Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults

Karla Moreno-Tamayo,1 Betty Manrique-Espinoza,2 Selene Guerrero-Zúñiga,3 Eliseo Ramírez-García,1 Sergio Sánchez-García1 1Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Méxi...

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Autores principales:	Moreno-Tamayo K, Manrique-Espinoza B, Guerrero-Zúñiga S, Ramírez-García E, Sánchez-García S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	sleep disorders obstructive sleep apnea older adults insomnia disorder sleepiness Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/41f57f78286d4c808f0e762b0f800db3
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spelling	oai:doaj.org-article:41f57f78286d4c808f0e762b0f800db32021-12-02T18:01:14ZSex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults1179-1608https://doaj.org/article/41f57f78286d4c808f0e762b0f800db32021-08-01T00:00:00Zhttps://www.dovepress.com/sex-differences-in-the-association-between-risk-of-obstructive-sleep-a-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Karla Moreno-Tamayo,1 Betty Manrique-Espinoza,2 Selene Guerrero-Zúñiga,3 Eliseo Ramírez-García,1 Sergio Sánchez-García1 1Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México; 2Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México; 3Unidad de Medicina del Sueño, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoCorrespondence: Sergio Sánchez-GarcíaUnidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Avenida Cuauhtémoc No. 330, Edificio CORCE, Tercer piso. Col. Doctores, Alcaldía Cuauhtémoc, Ciudad de México, 06720, MéxicoTel + 52 556276900 Ext. 21846Email sergio.sanchezga@imss.gob.mxPurpose: To analyze the association between risk of obstructive sleep apnea (OSA), insomnia, sleepiness and self-assessed sleep duration with frailty in older adults.Patients and Methods: Cross-sectional study with 1643 older adults (60 to 97 years old) who participated in round 6 (2019) of the Cohort of Obesity Sarcopenia and Obesity in Older Adults of the Mexican Institute of Social Security. The Berlin Questionnaire was used to assess risk of OSA, the Athens Insomnia Scale for insomnia, the Epworth Scale for sleepiness, and sleep duration by self-report. Frailty was assessed with the frailty criteria proposed by Fried. Sociodemographic and health variables were also collected. Statistical analysis was performed with logistic regression and was stratified by sex.Results: This study included 1643 participants (823 men and 820 women). Mean age was 67.1 ± 5.9 years. The percentage of frail older adults was 10.5% (n = 172), with risk of OSA 26.1% (n = 429), with insomnia 30.3% (n = 497) and with sleepiness 18.9% (n = 310). In all participants, risk of OSA and insomnia were associated with frailty. In the stratified analysis by sex, the association between risk of OSA and frailty was observed in women (odds ratio (OR) = 1.84, 95% confidence interval (CI) 1.05, 3.22), but not in men (OR = 1.19, 95% CI: 0.65, 2.19). Insomnia was significantly associated with frailty in women (OR = 2.38, 95% CI: 1.35, 4.20) and in men (OR = 1.88, 95% CI: 1.01, 3.52). Neither sleepiness nor sleep duration was associated with frailty.Conclusion: In community-dwelling older adults, both the risk of OSA and insomnia conferred greater odds of presenting frailty in women. It is required to implement strategies aimed at improving sleep hygiene and detecting patients with OSA and insomnia.Keywords: sleep disorders, obstructive sleep apnea, older adults, insomnia disorder, sleepinessMoreno-Tamayo KManrique-Espinoza BGuerrero-Zúñiga SRamírez-García ESánchez-García SDove Medical Pressarticlesleep disordersobstructive sleep apneaolder adultsinsomnia disordersleepinessPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 1461-1472 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep disorders obstructive sleep apnea older adults insomnia disorder sleepiness Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep disorders obstructive sleep apnea older adults insomnia disorder sleepiness Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Moreno-Tamayo K Manrique-Espinoza B Guerrero-Zúñiga S Ramírez-García E Sánchez-García S Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults
description	Karla Moreno-Tamayo,1 Betty Manrique-Espinoza,2 Selene Guerrero-Zúñiga,3 Eliseo Ramírez-García,1 Sergio Sánchez-García1 1Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México; 2Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México; 3Unidad de Medicina del Sueño, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoCorrespondence: Sergio Sánchez-GarcíaUnidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Avenida Cuauhtémoc No. 330, Edificio CORCE, Tercer piso. Col. Doctores, Alcaldía Cuauhtémoc, Ciudad de México, 06720, MéxicoTel + 52 556276900 Ext. 21846Email sergio.sanchezga@imss.gob.mxPurpose: To analyze the association between risk of obstructive sleep apnea (OSA), insomnia, sleepiness and self-assessed sleep duration with frailty in older adults.Patients and Methods: Cross-sectional study with 1643 older adults (60 to 97 years old) who participated in round 6 (2019) of the Cohort of Obesity Sarcopenia and Obesity in Older Adults of the Mexican Institute of Social Security. The Berlin Questionnaire was used to assess risk of OSA, the Athens Insomnia Scale for insomnia, the Epworth Scale for sleepiness, and sleep duration by self-report. Frailty was assessed with the frailty criteria proposed by Fried. Sociodemographic and health variables were also collected. Statistical analysis was performed with logistic regression and was stratified by sex.Results: This study included 1643 participants (823 men and 820 women). Mean age was 67.1 ± 5.9 years. The percentage of frail older adults was 10.5% (n = 172), with risk of OSA 26.1% (n = 429), with insomnia 30.3% (n = 497) and with sleepiness 18.9% (n = 310). In all participants, risk of OSA and insomnia were associated with frailty. In the stratified analysis by sex, the association between risk of OSA and frailty was observed in women (odds ratio (OR) = 1.84, 95% confidence interval (CI) 1.05, 3.22), but not in men (OR = 1.19, 95% CI: 0.65, 2.19). Insomnia was significantly associated with frailty in women (OR = 2.38, 95% CI: 1.35, 4.20) and in men (OR = 1.88, 95% CI: 1.01, 3.52). Neither sleepiness nor sleep duration was associated with frailty.Conclusion: In community-dwelling older adults, both the risk of OSA and insomnia conferred greater odds of presenting frailty in women. It is required to implement strategies aimed at improving sleep hygiene and detecting patients with OSA and insomnia.Keywords: sleep disorders, obstructive sleep apnea, older adults, insomnia disorder, sleepiness
format	article
author	Moreno-Tamayo K Manrique-Espinoza B Guerrero-Zúñiga S Ramírez-García E Sánchez-García S
author_facet	Moreno-Tamayo K Manrique-Espinoza B Guerrero-Zúñiga S Ramírez-García E Sánchez-García S
author_sort	Moreno-Tamayo K
title	Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults
title_short	Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults
title_full	Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults
title_fullStr	Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults
title_full_unstemmed	Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults
title_sort	sex differences in the association between risk of obstructive sleep apnea, insomnia, and frailty in older adults
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/41f57f78286d4c808f0e762b0f800db3
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Sex Differences in the Association Between Risk of Obstructive Sleep Apnea, Insomnia, and Frailty in Older Adults

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