Sleep problems among assisted living facility (ALF) residents are not well understood, and sleep-related differences between ALF residents and home-dwelling older adults have not been examined.
We compared sleep patterns in 19 ALF residents to sleep patterns in 19 matched home-dwelling older people (age > or =65 years). All were participating in the follow-up portion of a longitudinal study of sleep and functional outcomes following post-acute rehabilitation.
Sleep was assessed with the Pittsburgh Sleep Quality Index and 1 week of wrist actigraphy.
By actigraphy, ALF residents awoke earlier in the morning and exhibited more nighttime awakenings compared to home-dwelling participants (06:50 hours +/- 1:29 hours vs 07:51 hours +/- 1:19 hours and 19.5 +/- 8.5 vs 12.9 +/- 11.4 awakenings, respectively).
Larger studies are needed to confirm these initial findings that ALF residents have more disrupted sleep than do home-dwelling older persons, and to examine the functional and health consequences of poor sleep among ALF residents.
The journals of gerontology. Series A, Biological sciences and medical sciences
VA Greater Los Angeles Healthcare System, CA, USA. jennifer.martin [at] va.gov
J Gerontol A Biol Sci Med Sci. 2008 Dec;63(12):1407-9
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