Öz
Amaç: Bu çalışmanın amacı, huzurevinde yaşayan 65 yaş ve üzeri yaşlı bireylerin fiziksel aktivite ile uyku kaliteleri arasındaki ilişkiyi değerlendirmektir.
Gereç ve Yöntem: Çalışmaya huzurevlerinde yaşayan toplam 456 yaşlı birey dahil edildi. Karşılıklı görüşme yöntemiyle demografik bilgileri kaydedildi. Yaşlıların gündüz uykululuğu (Epworth Uykululuk Skalası), fiziksel aktivite düzeyi (International Physical Activity Questionnaire) ve uyku kalitesi (Pittsburgh Uyku Kalitesi İndeksi) değerlendirildi.
Bulgular: Bireyler fiziksel aktivite düzeyine göre puanlanarak gruplandırıldı. Uyku kalitesi açısından gruplar arasında anlamlı fark görülmemiştir (p = 0,41). Gündüz uykululuğu açısından ise gruplar arasında istatistiksel olarak anlamlı fark saptanmıştır (p <0,001).
Fiziksel aktivite düzeyi ile gündüz uykululuğu arasında istatistiksel açıdan negatif yönde, zayıf, anlamlı
bir ilişki olduğu saptanmıştır (r = -0,16, p = 0,03). Uyku kalitesi ile gündüz uykululuğu arasında
istatistiksel açıdan negatif yönde, zayıf, anlamlı bir ilişki olduğu saptanmıştır (r = 0,20, p <0.001).
Sonuç: Yaşlı bireylerde gündüz uykululuğu bireylerin fiziksel aktivite düzeyi ile ilişkilidir. Bununla
birlikte uyku kalitesi ile fiziksel aktivite düzeyi arasında ilişki yoktur. Gündüz uykululuğu yaşlı bireylerde
düşük fiziksel aktivite düzeyi nedenleri arasındadır. Fiziksel aktivite değerlendirmelerinde gündüz
uykululuğunun da sorgulanması gerekmektedir.
Anahtar Kelimeler
Kaynakça
- Lee IM, Skerrett PJ. Physical activity and all-cause mortality: What is the dose– response relation? [discussion S493-4]. Med Sci Sports Exerc 2001; 33: S459-71. https://doi.org/10.1097/00005768-200106001-00016.
- Penedo F, Dahn JR. Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry 2005; 18 (2): 189-93. https://doi.org/10.1097/00001504-200503000-00013.
- Caspersen CJ, K E Powell, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985; 100 (2): 126–31.
- Bulut S. Sağlıkta sosyal bir belirleyici; fiziksel aktivite. Turk Hij Den Biyol Derg 2013; 70 (4): 205-14.
- Hawkins M, Marcus B, Pekow P, et al. Physical activity and sleep quality and duration during pregnancy among hispanic women: Estudio PARTO. Behav Sleep Med 2019; 17 (6): 804-17. https://doi.org/10.1080/15402002.2018.1518225.
- Faydalı S, Çetinkaya F. The effect of aromatherapy on sleep quality of older adults residing in a nursing home. Holist Nurs Pract 2018; 32 (1): 8-16. https://doi.org/10.1097/HNP.0000000000000244.
- Hughes JM, Song Y, Fung CH, et al. Measuring Sleep in Vulnerable Older Adults: A Comparison of Subjective and Objective Sleep Measures. Clin Gerontol 2018; 41 (2): 145-57. https://doi.org/10.1080/07317115.2017.1408734.
- Kushida CA, Nichols DA, Holmes TH, et al. SMART DOCS: a new patient-centered outcomes and coordinated-care management approach for the future practice of sleep medicine. Sleep 2015; 38 (2): 315-26. https://doi.org/10.5665/sleep.4422.
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (2): 193-213. https://doi.org/10.1016/0165-1781 (89) 90047-4.
- Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin Geçerliği ve Güvenirliği. Türk Psikiyatri Derg 1996; 7 (2): 107-11.
- Rubio Castañeda FJ, Tomás Aznar C, Muro Baquero C. Medición de la actividad física en personas mayores de 65 años mediante el IPAQ-E: validez de contenido, fiabilidad y factores asociados [Validity, Reliability and Associated Factors of the International Physical Activity Questionnaire Adapted to Elderly (IPAQ-E)]. Rev Esp Salud Publica. 2017; 91:e201701004.
- García-Calzón S, Moleres A, Marcos A, et al. Telomere length as a biomarker for adiposity changes after a multidisciplinary intervention in overweight/obese adolescents: the EVASYON study. PLoS One 2014; 9 (2): e89828. https://doi.org/10.1371/journal.pone.0089828.
- Suliga E, Cieśla E, Rębak D, Kozieł D, Głuszek S. Relationship between sitting time, physical activity, and metabolic syndrome among adults depending on body mass index (BMI). Med Sci Monit 2018; 24: 7633-45. https://doi.org/10.12659/MSM.907582.
- Halali F, Mahdavi R, Asghari Jafarabadi M, Mobasseri M, Namazi N. A cross-sectional study of barriers to physical activity among overweight and obese patients with type 2 diabetes in Iran. Health Soc Care Community 2016; 24 (5): e92-e100. https://doi.org/10.1111/hsc.12263.
- Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14 (6): 540–5.
- Johns MW. Sleepiness in different situations measured by the Epworth Sleepiness Scale. Sleep 1994; 17 (8): 703–10.
- Izci B, Ardic S, Firat H, Sahin A, Altinors M, Karacan I. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath 2008; 12 (2): 161-8. https://doi.org/10.1007/s11325-007-0145-7.
- Mora JC, Valencia WM. Exercise and Older Adults. Clin Geriatr Med 2018; 34 (1): 145-62. https://doi.org/10.1016/j.cger.2017.08.007.
- Lee RE, Mama SK, McAlexander KP, Adamus H, Medina AV. Neighborhood and PA: neighborhood factors and physical activity in African American public housing residents. J Phys Act Health 2011; 8 (Suppl 1): S83-90. https://doi.org/10.1123/jpah.8.s1.s83.
- Deng HB, Macfarlane DJ, Thomas GN, et al. Reliability and validity of the IPAQ-Chinese: the Guangzhou Biobank Cohort study. Med Sci Sports Exerc 2008; 40 (2): 303-7. https://doi.org/10.1249/mss.0b013e31815b0db5.
- Dolezal BA, Neufeld, EV, Boland DM, Martin JL, Cooper CB. Interrelationship between sleep and exercise: A Systematic Review. Adv Prev Med 2017; 2017: 1364387. https://doi.org/10.1155/2017/1364387
- Willette-Murphy K, Lee KA, Dodd M, et al. Relationship between sleep and physical activity in female family caregivers at the initiation of patients' radiation therapy. J Obstet Gynecol Neonatal Nurs 2009; 38 (3): 367-74. https://doi.org/10.1111/j.1552-6909.2009.01032.x.
- Watson EJ, Banks S, Coates AM, Kohler MJ. The relationship between caffeine, sleep, and behavior in children. J Clin Sleep Med 2017; 13 (4): 533-43. https://doi.org/10.5664/jcsm.6536.
- Fatima Y, Doi SA, Mamun AA. Sleep quality and obesity in young subjects: a meta-analysis. Obes Rev 2016; 17 (11): 1154-66. https://doi.org/10.1111/obr.12444.
- He K, Kapur VK. Sleep-Disordered Breathing and Excessive Daytime Sleepiness. Sleep Med Clin 2017; 12 (3): 369-82. https://doi.org/10.1016/j.jsmc.2017.03.010.
- Baron KG, Reid KJ, Zee PC. Exercise to improve sleep in insomnia: exploration of the bidirectional effects. J Clin Sleep Med 2013; 9 (8): 819-24. https://doi.org/10.5664/jcs
Öz
Aim: The aim of this study was to determine the relationship between physical activity and sleep quality in older adults living in nursing homes.
Materials and Methods: The study involved 456 elderly participants who were living in the nursing homes. Their demographics were noted with the face-to-face interview method. The levels of daytime sleepiness (Epworth Sleepiness Scale), physical activity (International Physical Activity Questionnaire) and sleep quality (Pittsburgh Sleep Quality Index) of the older adults were evaluated.
Results: The individuals were scored and grouped based on their levels of physical activity. No significant differences were observed between the groups in terms of sleep quality (p = 0.41). However, a statistically significant difference was observed between the groups in terms of daytime sleepiness (p <0.001). A statistically significant, poor relationship was identified in the negative direction between the level of physical activity and daytime sleepiness (r = -0.16, p = 0.03). A statistically significant, poor relationship was observed in the negative direction between the level of sleep quality and daytime sleepiness (r = 0.20, p < 0,001).
Conclusion: In the older adults, daytime sleepiness is associated with the levels of physical activity. Additionally, there are no relations between the sleep quality and level of physical activity. Daytime sleepiness is listed as one of the reasons of low physical activity levels in the older adults. Daytime sleepiness should also be inquired for the assessment of physical activities.
Anahtar Kelimeler
Kaynakça
- Lee IM, Skerrett PJ. Physical activity and all-cause mortality: What is the dose– response relation? [discussion S493-4]. Med Sci Sports Exerc 2001; 33: S459-71. https://doi.org/10.1097/00005768-200106001-00016.
- Penedo F, Dahn JR. Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry 2005; 18 (2): 189-93. https://doi.org/10.1097/00001504-200503000-00013.
- Caspersen CJ, K E Powell, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985; 100 (2): 126–31.
- Bulut S. Sağlıkta sosyal bir belirleyici; fiziksel aktivite. Turk Hij Den Biyol Derg 2013; 70 (4): 205-14.
- Hawkins M, Marcus B, Pekow P, et al. Physical activity and sleep quality and duration during pregnancy among hispanic women: Estudio PARTO. Behav Sleep Med 2019; 17 (6): 804-17. https://doi.org/10.1080/15402002.2018.1518225.
- Faydalı S, Çetinkaya F. The effect of aromatherapy on sleep quality of older adults residing in a nursing home. Holist Nurs Pract 2018; 32 (1): 8-16. https://doi.org/10.1097/HNP.0000000000000244.
- Hughes JM, Song Y, Fung CH, et al. Measuring Sleep in Vulnerable Older Adults: A Comparison of Subjective and Objective Sleep Measures. Clin Gerontol 2018; 41 (2): 145-57. https://doi.org/10.1080/07317115.2017.1408734.
- Kushida CA, Nichols DA, Holmes TH, et al. SMART DOCS: a new patient-centered outcomes and coordinated-care management approach for the future practice of sleep medicine. Sleep 2015; 38 (2): 315-26. https://doi.org/10.5665/sleep.4422.
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (2): 193-213. https://doi.org/10.1016/0165-1781 (89) 90047-4.
- Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin Geçerliği ve Güvenirliği. Türk Psikiyatri Derg 1996; 7 (2): 107-11.
- Rubio Castañeda FJ, Tomás Aznar C, Muro Baquero C. Medición de la actividad física en personas mayores de 65 años mediante el IPAQ-E: validez de contenido, fiabilidad y factores asociados [Validity, Reliability and Associated Factors of the International Physical Activity Questionnaire Adapted to Elderly (IPAQ-E)]. Rev Esp Salud Publica. 2017; 91:e201701004.
- García-Calzón S, Moleres A, Marcos A, et al. Telomere length as a biomarker for adiposity changes after a multidisciplinary intervention in overweight/obese adolescents: the EVASYON study. PLoS One 2014; 9 (2): e89828. https://doi.org/10.1371/journal.pone.0089828.
- Suliga E, Cieśla E, Rębak D, Kozieł D, Głuszek S. Relationship between sitting time, physical activity, and metabolic syndrome among adults depending on body mass index (BMI). Med Sci Monit 2018; 24: 7633-45. https://doi.org/10.12659/MSM.907582.
- Halali F, Mahdavi R, Asghari Jafarabadi M, Mobasseri M, Namazi N. A cross-sectional study of barriers to physical activity among overweight and obese patients with type 2 diabetes in Iran. Health Soc Care Community 2016; 24 (5): e92-e100. https://doi.org/10.1111/hsc.12263.
- Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14 (6): 540–5.
- Johns MW. Sleepiness in different situations measured by the Epworth Sleepiness Scale. Sleep 1994; 17 (8): 703–10.
- Izci B, Ardic S, Firat H, Sahin A, Altinors M, Karacan I. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath 2008; 12 (2): 161-8. https://doi.org/10.1007/s11325-007-0145-7.
- Mora JC, Valencia WM. Exercise and Older Adults. Clin Geriatr Med 2018; 34 (1): 145-62. https://doi.org/10.1016/j.cger.2017.08.007.
- Lee RE, Mama SK, McAlexander KP, Adamus H, Medina AV. Neighborhood and PA: neighborhood factors and physical activity in African American public housing residents. J Phys Act Health 2011; 8 (Suppl 1): S83-90. https://doi.org/10.1123/jpah.8.s1.s83.
- Deng HB, Macfarlane DJ, Thomas GN, et al. Reliability and validity of the IPAQ-Chinese: the Guangzhou Biobank Cohort study. Med Sci Sports Exerc 2008; 40 (2): 303-7. https://doi.org/10.1249/mss.0b013e31815b0db5.
- Dolezal BA, Neufeld, EV, Boland DM, Martin JL, Cooper CB. Interrelationship between sleep and exercise: A Systematic Review. Adv Prev Med 2017; 2017: 1364387. https://doi.org/10.1155/2017/1364387
- Willette-Murphy K, Lee KA, Dodd M, et al. Relationship between sleep and physical activity in female family caregivers at the initiation of patients' radiation therapy. J Obstet Gynecol Neonatal Nurs 2009; 38 (3): 367-74. https://doi.org/10.1111/j.1552-6909.2009.01032.x.
- Watson EJ, Banks S, Coates AM, Kohler MJ. The relationship between caffeine, sleep, and behavior in children. J Clin Sleep Med 2017; 13 (4): 533-43. https://doi.org/10.5664/jcsm.6536.
- Fatima Y, Doi SA, Mamun AA. Sleep quality and obesity in young subjects: a meta-analysis. Obes Rev 2016; 17 (11): 1154-66. https://doi.org/10.1111/obr.12444.
- He K, Kapur VK. Sleep-Disordered Breathing and Excessive Daytime Sleepiness. Sleep Med Clin 2017; 12 (3): 369-82. https://doi.org/10.1016/j.jsmc.2017.03.010.
- Baron KG, Reid KJ, Zee PC. Exercise to improve sleep in insomnia: exploration of the bidirectional effects. J Clin Sleep Med 2013; 9 (8): 819-24. https://doi.org/10.5664/jcs
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 19 Nisan 2021 |
| Gönderilme Tarihi | 18 Ocak 2021 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 60 Özel Sayı: 1 (Geriatri) |
