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A good night's sleep could keep you out of a nursing home
Date:7/19/2012

mobility.

Using a prospective cohort study, researchers measured the sleep of women with a mean age of 83 years old from the Study of Osteoporotic Fractures. Participants were asked to wear actigraphs on their non-dominant wrists for at least three days. These devices record movement, and the resulting data can be used to characterize patterns of sleep and wake. Demographic information as well as place of residence at initial interview and at 5-year follow-up was also provided. Although several prior studies had investigated the link between sleep disturbance and nursing home placement, those studies asked participants questions about sleep rather than collecting objective sleep data.

"Despite the growing literature on sleep disturbance and disability, prior to our research very little was known about the association between sleep disturbance in older adults and risk of placement in long-term care facilities. Greater sleep fragmentation is associated with greater risk of placement in a nursing home or personal care home 5 years later after accounting for a number of potential confounders," said Kristine Yaffe, MD, senior author of the study, and professor of Psychiatry, Neurology, and Epidemiology and Biostatistics at the University of California, San Francisco.

Spira adds, "It's important to remember that this is an observational study, so our findings cannot demonstrate a conclusive causal link between sleep disturbance and placement in long-term care facilities. We need more research to explain how sleep disturbance might lead to this outcome, and whether interventions to improve sleep might prevent it."


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Contact: Natalie Wood-Wright
nwoodwri@jhsph.edu
410-614-6029
Johns Hopkins University Bloomberg School of Public Health
Source:Eurekalert

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