Insomnia and Its Related Factors in Elderly Population of Tehran, Iran
-
Somayeh Hassani
,
Parisa Adimi Naghan
,
Makan Sadr
,
Majid Malekmohammad
,
Javad Setareh
,
Seyed Mohammad Seyedmehdi
Abstract
Background and Objective: The present study aimed to determine the prevalence of insomnia and its related factors among elderly population of Tehran, Iran.
Materials and Methods: This study was a cross-sectional descriptive study. Data were collected by a three-part questionnaire. The first part included demographic information; the second part contained data on weight, height, neck circumference, menstruation status, diabetes, hypertension (HTN), and heart disease. The third part contained questions about Insomnia Screening Questionnaire (ISQ). Cluster sampling was used and 651 samples were selected for the pre-sent study.
Results: The prevalence of insomnia was significantly higher in female, single, and illiterate subjects and also in subjects with chronic diseases, psychological disorders, circadian rhythm disorder, restless legs syndrome (RLS), parasomnia, and sleep apnea.
Conclusion: According to this study, insomnia is common among elderly population of Tehran, and there is a relation-ship between this disorder and chronic diseases, psychological disorders, and sleep disorders.
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8. Patel D, Steinberg J, Patel P. Insomnia in the elderly: A review. J Clin Sleep Med 2018; 14: 1017-24.
9. Zhou Y, Yang R, Li C, et al. Sleep disorder, an independent risk associated with arterial stiffness in menopause. Sci Rep 2017; 7: 1904.
10. Vahratian A. Sleep duration and quality among women aged 40-59, by menopausal status. NCHS Data Brief 2017; 1-8.
11. Sagayadevan V, Abdin E, Binte Shafie S, et al. Prevalence and correlates of sleep problems among elderly Singaporeans. Psychogeriatrics 2017; 17: 43-51.
12. Smagula SF, Stone KL, Fabio A, et al. Risk factors for sleep disturbances in older adults: Evidence from prospective studies. Sleep Med Rev 2016; 25: 21-30.
13. Foroughi M, Malekmohammad M, Sharafkhaneh A, et al. Prevalence of obstructive sleep apnea in a high-risk population using the stop-bang questionnaire in Tehran, Iran. Tanaffos 2017; 16: 217-24.
14. Emami H, Adimi Naghan P, Emami M, et al. The correlation between sleep quality and mental health of middle and high school students in Tehran, Iran. Iran J Public Health 2021; 50: 637-9.
15. Halter JB, Ouslander JG, Tinetti M, et al. Hazzard's geriatric medicine and gerontology. New York, NY: McGraw-Hill Education; 2008.
16. Lim JU, Lee JH, Kim JS, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. Int J Chron Obstruct Pulmon Dis 2017; 12: 2465-75.
17. Tsou MT. Prevalence and risk factors for insomnia in community-dwelling elderly in-įnorthern Taiwan. J Clin Gerontol Geriatr 2013; 4: 75-9.
18. Mousavi F, Tavabi A, Iran-Pour E, et al. Prevalence and associated factors of insomnia syndrome in the elderly residing in Kahrizak nursing home, Tehran, Iran. Iran J Public Health 2012; 41: 96-106.
19. El-Gilany AH, Saleh N, Mohamed H, et al. Prevalence of insomnia and its associated factors among rural elderly: A community based study. Int J Adv Nurs Stud 2017; 6: 56-62.
20. Farazdaq H, Andrades M, Nanji K. Insomnia and its correlates among elderly patients presenting to family medicine clinics at an academic center. Malays Fam Physician 2018; 13: 12-9.
21. Ahmad E, Ansari AH, Khan RM. Prevalence of Bekhwabi (Insomnia) among the elderly patients attending Nium Hospital, Bangalore, India. J Community Med Health Educ 2016; 6: 476.
22. Theorell-Haglow J, Miller CB, Bartlett DJ, et al. Gender differences in obstructive sleep apnoea, insomnia and restless legs syndrome in adults-What do we know? A clinical update. Sleep Med Rev 2018; 38: 28-38.
23. Campos Costa I, Nogueira Carvalho H., Fernandes L. Aging, circadian rhythms and depressive disorders: A review. Am J Neurodegener Dis 2013; 2: 228-46.
24. Wang YM, Chen HG, Song M, et al. Prevalence of insomnia and its risk factors in older individuals: A community-based study in four cities of Hebei Province, China. Sleep Med 2016; 19: 116-22.
25. Ogunbode AM, Adebusoye LA, Olowookere OO, et al. Factors associated with insomnia among elderly patients attending a geriatric centre in Nigeria. Curr Gerontol Geriatr Res 2014; 2014: 780535.
26. Abd Allah ES, Abdel-Aziz HR, Abo El-Seoud AR. Insomnia: Prevalence, risk factors, and its effect on quality of life among elderly in Zagazig City, Egypt. J Nurs Educ Pract 2014; 4: 42-69.
27. Miner B, Gill TM, Yaggi HK, et al. Insomnia in community-living persons with advanced age. J Am
Geriatr Soc 2018; 66: 1592-7.
28. Gulia KK, Kumar VM. Sleep disorders in the elderly: A growing challenge. Psychogeriatrics 2018; 18: 155-65.
29. Kim WJ, Joo WT, Baek J, et al. Factors Associat-ed with insomnia among the elderly in a Korean rural community. Psychiatry Investig 2017; 14: 400-6.
30. Desaulniers J, Desjardins S, Lapierre S, et al. Sleep Environment and insomnia in elderly persons living at home. J Aging Res 2018; 2018: 8053696.
31. Kostin A, Alam MA, McGinty D, et al. Chronic suppression of hypothalamic cell proliferation and neurogenesis induces aging-like changes in sleep-wake organization in young mice. Neuroscience 2019; 404: 541-56.
32. Quan SA, Li YC, Li WJ, et al. Gender differences in sleep disturbance among elderly Koreans: Hallym aging study. J Korean Med Sci 2016; 31: 1689-95.
33. Kim WH, Kim BS, Kim SK, et al. Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea. Int Psychogeriatr 2013; 25: 1729-37.
34. Gureje O, Oladeji BD, Abiona T, et al. The natural history of insomnia in the Ibadan study of ageing. Sleep 2011; 34: 965-73.
35. Lallukka T, Haario P, Lahelma E, et al. Associations of relative weight with subsequent changes over time in insomnia symptoms: A follow-up study among middle-aged women and men. Sleep Med 2012; 13: 1271-9.
36. Singareddy R, Vgontzas AN, Fernandez-Mendoza J, et al. Risk factors for incident chronic insomnia: A general population prospective study. Sleep Med 2012; 13: 346-53.
37. Lam S, Macina LO. Therapy update for insomnia in the elderly. Consult Pharm 2017; 32: 610-22.
38. Kim KW, Kang SH, Yoon IY, et al. Prevalence and clinical characteristics of insomnia and its subtypes in the Korean elderly. Arch Gerontol Geriatr 2017; 68: 68-75.
39. Wennberg AM, Canham SL, Smith MT, et al. Optimizing sleep in older adults: Treating insomnia. Maturitas 2013; 76: 247-52.
40. Walker MC. Epilepsy, obstructive sleep apnea syndrome, and other sleep disorders. In: Mula M, Edi-tor. The comorbidities of epilepsy. Philadelphia, PA: Elsevier Science & Technology; 2019. p. 207-20.
41. Neikrug AB, Ancoli-Israel S. Sleep disorders in the older adult-a mini-review. Gerontology 2010; 56: 181-9.
42. Feinsilver SH, Hernandez AB. Sleep in the elderly: Unanswered questions. Clin Geriatr Med 2017; 33: 579-96.
43. Luyster FS, Buysse DJ, Strollo PJ Jr. Comorbid insomnia and obstructive sleep apnea: Challenges for clinical practice and research. J Clin Sleep Med 2010; 6: 196-204.
2. Gleason K, McCall WV. Current concepts in the diagnosis and treatment of sleep disorders in the elderly. Curr Psychiatry Rep 2015; 17: 45.
3. Gambhir IS, Chakrabarti SS, Sharma AR, et al. Insomnia in the elderly. A hospital-based study from North India. Journal of Clinical Gerontology and Geriatrics 2014; 5: 117-21.
4. Bruyneel M. Sleep disturbances in menopausal women: Aetiology and practical aspects. Maturitas 2015; 81: 406-9.
5. Wu CY, Su TP, Fang CL, et al. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. J Chin Med Assoc 2012; 75: 75-80.
6. Luo J, Zhu G, Zhao Q, et al. Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: Results from the Shanghai aging study, Nepal. PLoS One 2013; 8: e81261.
7. Monterrosa-Castro A, Portela-Buelvas K, Salgue-do-Madrid M, et al. Instruments to study sleep disorders in climacteric women. Sleep Sci 2016; 9: 169-78.
8. Patel D, Steinberg J, Patel P. Insomnia in the elderly: A review. J Clin Sleep Med 2018; 14: 1017-24.
9. Zhou Y, Yang R, Li C, et al. Sleep disorder, an independent risk associated with arterial stiffness in menopause. Sci Rep 2017; 7: 1904.
10. Vahratian A. Sleep duration and quality among women aged 40-59, by menopausal status. NCHS Data Brief 2017; 1-8.
11. Sagayadevan V, Abdin E, Binte Shafie S, et al. Prevalence and correlates of sleep problems among elderly Singaporeans. Psychogeriatrics 2017; 17: 43-51.
12. Smagula SF, Stone KL, Fabio A, et al. Risk factors for sleep disturbances in older adults: Evidence from prospective studies. Sleep Med Rev 2016; 25: 21-30.
13. Foroughi M, Malekmohammad M, Sharafkhaneh A, et al. Prevalence of obstructive sleep apnea in a high-risk population using the stop-bang questionnaire in Tehran, Iran. Tanaffos 2017; 16: 217-24.
14. Emami H, Adimi Naghan P, Emami M, et al. The correlation between sleep quality and mental health of middle and high school students in Tehran, Iran. Iran J Public Health 2021; 50: 637-9.
15. Halter JB, Ouslander JG, Tinetti M, et al. Hazzard's geriatric medicine and gerontology. New York, NY: McGraw-Hill Education; 2008.
16. Lim JU, Lee JH, Kim JS, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. Int J Chron Obstruct Pulmon Dis 2017; 12: 2465-75.
17. Tsou MT. Prevalence and risk factors for insomnia in community-dwelling elderly in-įnorthern Taiwan. J Clin Gerontol Geriatr 2013; 4: 75-9.
18. Mousavi F, Tavabi A, Iran-Pour E, et al. Prevalence and associated factors of insomnia syndrome in the elderly residing in Kahrizak nursing home, Tehran, Iran. Iran J Public Health 2012; 41: 96-106.
19. El-Gilany AH, Saleh N, Mohamed H, et al. Prevalence of insomnia and its associated factors among rural elderly: A community based study. Int J Adv Nurs Stud 2017; 6: 56-62.
20. Farazdaq H, Andrades M, Nanji K. Insomnia and its correlates among elderly patients presenting to family medicine clinics at an academic center. Malays Fam Physician 2018; 13: 12-9.
21. Ahmad E, Ansari AH, Khan RM. Prevalence of Bekhwabi (Insomnia) among the elderly patients attending Nium Hospital, Bangalore, India. J Community Med Health Educ 2016; 6: 476.
22. Theorell-Haglow J, Miller CB, Bartlett DJ, et al. Gender differences in obstructive sleep apnoea, insomnia and restless legs syndrome in adults-What do we know? A clinical update. Sleep Med Rev 2018; 38: 28-38.
23. Campos Costa I, Nogueira Carvalho H., Fernandes L. Aging, circadian rhythms and depressive disorders: A review. Am J Neurodegener Dis 2013; 2: 228-46.
24. Wang YM, Chen HG, Song M, et al. Prevalence of insomnia and its risk factors in older individuals: A community-based study in four cities of Hebei Province, China. Sleep Med 2016; 19: 116-22.
25. Ogunbode AM, Adebusoye LA, Olowookere OO, et al. Factors associated with insomnia among elderly patients attending a geriatric centre in Nigeria. Curr Gerontol Geriatr Res 2014; 2014: 780535.
26. Abd Allah ES, Abdel-Aziz HR, Abo El-Seoud AR. Insomnia: Prevalence, risk factors, and its effect on quality of life among elderly in Zagazig City, Egypt. J Nurs Educ Pract 2014; 4: 42-69.
27. Miner B, Gill TM, Yaggi HK, et al. Insomnia in community-living persons with advanced age. J Am
Geriatr Soc 2018; 66: 1592-7.
28. Gulia KK, Kumar VM. Sleep disorders in the elderly: A growing challenge. Psychogeriatrics 2018; 18: 155-65.
29. Kim WJ, Joo WT, Baek J, et al. Factors Associat-ed with insomnia among the elderly in a Korean rural community. Psychiatry Investig 2017; 14: 400-6.
30. Desaulniers J, Desjardins S, Lapierre S, et al. Sleep Environment and insomnia in elderly persons living at home. J Aging Res 2018; 2018: 8053696.
31. Kostin A, Alam MA, McGinty D, et al. Chronic suppression of hypothalamic cell proliferation and neurogenesis induces aging-like changes in sleep-wake organization in young mice. Neuroscience 2019; 404: 541-56.
32. Quan SA, Li YC, Li WJ, et al. Gender differences in sleep disturbance among elderly Koreans: Hallym aging study. J Korean Med Sci 2016; 31: 1689-95.
33. Kim WH, Kim BS, Kim SK, et al. Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea. Int Psychogeriatr 2013; 25: 1729-37.
34. Gureje O, Oladeji BD, Abiona T, et al. The natural history of insomnia in the Ibadan study of ageing. Sleep 2011; 34: 965-73.
35. Lallukka T, Haario P, Lahelma E, et al. Associations of relative weight with subsequent changes over time in insomnia symptoms: A follow-up study among middle-aged women and men. Sleep Med 2012; 13: 1271-9.
36. Singareddy R, Vgontzas AN, Fernandez-Mendoza J, et al. Risk factors for incident chronic insomnia: A general population prospective study. Sleep Med 2012; 13: 346-53.
37. Lam S, Macina LO. Therapy update for insomnia in the elderly. Consult Pharm 2017; 32: 610-22.
38. Kim KW, Kang SH, Yoon IY, et al. Prevalence and clinical characteristics of insomnia and its subtypes in the Korean elderly. Arch Gerontol Geriatr 2017; 68: 68-75.
39. Wennberg AM, Canham SL, Smith MT, et al. Optimizing sleep in older adults: Treating insomnia. Maturitas 2013; 76: 247-52.
40. Walker MC. Epilepsy, obstructive sleep apnea syndrome, and other sleep disorders. In: Mula M, Edi-tor. The comorbidities of epilepsy. Philadelphia, PA: Elsevier Science & Technology; 2019. p. 207-20.
41. Neikrug AB, Ancoli-Israel S. Sleep disorders in the older adult-a mini-review. Gerontology 2010; 56: 181-9.
42. Feinsilver SH, Hernandez AB. Sleep in the elderly: Unanswered questions. Clin Geriatr Med 2017; 33: 579-96.
43. Luyster FS, Buysse DJ, Strollo PJ Jr. Comorbid insomnia and obstructive sleep apnea: Challenges for clinical practice and research. J Clin Sleep Med 2010; 6: 196-204.
| Files | ||
| Issue | Vol 5 No 3 (2020): Summer | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jss.v5i3.6919 | |
| Keywords | ||
| Elderly; Insomnia; Sleep disorders; Circadian rhythm sleep disorder | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Hassani S, Adimi Naghan P, Sadr M, Malekmohammad M, Setareh J, Seyedmehdi SM. Insomnia and Its Related Factors in Elderly Population of Tehran, Iran. J Sleep Sci. 2021;5(3):101-110.
