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3100-12-31
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LONGITUDINAL ASSOCIATION OF SLEEP QUALITY WITH PHYSICAL PERFORMANCE MEASURES: SABE COHORT STUDY, BRASIL.
Affilliation
Fundação Oswaldo Cruz. Gerencia Regional de Brasília. Distrito Federal, DF, Brasil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Belo Horizonte, MG, Brasil.
Universidade de São Paulo. Escola de Saúde Pública. São Paulo, SP, Brasil.
Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Ribeirão Preto, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Belo Horizonte, MG, Brasil.
Universidade de São Paulo. Escola de Saúde Pública. São Paulo, SP, Brasil.
Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Ribeirão Preto, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Belo Horizonte, MG, Brasil.
Abstract
Objectives: The aim of this study was to investigate the longitudinal association of sleep with physical performance in a representative sample of non-institutionalised older adults residing in the municipality of São Paulo, Brasil.
Study design: Prospective cohort study.
Methods: The current longitudinal study used data extracted from the Health, Well-being, and Aging Study (Estudo Saúde Bem-Estar e Envelhecimento [SABE]). The study population consisted of individuals aged _60 years who participated in the study in 2010 or 2015. Dependent variables included the Short Physical Performance Battery (SPPB) and gait speed. Independent variables of interest were self-reported sleep difficulty, daytime sleepiness and sleep quality. The longitudinal association between sleep variables
and the outcomes was evaluated using Generalised Estimating Equations (GEE) Models adjusted for covariates. All the variables, except age, sex and schooling, were assessed at baseline and follow-up visits (2010 and 2015).
Results: The analyses included 2205 observations from 1559 individuals. The population mean age was 72 years in 2010 and 71 years in 2015, with a higher prevalence of women in both years. Between 2010 and 2015, there was a decline in the SPPB score and gait speed. Daytime sleepiness was negatively associated with the SPPB score [Coef.: _0.38 (95% confidence interval {CI}: _0.56, _0.21)] and gait speed [Coef.: _0.03 (95% CI: _0.05, _0.01)]. Poor sleep quality was negatively associated with the SPPB score [Coef.: _0.29 (95% CI: _0.57, _0.01)] and gait speed [Coef.: _0.03 (95% CI: _0.06, _0.00)].
Conclusions: Daytime sleepiness and poor sleep quality are associated with compromised physical performance in non-institutionalised older adults, and this association remained consistent over time.
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