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Sleep disturbance in relation to health-related quality of life in adults: The fels longitudinal study

  • Sleep Disturbance in Relation to Health-Related Quality of Life in Adults
  • Published:
JNHA - The Journal of Nutrition, Health and Aging

Abstract

Objective

Sleep disturbances are prevalent problems in the general population. Symptoms of insomnia can impact various physical and mental conditions. Furthermore, sleep disturbances may worsen the quality of life independently of co-occurring medical conditions. In this study, we examined the relationships between self-reported sleep disturbance symptoms and health-related quality of life measures in the Fels Longitudinal Study.

Design

Cross-sectional study.

Participants

A total of 397 adults (175 men and 222 women) aged 40 years and older were included in the present study.

Measurements

Three self-reported sleep disturbance measures (difficulty falling asleep, nocturnal awakenings and maintaining sleep, and daytime tiredness) were collected between 2003 and 2006. Health-related quality of life measures were assessed using the Medical Outcomes Survey Short Form (SF)-36. Socio-demographic status (marital status, employment status, and education) and current medical conditions were collected from participants during study visits.

Results

Individuals who reported frequent sleep disturbances showed significantly worse quality of life on all SF-36 subscales examined. The odds ratio (OR) ranged from 1.71 to 18.32 based on symptoms of insomnia across seven SF-36 domains in analyses adjusted for significant covariates influencing quality of life. Participants with severe sleep disturbances (both sleep problems and daytime impairment) showed generally higher odds of reporting poor SF-36 scores (adjusted ORs; 5.88–17.09) compared to participants with no problems.

Conclusion

Sleep disturbance is comprehensively and independently associated with poor health-related quality of life in middle-aged and older adults.

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Authors and Affiliations

  1. Lifespan Health Research Center, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA

    M. Lee, A. C. Choh, D. L. Duren, R. J. Sherwood, WM. C. Chumlea, B. Towne, R. M. Siervogel & S. A. Czerwinski

  2. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA

    E. W. Demerath

  3. Department of Health Studies, University of Chicago, Chicago, Illinois, USA

    K. L. Knutson

  4. Department of Biostatistics, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA

    S. S. Sun

  5. Lifespan Health Research Center, Department of Community Health, Wright State University, Boonshoft School of Medicine, 3171 Research Blvd., Dayton, OH, 45420, USA

    M. Lee

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  1. M. Lee
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  2. A. C. Choh
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  3. E. W. Demerath
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  4. K. L. Knutson
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Correspondence to M. Lee.

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Lee, M., Choh, A.C., Demerath, E.W. et al. Sleep disturbance in relation to health-related quality of life in adults: The fels longitudinal study. J Nutr Health Aging 13, 576–583 (2009). https://doi.org/10.1007/s12603-009-0110-1

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  • DOI: https://doi.org/10.1007/s12603-009-0110-1

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