Volume 10, Issue 1 (June 2024)                   Elderly Health Journal 2024, 10(1): 7-13 | Back to browse issues page


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1. Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand , kfpeltzer@gmail.com
Abstract:   (297 Views)
Introduction: Insomnia symptoms may impact on various health outcomes. It is unclear how insomnia symptoms impact on health in Thailand. In a longitudinal study of ageing adults in Thailand, the goal of the research was to evaluate the relationships between insomnia symptoms and 20 health indicators.
Methods: Prospective cohort data from the Health, Aging and Retirement in Thailand study, which included participants 45 years of age and older (N = 2863) from three successive waves in 2015, 2017, and 2020 were analyzed. Insomnia symptoms and health indicators were assessed by self-report. Generalized Estimating Equations analysis and logistic regression analysis were used to evaluate the longitudinal relationships between measures of insomnia symptoms and 20 health indicators.
Results: In 2020, 11.7% of people reported having insomnia symptoms, compared to 15.6% in 2015 and 14.6% in 2017. Insomnia symptoms were positively correlated with three poor mental health indicators (depressive symptoms, quality of life and self-rated mental health), eight poor physical health indicators (hypertension, self-rated physical health status, cardiovascular disease, diabetes, osteoporosis, chronic lung disease, kidney disease, and physical injury), and two lifestyle indicators (physical inactivity and meal skipping) in logistic regression models.
Conclusion: The study found that a number of indicators of physical and mental illness as well as lifestyle choices were linked to symptoms of insomnia. Improved detection and management of insomnia symptoms could lower indicators of physical and mental illness in Thailand.

Corresponding Author:  Karl Peltzer
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Type of Study: Research | Subject: General
Received: 2024/04/7 | Accepted: 2024/05/14 | Published: 2024/06/21

References
1. Morin CM, Benca R. Chronic insomnia. Lancet. 2012; 379 (9821): 1129–41.
2. van de Langenberg SCN, Kocevska D, Luik AI. The multidimensionality of sleep in population-based samples: a narrative review. Journal of Sleep Research. 2022; 31(4): 1-11.
3. Evans MA, Buysse DJ, Marsland AL, Wright AGC, Foust J, Carroll LW, et al. Meta-analysis of age and actigraphy-assessed sleep characteristics across the lifespan. Sleep. 2021; 44(9): 1-19.
4. Miner B, Kryger MH. Sleep in the aging population. Sleep Medicine Clinics. 2017; 12(1): 31-8.
5. Sukying C, Bhokakul V, Udomsubpayakul U. An epidemiological study on insomnia in an elderly Thai population. Journal of the Medical Association of Thailand. 2003; 86(4): 316-24.
6. Aunjitsakul W, Pitanupong J, Werachattawan N. Sleep quality among elderly people in Songkhla province, Thailand: A two-stage cluster sampling study. Journal of the Medical Association of Thailand. 2018; 101(1): 137-44.
7. Thichumpa W, Howteerakul N, Suwannapong N, Tantrakul V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, Northern Thailand. Epidemiology and Health. 2018; 40: 1-9.
8. Manjavong M, Limpawattana P, Mairiang P, Anutrakulchai S. Prevalence of insomnia and related impact. International Journal of Psychiatry in Medicine. 2016; 51(6): 544-53.
9. Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nature and Science Sleep. 2017; 9: 151-61.
10. Furihata R, Uchiyama M, Takahashi S, Suzuki M, Konno C, Osaki K, et al. The association between sleep problems and perceived health status: a Japanese nationwide general population survey. Sleep Medicine. 2012; 13(7): 831-7.
11. Mirchandaney R, Asarnow LD, Kaplan KA. Recent advances in sleep and depression. Current Opinion in Psychiatry. 2023; 36(1): 34-40.
12. Hill Almeida LM, Flicker L, Hankey GJ, Golledge J, Yeap BB, Almeida OP. Disrupted sleep and risk of depression in later life: A prospective cohort study with extended follow up and a systematic review and meta-analysis. Journal of Affective Disorders. 2022; 309: 314-23.
13. Lee M, Choh AC, Demerath EW, Knutson KL, Duren DL, Sherwood RJ, et al. Sleep disturbance in relation to health-related quality of life in adults: the Fels longitudinal study. The Journal of Nutrition, Health and Aging. 2009; 13(6): 576-83.
14. Beydoun HA, Beydoun MA, Weiss J, Hossain S, Huang S, Alemu BT, et al. Insomnia as a predictor of diagnosed memory problems: 2006-2016 health and retirement study. Sleep Medicine. 2021; 80: 158-166.
15. Wong R, Lovier MA. Sleep disturbances and dementia risk in older adults: findings from 10 years of national U.S. prospective data. American Journal of Preventive Medicine. 2023; 64(6): 781-7.
16. Shi L, Chen SJ, Ma MY, Bao YP, Han Y, Wang YM, et al. Sleep disturbances increase the risk of dementia: A systematic review and meta-analysis. Sleep Medicine Reviews. 2018; 40: 4–16.
17. Hernández B, Scarlett S, Moriarty F, Romero-Ortuno R, Kenny RA, Reilly R. Investigation of the role of sleep and physical activity for chronic disease prevalence and incidence in older Irish adults. BMC Public Health. 2022; 22(1):1-11.
18. Piccolo RS, Yang M, Bliwise DL, Yaggi HK, Araujo AB. Racial and socioeconomic disparities in sleep and chronic disease: results of a longitudinal investigation. Ethnicity and Disease. 2013; 23(4): 499-507.
19. Ochs-Balcom HM, Hovey KM, Andrews C, Cauley JA, Hale L, Li W, et al. Short sleep is associated with low bone mineral density and osteoporosis in the women's health initiative. Journal of Bone and Mineral Research. 2020; 35(2): 261-8.
20. Park M, Buchman AS, Lim AS, Leurgans SE, Bennett DA. Sleep complaints and incident disability in a community-based cohort study of older persons. The American Journal of Geriatric Psychiatry. 2014; 22(7): 718-26.
21. Friedman EM. Self-reported sleep problems prospectively increase risk of disability: findings from the survey of midlife development in the United States. Journal of the American Geriatrics Society. 2016; 64(11): 2235-41.
22. Song C, Zhang R, Wang C, Fu R, Song W, Dou K, et al. Sleep quality and risk of cancer: findings from the English longitudinal study of aging. Sleep. 2021; 44(3): 1-8.
23. Gibson M, Munafò MR, Taylor AE, Treur JL. Evidence for genetic correlations and bidirectional, causal effects between smoking and sleep behaviors. Nicotine & Tobacco Research. 2019; 21(6): 731–8.
24. Crum RM, Storr CL, Chan YF, Ford DE. Sleep disturbance and risk for alcohol-related problems. The American Journal of Psychiatry. 2004; 161(7): 1197-203.
25. Dzierzewski JM, Ravyts SG, Martin CE, Polak KM, Nielson SA, Pomm D, et al. Sleep disturbance and problematic alcohol use: Examination of sex and race differences. Frontiers in Sleep. 2022; 1: 1-8.
26. Haario P, Rahkonen O, Laaksonen M, Lahelma E, Lallukka T. Bidirectional associations between insomnia symptoms and unhealthy behaviours. Journal of Sleep Research. 2013; 22(1): 89-95.
27. Holfeld B, Ruthig JC. A longitudinal examination of sleep quality and physical activity in older adults. Journal of Applied Gerontology. 2014; 33(7): 791-807.
28. Norton MC, Eleuteri S, Cerolini S, Ballesio A, Conte SC, Falaschi P, et al. Is poor sleep associated with obesity in older adults? A narrative review of the literature. Eating and Weight Disorders. 2018; 23(1): 23-38.
29. Anantanasuwong D, Theerawanviwat D, Siripanich P. Panel survey and study on health and aging, and retirement in Thailand. In: Gu D, Dupre M, editors. Encyclopedia of gerontology and population aging. Springer, Cham; 2019.
30. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D. American Journal of Preventive Medicine. 1994; 10(2): 77–84.
31. Katz S, Ford AB, Heiple KG, Newill VA. Studies of illness in the aged: Recovery after fracture of the hip. Journal of Gerontology. 1964; 19: 285-93.
32. Kim SH, Park S. A meta-analysis of the correlates of successful aging in older adults. Research on Aging. 2017; 39(5): 657-77.
33. Wen CP, David Cheng TY, Tsai SP, Chan HT, Hsu HL, Hsu CC, et al. Are Asians at greater mortality risks for being overweight than Caucasians? Redefining obesity for Asians. Public Health Nutrition. 2009; 12(4): 497-506.
34. Liang KY, Zeger SL. Regression analysis for correlated data. Annual Review of Public Health. 1993; 14(1): 43–68.
35. Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues in Clinical Neuroscience. 2008; 10(3): 329-36.
36. Bao YP, Han Y, Ma J, Wang RJ, Shi L, Wang TY, et al. Cooccurrence and bidirectional prediction of sleep disturbances and depression in older adults: Meta-analysis and systematic review. Neuroscience and Biobehavioral Reviews. 2017; 75: 257-73.
37. Piber D, Cho JH, Lee O, Lamkin DM, Olmstead R, Irwin MR. Sleep disturbance and activation of cellular and transcriptional mechanisms of inflammation in older adults. Brain Behavior, and Immunity. 2022; 106: 67-75.
38. Smith MT, Quartana PJ, Okonkwo RM, Nasir A. Mechanisms by which sleep disturbance contributes to osteoarthritis pain: a conceptual model. Current Pain and Headache Reports. 2009; 13(6): 447-54.
39. Budhiraja R, Roth T, Hudgel DW, Budhiraja P, Drake CL. Prevalence and polysomnographic correlates of insomnia comorbid with medical disorders. Sleep. 2011; 34(7): 859-67.
40. Luyster FS, Wang J, Sciurba FC, Jessica B. Longitudinal associations between sleep disturbance and disease severity in patients with COPD. Sleep Science and Practice. 2020; 4: 1-9.
41. Bo Y, Yeoh EK, Guo C, Zhang Z, Tam T, Chan TC, et al. sleep and the risk of chronic kidney disease: a cohort study. Journal of Clinical Sleep Medicine. 2019; 15(3): 393-400.
42. Chen YY, Wu KC. Sleep habits and excessive daytime sleepiness correlate with injury risks in the general population in Taiwan. Injury Prevention. 2010; 16(3): 172-7.
43. Zhou T, Dai X, Yuan Y, Xue Q, Li X, Wang M, et al. Adherence to a healthy sleep pattern is associated with lower risks of incident falls and fractures during aging. Front Immunology. 2023; 14: 1-11.
44. Rubio-Arias JÁ, Marín-Cascales E, Ramos-Campo DJ, Hernandez AV, Pérez-López FR. Effect of exercise on sleep quality and insomnia in middle-aged women: A systematic review and meta-analysis of randomized controlled trials. Maturitas. 2017; 100: 49-56.
45. Chang ZS, Boolani A, Conroy DA, Dunietz T, Jansen EC. Skipping breakfast and mood: The role of sleep. Nutrition and Health. 2021; 27(4): 373-9.
46. Neale J, Meadows R, Nettleton S, Panebianco D, Strang J, Vitoratou S, et al. Substance use, sleep and intervention design: insights from qualitative data. Journal of Mental Health. 2019; 28(5): 482-9.
47. Snyder E, Cai B, DeMuro C, Morrison MF, Ball W. A new single-item sleep quality scale: results of psychometric evaluation in patients with chronic primary insomnia and depression. Journal of Clinical Sleep Medicine. 2018; 14(11): 1849-57.

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