PMID- 37423025
OWN - NLM
STAT- MEDLINE
DCOM- 20230814
LR  - 20231006
IS  - 1878-5506 (Electronic)
IS  - 1389-9457 (Linking)
VI  - 109
DP  - 2023 Sep
TI  - Association between sleep health and intrinsic capacity among older adults in 
      Taiwan.
PG  - 98-103
LID - S1389-9457(23)00222-8 [pii]
LID - 10.1016/j.sleep.2023.06.016 [doi]
AB  - Although the association between poor sleep quality and frailty has been 
      previously reported, the relationship between sleep health and intrinsic capacity 
      (IC) remains largely unknown. We aimed to examine the association between sleep 
      health and IC among older adults. This was a cross-sectional study, and 1268 
      eligible participants completed a questionnaire collecting information on 
      demographic, socioeconomic, lifestyle, sleep health, and IC. Sleep health was 
      measured by the RU-SATED V2.0 scale. High, moderate, and low levels of IC were 
      defined using the Integrated Care for Older People Screening Tool for Taiwanese. 
      The ordinal logistic regression model estimated the odds ratio and corresponding 
      95% confidence interval. Low IC was significantly associated with age of 80 years 
      or above, female, currently unmarried, uneducated, currently not working, 
      financially dependent, and having emotional disorders. A one-point increase in 
      sleep health was significantly associated with a 9% reduction in the odds of poor 
      IC. An increase in daytime alertness was related to the greatest reduction in 
      poor IC (aOR, 0.64; 95% CI, 0.52-0.79). In addition, the subitems sleep 
      regularity (aOR, 0.77; 95% CI, 0.60-0.99), sleep timing (aOR, 0.80; 95% CI, 
      0.65-0.99), and sleep duration (aOR, 0.77; 95% CI, 0.61-0.96) were associated 
      with a reduced OR of poor IC but with marginal statistical significance. Our 
      findings showed that sleep health across multiple dimensions is related to IC, 
      particularly daytime alertness in older adults. We suggest developing 
      interventions to improve sleep health and prevent IC decline, which is crucial in 
      causing poor health outcomes.
CI  - Copyright (c) 2023 Elsevier B.V. All rights reserved.
FAU - Chang, Ya-Hui
AU  - Chang YH
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan, Taiwan; Department of Surgery, Massachusetts General Hospital, Boston, 
      MA, United States.
FAU - Chen, Yen-Chin
AU  - Chen YC
AD  - Department of Nursing, National Cheng Kung University Hospital, College of 
      Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Nursing, 
      College of Medicine, National Cheng Kung University, Tainan, Taiwan.
FAU - Ku, Li-Jung Elizabeth
AU  - Ku LE
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan, Taiwan.
FAU - Chou, Yu-Tsung
AU  - Chou YT
AD  - Department of Health Management Center, National Cheng Kung University Hospital, 
      College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department 
      of Family Medicine, National Cheng Kung University Hospital, College of Medicine, 
      National Cheng Kung University, Tainan, Taiwan.
FAU - Chen, Hung-Yu
AU  - Chen HY
AD  - Department of Health Management Center, National Cheng Kung University Hospital, 
      College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department 
      of Family Medicine, National Cheng Kung University Hospital, College of Medicine, 
      National Cheng Kung University, Tainan, Taiwan.
FAU - Su, Hui-Chen
AU  - Su HC
AD  - Department of Neurology, National Cheng-Kung University Hospital, College of 
      Medicine, National Cheng Kung University, Tainan, Taiwan.
FAU - Liu, Chieh-Hsiu
AU  - Liu CH
AD  - Department of Family Medicine, Taoyuan General Hospital, Ministry of Health and 
      Welfare, Taoyuan, Taiwan.
FAU - Wu, Yi-Lin
AU  - Wu YL
AD  - Department of Nursing, National Cheng Kung University Hospital, College of 
      Medicine, National Cheng Kung University, Tainan, Taiwan.
FAU - Cheng, Hsiang-Ju
AU  - Cheng HJ
AD  - Department of Family Medicine, National Cheng Kung University Hospital, College 
      of Medicine, National Cheng Kung University, Tainan, Taiwan.
FAU - Yang, Yi-Ching
AU  - Yang YC
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan, Taiwan; Department of Family Medicine, National Cheng Kung University 
      Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
FAU - Li, Chung-Yi
AU  - Li CY
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan, Taiwan; Department of Public Health, College of Public Health, China 
      Medical University, Taichung, Taiwan; Department of Healthcare Administration, 
      College of Medical and Health Science, Asia University, Taichung, Taiwan. 
      Electronic address: cyli99@mail.ncku.edu.tw.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230627
PL  - Netherlands
TA  - Sleep Med
JT  - Sleep medicine
JID - 100898759
SB  - IM
CIN - Sleep Med. 2023 Oct;110:258. PMID: 37666050
MH  - Humans
MH  - Female
MH  - Aged
MH  - Aged, 80 and over
MH  - Taiwan/epidemiology
MH  - Cross-Sectional Studies
MH  - *Sleep
MH  - Surveys and Questionnaires
MH  - *Sleep Initiation and Maintenance Disorders
OTO - NOTNLM
OT  - Intrinsic capacity
OT  - Older people
OT  - RU-SATED
OT  - Sleep health
COIS- Declaration of competing interest Authors declare none.
EDAT- 2023/07/10 00:42
MHDA- 2023/08/14 06:42
CRDT- 2023/07/09 18:05
PHST- 2023/05/09 00:00 [received]
PHST- 2023/06/11 00:00 [revised]
PHST- 2023/06/17 00:00 [accepted]
PHST- 2023/08/14 06:42 [medline]
PHST- 2023/07/10 00:42 [pubmed]
PHST- 2023/07/09 18:05 [entrez]
AID - S1389-9457(23)00222-8 [pii]
AID - 10.1016/j.sleep.2023.06.016 [doi]
PST - ppublish
SO  - Sleep Med. 2023 Sep;109:98-103. doi: 10.1016/j.sleep.2023.06.016. Epub 2023 Jun 
      27.