Effects of sleep quality and insomnia severity on metabolic and anthropometric parameters in elderly individuals

Authors : Burak METE, Lezzan KESKİN

Pages : 806-814

Doi:10.17826/cumj.1309925

View : 17 | Download : 62

Publication Date : 2023-09-30

Article Type : Research Paper

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 insert ignore into journalissuearticles values(r=0.121, p<0.01); and comorbidity index and negatively correlated with muscle mass insert ignore into journalissuearticles values(r=-0.203, p<0.001);. Elderly individuals with poor sleep quality had higher postprandial blood glucose levels insert ignore into journalissuearticles values(p=0.032); and lower skeletal muscle mass levels insert ignore into journalissuearticles values(p<0.001);. In the patients clinically diagnosed with insomnia, the postprandial blood glucose insert ignore into journalissuearticles values(p=0.019);, haemoglobin A1c insert ignore into journalissuearticles values(p=0.040); and low-density lipoprotein levels were higher insert ignore into journalissuearticles values(p=0.034);, while the muscle mass was lower insert ignore into journalissuearticles values(p<0.001);. The factors that were found to increase the risk of insomnia were age insert ignore into journalissuearticles values(OR=1.06);, being female insert ignore into journalissuearticles values(OR=2.08); and increased comorbidity burden insert ignore into journalissuearticles values(OR=1.32); and the factors that were found to increase the risk of poor sleep quality were being female insert ignore into journalissuearticles values(OR=2.43);, lack of exercise insert ignore into journalissuearticles values(OR=1.95);, poor diet insert ignore into journalissuearticles values(OR=1.85);, age insert ignore into journalissuearticles values(OR=1.05); and increased comorbidity burden insert ignore into journalissuearticles values(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