Sex differences in subjective age-associated changes in sleep: a prospective elderly cohort study
Subjective age-associated changes in sleep (AACS) and sex differences in AACS have never been prospectively investigated in elderly populations. We compared the AACS every 2 years over a total of 6 years between 4,686 community-dwelling healthy men and women aged 60 years or older who participated i...
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Veröffentlicht in: | Aging (Albany, NY.) NY.), 2020-11, Vol.12 (21), p.21942-21958 |
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creator | Suh, Seung Wan Han, Ji Won Han, Ji Hyun Bae, Jong Bin Moon, Woori Kim, Hye Sung Oh, Dae Jong Kwak, Kyung Phil Kim, Bong Jo Kim, Shin Gyeom Kim, Jeong Lan Kim, Tae Hui Ryu, Seung-Ho Moon, Seok Woo Park, Joon Hyuk Byun, Seonjeong Seo, Jiyeong Youn, Jong Chul Lee, Dong Young Lee, Dong Woo Lee, Seok Bum Lee, Jung Jae Jhoo, Jin Hyeong Kim, Ki Woong |
description | Subjective age-associated changes in sleep (AACS) and sex differences in AACS have never been prospectively investigated in elderly populations. We compared the AACS every 2 years over a total of 6 years between 4,686 community-dwelling healthy men and women aged 60 years or older who participated in the Korean Longitudinal Study on Cognitive Aging and Dementia. Sleep parameters including sleep duration, latency, and efficiency, mid-sleep time, daytime dysfunction, and overall subjective sleep quality were measured using the Pittsburgh Sleep Quality Index at baseline and at each follow-up. The effects of time and sex on subjective sleep parameters were analyzed using linear mixed-effects models. During the 6 years of follow-up, we observed that overall, sleep latency increased, while daytime dysfunction and sleep quality worsened. Significant sex differences in AACS was found, with women showing shortened sleep duration, delayed mid-sleep time, and decreased sleep efficiency over 6 years. Sleep quality worsened in both groups but a more pronounced change was observed in women. Clinicians should be cautious in determining when to treat declared sleep disturbances in this population. |
doi_str_mv | 10.18632/aging.104016 |
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We compared the AACS every 2 years over a total of 6 years between 4,686 community-dwelling healthy men and women aged 60 years or older who participated in the Korean Longitudinal Study on Cognitive Aging and Dementia. Sleep parameters including sleep duration, latency, and efficiency, mid-sleep time, daytime dysfunction, and overall subjective sleep quality were measured using the Pittsburgh Sleep Quality Index at baseline and at each follow-up. The effects of time and sex on subjective sleep parameters were analyzed using linear mixed-effects models. During the 6 years of follow-up, we observed that overall, sleep latency increased, while daytime dysfunction and sleep quality worsened. Significant sex differences in AACS was found, with women showing shortened sleep duration, delayed mid-sleep time, and decreased sleep efficiency over 6 years. Sleep quality worsened in both groups but a more pronounced change was observed in women. Clinicians should be cautious in determining when to treat declared sleep disturbances in this population.</description><identifier>ISSN: 1945-4589</identifier><identifier>EISSN: 1945-4589</identifier><identifier>DOI: 10.18632/aging.104016</identifier><identifier>PMID: 33170149</identifier><language>eng</language><publisher>United States: Impact Journals</publisher><subject>Aged ; Aged, 80 and over ; Aging - physiology ; Cohort Studies ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Research Paper ; Sex Characteristics ; Sleep - physiology ; Surveys and Questionnaires</subject><ispartof>Aging (Albany, NY.), 2020-11, Vol.12 (21), p.21942-21958</ispartof><rights>Copyright: © 2020 Suh et al.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-e9227ada074b0b9db7b49bb12f59bb8e7707a8d1743c2f51361c11105c492b6f3</citedby><cites>FETCH-LOGICAL-c387t-e9227ada074b0b9db7b49bb12f59bb8e7707a8d1743c2f51361c11105c492b6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695390/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695390/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33170149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suh, Seung Wan</creatorcontrib><creatorcontrib>Han, Ji Won</creatorcontrib><creatorcontrib>Han, Ji Hyun</creatorcontrib><creatorcontrib>Bae, Jong Bin</creatorcontrib><creatorcontrib>Moon, Woori</creatorcontrib><creatorcontrib>Kim, Hye Sung</creatorcontrib><creatorcontrib>Oh, Dae Jong</creatorcontrib><creatorcontrib>Kwak, Kyung Phil</creatorcontrib><creatorcontrib>Kim, Bong Jo</creatorcontrib><creatorcontrib>Kim, Shin Gyeom</creatorcontrib><creatorcontrib>Kim, Jeong Lan</creatorcontrib><creatorcontrib>Kim, Tae Hui</creatorcontrib><creatorcontrib>Ryu, Seung-Ho</creatorcontrib><creatorcontrib>Moon, Seok Woo</creatorcontrib><creatorcontrib>Park, Joon Hyuk</creatorcontrib><creatorcontrib>Byun, Seonjeong</creatorcontrib><creatorcontrib>Seo, Jiyeong</creatorcontrib><creatorcontrib>Youn, Jong Chul</creatorcontrib><creatorcontrib>Lee, Dong Young</creatorcontrib><creatorcontrib>Lee, Dong Woo</creatorcontrib><creatorcontrib>Lee, Seok Bum</creatorcontrib><creatorcontrib>Lee, Jung Jae</creatorcontrib><creatorcontrib>Jhoo, Jin Hyeong</creatorcontrib><creatorcontrib>Kim, Ki Woong</creatorcontrib><title>Sex differences in subjective age-associated changes in sleep: a prospective elderly cohort study</title><title>Aging (Albany, NY.)</title><addtitle>Aging (Albany NY)</addtitle><description>Subjective age-associated changes in sleep (AACS) and sex differences in AACS have never been prospectively investigated in elderly populations. We compared the AACS every 2 years over a total of 6 years between 4,686 community-dwelling healthy men and women aged 60 years or older who participated in the Korean Longitudinal Study on Cognitive Aging and Dementia. Sleep parameters including sleep duration, latency, and efficiency, mid-sleep time, daytime dysfunction, and overall subjective sleep quality were measured using the Pittsburgh Sleep Quality Index at baseline and at each follow-up. The effects of time and sex on subjective sleep parameters were analyzed using linear mixed-effects models. During the 6 years of follow-up, we observed that overall, sleep latency increased, while daytime dysfunction and sleep quality worsened. Significant sex differences in AACS was found, with women showing shortened sleep duration, delayed mid-sleep time, and decreased sleep efficiency over 6 years. Sleep quality worsened in both groups but a more pronounced change was observed in women. Clinicians should be cautious in determining when to treat declared sleep disturbances in this population.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Research Paper</subject><subject>Sex Characteristics</subject><subject>Sleep - physiology</subject><subject>Surveys and Questionnaires</subject><issn>1945-4589</issn><issn>1945-4589</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkb1PwzAQxS0EouVjZEUeWQJ2bMcxAxJCfElIDMBs2c4ldZUmwU4q-t8TtaUq0zvd_fTuTg-hC0quaZ6x9MZUvqmuKeGEZgdoShUXCRe5OtyrJ-gkxjkhmRA8O0YTxqgklKspMh_wgwtflhCgcRCxb3Ac7Bxc75eATQWJibF13vRQYDczTbWFaoDuFhvchTZ2WxzqAkK9wq6dtaHHsR-K1Rk6Kk0d4Xyrp-jr6fHz4SV5e39-fbh_SxzLZZ-ASlNpCkMkt8SqwkrLlbU0LcUoOUhJpMkLKjlzY4-yjDpKKRGOq9RmJTtFdxvfbrALKBw0fTC17oJfmLDSrfH6_6TxM121Sy0zJZgio8HV1iC03wPEXi98dFDXpoF2iDrlQjGRplyOaLJB3fh8DFDu1lCi17HodSx6E8vIX-7ftqP_cmC_wCSLog</recordid><startdate>20201107</startdate><enddate>20201107</enddate><creator>Suh, Seung Wan</creator><creator>Han, Ji Won</creator><creator>Han, Ji Hyun</creator><creator>Bae, Jong Bin</creator><creator>Moon, Woori</creator><creator>Kim, Hye Sung</creator><creator>Oh, Dae Jong</creator><creator>Kwak, Kyung Phil</creator><creator>Kim, Bong Jo</creator><creator>Kim, Shin Gyeom</creator><creator>Kim, Jeong Lan</creator><creator>Kim, Tae Hui</creator><creator>Ryu, Seung-Ho</creator><creator>Moon, Seok Woo</creator><creator>Park, Joon Hyuk</creator><creator>Byun, Seonjeong</creator><creator>Seo, Jiyeong</creator><creator>Youn, Jong Chul</creator><creator>Lee, Dong Young</creator><creator>Lee, Dong Woo</creator><creator>Lee, Seok Bum</creator><creator>Lee, Jung Jae</creator><creator>Jhoo, Jin Hyeong</creator><creator>Kim, Ki Woong</creator><general>Impact Journals</general><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201107</creationdate><title>Sex differences in subjective age-associated changes in sleep: a prospective elderly cohort study</title><author>Suh, Seung Wan ; Han, Ji Won ; Han, Ji Hyun ; Bae, Jong Bin ; Moon, Woori ; Kim, Hye Sung ; Oh, Dae Jong ; Kwak, Kyung Phil ; Kim, Bong Jo ; Kim, Shin Gyeom ; Kim, Jeong Lan ; Kim, Tae Hui ; Ryu, Seung-Ho ; Moon, Seok Woo ; Park, Joon Hyuk ; Byun, Seonjeong ; Seo, Jiyeong ; Youn, Jong Chul ; Lee, Dong Young ; Lee, Dong Woo ; Lee, Seok Bum ; Lee, Jung Jae ; Jhoo, Jin Hyeong ; Kim, Ki Woong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-e9227ada074b0b9db7b49bb12f59bb8e7707a8d1743c2f51361c11105c492b6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Research Paper</topic><topic>Sex Characteristics</topic><topic>Sleep - physiology</topic><topic>Surveys and Questionnaires</topic><toplevel>online_resources</toplevel><creatorcontrib>Suh, Seung Wan</creatorcontrib><creatorcontrib>Han, Ji Won</creatorcontrib><creatorcontrib>Han, Ji Hyun</creatorcontrib><creatorcontrib>Bae, Jong Bin</creatorcontrib><creatorcontrib>Moon, Woori</creatorcontrib><creatorcontrib>Kim, Hye Sung</creatorcontrib><creatorcontrib>Oh, Dae Jong</creatorcontrib><creatorcontrib>Kwak, Kyung Phil</creatorcontrib><creatorcontrib>Kim, Bong Jo</creatorcontrib><creatorcontrib>Kim, Shin Gyeom</creatorcontrib><creatorcontrib>Kim, Jeong Lan</creatorcontrib><creatorcontrib>Kim, Tae Hui</creatorcontrib><creatorcontrib>Ryu, Seung-Ho</creatorcontrib><creatorcontrib>Moon, Seok Woo</creatorcontrib><creatorcontrib>Park, Joon Hyuk</creatorcontrib><creatorcontrib>Byun, Seonjeong</creatorcontrib><creatorcontrib>Seo, Jiyeong</creatorcontrib><creatorcontrib>Youn, Jong Chul</creatorcontrib><creatorcontrib>Lee, Dong Young</creatorcontrib><creatorcontrib>Lee, Dong Woo</creatorcontrib><creatorcontrib>Lee, Seok Bum</creatorcontrib><creatorcontrib>Lee, Jung Jae</creatorcontrib><creatorcontrib>Jhoo, Jin Hyeong</creatorcontrib><creatorcontrib>Kim, Ki Woong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Aging (Albany, NY.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suh, Seung Wan</au><au>Han, Ji Won</au><au>Han, Ji Hyun</au><au>Bae, Jong Bin</au><au>Moon, Woori</au><au>Kim, Hye Sung</au><au>Oh, Dae Jong</au><au>Kwak, Kyung Phil</au><au>Kim, Bong Jo</au><au>Kim, Shin Gyeom</au><au>Kim, Jeong Lan</au><au>Kim, Tae Hui</au><au>Ryu, Seung-Ho</au><au>Moon, Seok Woo</au><au>Park, Joon Hyuk</au><au>Byun, Seonjeong</au><au>Seo, Jiyeong</au><au>Youn, Jong Chul</au><au>Lee, Dong Young</au><au>Lee, Dong Woo</au><au>Lee, Seok Bum</au><au>Lee, Jung Jae</au><au>Jhoo, Jin Hyeong</au><au>Kim, Ki Woong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sex differences in subjective age-associated changes in sleep: a prospective elderly cohort study</atitle><jtitle>Aging (Albany, NY.)</jtitle><addtitle>Aging (Albany NY)</addtitle><date>2020-11-07</date><risdate>2020</risdate><volume>12</volume><issue>21</issue><spage>21942</spage><epage>21958</epage><pages>21942-21958</pages><issn>1945-4589</issn><eissn>1945-4589</eissn><abstract>Subjective age-associated changes in sleep (AACS) and sex differences in AACS have never been prospectively investigated in elderly populations. We compared the AACS every 2 years over a total of 6 years between 4,686 community-dwelling healthy men and women aged 60 years or older who participated in the Korean Longitudinal Study on Cognitive Aging and Dementia. Sleep parameters including sleep duration, latency, and efficiency, mid-sleep time, daytime dysfunction, and overall subjective sleep quality were measured using the Pittsburgh Sleep Quality Index at baseline and at each follow-up. The effects of time and sex on subjective sleep parameters were analyzed using linear mixed-effects models. During the 6 years of follow-up, we observed that overall, sleep latency increased, while daytime dysfunction and sleep quality worsened. Significant sex differences in AACS was found, with women showing shortened sleep duration, delayed mid-sleep time, and decreased sleep efficiency over 6 years. Sleep quality worsened in both groups but a more pronounced change was observed in women. Clinicians should be cautious in determining when to treat declared sleep disturbances in this population.</abstract><cop>United States</cop><pub>Impact Journals</pub><pmid>33170149</pmid><doi>10.18632/aging.104016</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Aged, 80 and over Aging - physiology Cohort Studies Female Humans Longitudinal Studies Male Middle Aged Research Paper Sex Characteristics Sleep - physiology Surveys and Questionnaires |
title | Sex differences in subjective age-associated changes in sleep: a prospective elderly cohort study |
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