sleep and Cognitive Impairment: A Nationwide Survey in Taiwan</title><author>Chiu, Hsiao-Yean ; Lai, Fu-Chih ; Chen, Pin-Yuan ; Tsai, Pei-Shan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4246-d937d1e56755a838b6398ce118b1204db19b9620f654d9de25498e28050383fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction - diagnosis</topic><topic>Cognitive Dysfunction - epidemiology</topic><topic>Cognitive Dysfunction - physiopathology</topic><topic>cognitive impairment</topic><topic>elderly people</topic><topic>Female</topic><topic>Gender differences</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Likelihood Functions</topic><topic>Male</topic><topic>Neuropsychological Tests</topic><topic>Prevalence</topic><topic>Risk Assessment - methods</topic><topic>Risk Assessment - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>sex difference</topic><topic>Sex Factors</topic><topic>sleep</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea Syndromes - epidemiology</topic><topic>Sleep Apnea Syndromes - psychology</topic><topic>Sleep deprivation</topic><topic>Sleep Wake Disorders - diagnosis</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Sleep Wake Disorders - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Hsiao-Yean</creatorcontrib><creatorcontrib>Lai, Fu-Chih</creatorcontrib><creatorcontrib>Chen, Pin-Yuan</creatorcontrib><creatorcontrib>Tsai, Pei-Shan</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Hsiao-Yean</au><au>Lai, Fu-Chih</au><au>Chen, Pin-Yuan</au><au>Tsai, Pei-Shan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences Between Men and Women Aged 65 and Older in the Relationship Between Self-Reported Sleep and Cognitive Impairment: A Nationwide Survey in Taiwan</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2016-10</date><risdate>2016</risdate><volume>64</volume><issue>10</issue><spage>2051</spage><epage>2058</epage><pages>2051-2058</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Objectives
To examine the prevalence of self‐reported sleep disturbances and cognitive impairment in men and women aged 65 and older and to determine sex‐specific effects on the relationship between self‐reported sleep and cognitive impairment.
Design
A secondary data analysis from the 2009 Taiwan National Health Interview Survey.
Participants
Individuals aged 65 and older (N = 2,413, n = 1,094 men, n = 1,319 women).
Measurements
Subjective sleep characteristics including sleep duration, difficulty initiating sleep, difficulty maintaining sleep, early‐morning awakening, daytime sleepiness, difficulty breathing during sleep, habitual snoring, and daytime napping were measured using survey questions. The Mini‐Mental State Examination was used to identify cognitive impairment.
Results
The prevalence of cognitive impairment was 16.3% for men and 27.1% for women. Men and women with cognitive impairment had higher prevalence of self‐reported sleep disturbances than those without. There was a significant effect of the interaction between sex and difficulty breathing during sleep on cognitive impairment (adjusted odds ratio (aOR) = 0.39, 95% confidence interval (CI) = 0.20–0.77). In men, difficulty breathing during sleep (aOR = 2.31, 95% CI = 1.39–3.84), habitual snoring (aOR = 2.30, 95% CI = 1.49–3.54), and prolonged sleep duration (> 8.5 hours) (aOR = 1.95, 95% CI = 1.11–3.43) correlated significantly with cognitive impairment. In women, only prolonged sleep duration (>8.5 hours) was associated with higher likelihood of cognitive impairment (aOR = 2.32, 95% CI = 1.33–4.03).
Conclusion
This nationwide survey confirmed sex differences in the association between various self‐reported sleep disturbances and cognitive impairment in people aged 65 and older.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27627762</pmid><doi>10.1111/jgs.14316</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2016-10, Vol.64 (10), p.2051-2058 |
| issn | 0002-8614 1532-5415 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Aged Cognitive ability Cognitive Dysfunction - diagnosis Cognitive Dysfunction - epidemiology Cognitive Dysfunction - physiopathology cognitive impairment elderly people Female Gender differences Geriatrics Humans Likelihood Functions Male Neuropsychological Tests Prevalence Risk Assessment - methods Risk Assessment - statistics & numerical data Risk Factors Self Report sex difference Sex Factors sleep Sleep Apnea Syndromes - diagnosis Sleep Apnea Syndromes - epidemiology Sleep Apnea Syndromes - psychology Sleep deprivation Sleep Wake Disorders - diagnosis Sleep Wake Disorders - epidemiology Sleep Wake Disorders - psychology Surveys and Questionnaires Taiwan - epidemiology |
| title | Differences Between Men and Women Aged 65 and Older in the Relationship Between Self-Reported Sleep and Cognitive Impairment: A Nationwide Survey in Taiwan |
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