- Cukurova Medical Journal
- Cilt: 48 Sayı: 3
- Effects of sleep quality and insomnia severity on metabolic and anthropometric parameters in elderly...
Effects of sleep quality and insomnia severity on metabolic and anthropometric parameters in elderly individuals
Authors : Burak Mete, Lezzan Keskin
Pages : 806-814
Doi:10.17826/cumj.1309925
View : 14 | Download : 57
Publication Date : 2023-09-30
Article Type : Research
Abstract :Purpose: This study aimed to investigate the relationship of sleep quality and insomnia with metabolic/anthropometric parameters in elderly individuals. Materials and Methods: This cross-sectional study was conducted with 474 elderly individuals. Their fasting blood glucose, haemoglobin A1c, total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein, cortisol, C-reactive protein, weight, waist circumference, waist-to-hip ratio, skeletal muscle mass, body fat mass and body mass index were measured. Their sleep quality was evaluated using the Pittsburgh Sleep Quality Index, and insomnia was assessed using the Insomnia Severity Index. Results: The mean age of the 474 elderly individuals included in the study was 71.02±4.90 years. Poor sleep quality prevalence was found to be 71.1% among the elderly participants and the prevalence of mild to moderate insomnia was 55.1%. The sleep quality score was positively correlated with the postprandial blood glucose level (r=0.121, p<0.01) and comorbidity index and negatively correlated with muscle mass (r=-0.203, p<0.001). Elderly individuals with poor sleep quality had higher postprandial blood glucose levels (p=0.032) and lower skeletal muscle mass levels (p<0.001). In the patients clinically diagnosed with insomnia, the postprandial blood glucose (p=0.019), haemoglobin A1c (p=0.040) and low-density lipoprotein levels were higher (p=0.034), while the muscle mass was lower (p<0.001). The factors that were found to increase the risk of insomnia were age (OR=1.06), being female (OR=2.08) and increased comorbidity burden (OR=1.32) and the factors that were found to increase the risk of poor sleep quality were being female (OR=2.43), lack of exercise (OR=1.95), poor diet (OR=1.85), age (OR=1.05) and increased comorbidity burden (OR=1.17). Conclusion: Poor sleep quality and insomnia in elderly individuals were found to be associated with high blood glucose levels and low muscle mass levels. Regular exercise and a diet can help reduce sleep problems in elderly individuals.Keywords : uyku, kan şekeri, kolestrol