The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors
Azizi A Seixas,1,2,* Debbie P Chung,1,* Shannique L Richards,1 Shreya Madhavaram,1 Preeti Raghavan,1,3 Juan Gago,1,4 George Casimir,1,5 Girardin Jean-Louis1,2 1Department of Population Health, Center for Healthful Behavior Change, NYU Langone Health, NY, New York, USA; 2Department of Psychiatry, Ce...
Guardado en:
| Autores principales: | , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Dove Medical Press
2019
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/e3cdd5b013f441bdb7b7c738fd3f3d63 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:e3cdd5b013f441bdb7b7c738fd3f3d63 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:e3cdd5b013f441bdb7b7c738fd3f3d632021-12-02T02:29:39ZThe impact of short and long sleep duration on instrumental activities of daily living among stroke survivors1178-2021https://doaj.org/article/e3cdd5b013f441bdb7b7c738fd3f3d632019-01-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-short-and-long-sleep-duration-on-instrumental-activities-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Azizi A Seixas,1,2,* Debbie P Chung,1,* Shannique L Richards,1 Shreya Madhavaram,1 Preeti Raghavan,1,3 Juan Gago,1,4 George Casimir,1,5 Girardin Jean-Louis1,2 1Department of Population Health, Center for Healthful Behavior Change, NYU Langone Health, NY, New York, USA; 2Department of Psychiatry, Center for Healthful Behavior Change, NYU Langone Health, NY, New York, USA; 3Department of Rehabilitation Medicine, NYU Langone Health, NY, New York, USA; 4Cervical Cancer Prevention Program, National Cancer Institute of Argentina, Buenos Aires, Argentina; 5Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, USA *These authors contributed equally to this work Objective: Stroke survivors generally have problems completing instrumental activities of daily living (IADL; eg, preparing meals, chores, taking a bath, and managing finances). However, it is unclear how stroke survivors might stave off IADL issues. Studies indicating that sleep has restorative neurological effects provide potential mechanisms to address issues with IADL. The aim of this study was to ascertain the association between sleep duration (short or long sleep duration) and IADL among stroke survivors and those without a stroke history.Methods: Data of 486,619 participants were analyzed from the 2000 to 2015 National Health Interview Survey (NHIS), a nationally representative sample. Measures of self-reported stroke, sociodemographic variables, sleep duration, and IADL problems were collected. Binary logistic regression was utilized to analyze the relationship of short (≤6 hours) and long (≥9 hours) sleep duration with limitations to IADL.Results: Of the sample, 3% reported a physician-diagnosed stroke event. The mean age was 45.73 years; 52.7% were female; 77.4% were White; 14.2% were Black; 41.3% were married, 62.7% were employed; 31.1% reported that annual family income was less than $35,000; 87% reported good-to-excellent health; and 29.7% reported short sleep (≤6 hours). Approximately 30% of stroke survivors reported IADL problems, and 34.4% who reported IADL problems were short sleepers. Among stroke survivors, long sleepers were 97% more likely than average sleepers to report IADL problems (OR =1.97, 95% CI =1.71–2.26, P<0.001) adjusting for age, sex, race, marital status, poverty, and health.Conclusion: Findings from our study indicate that, among stroke survivors, long sleepers were more likely to report IADL problems compared to average sleepers (7–8 hours). Future studies should investigate other potential mediators such as severity of stroke, medication, comorbidities, level of impairment, and whether improving sleep among stroke survivors may improve IADL. Keywords: stroke, sleep, instrumental activities of daily living, quality of life, functional impairmentSeixas AAChung DPRichards SLMadhavaram SRaghavan PGago JCasimir GJean-Louis GDove Medical Pressarticlestrokesleepinstrumental activities of daily livingquality of lifefunctional impairmentNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 177-182 (2019) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
stroke sleep instrumental activities of daily living quality of life functional impairment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
| spellingShingle |
stroke sleep instrumental activities of daily living quality of life functional impairment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Seixas AA Chung DP Richards SL Madhavaram S Raghavan P Gago J Casimir G Jean-Louis G The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| description |
Azizi A Seixas,1,2,* Debbie P Chung,1,* Shannique L Richards,1 Shreya Madhavaram,1 Preeti Raghavan,1,3 Juan Gago,1,4 George Casimir,1,5 Girardin Jean-Louis1,2 1Department of Population Health, Center for Healthful Behavior Change, NYU Langone Health, NY, New York, USA; 2Department of Psychiatry, Center for Healthful Behavior Change, NYU Langone Health, NY, New York, USA; 3Department of Rehabilitation Medicine, NYU Langone Health, NY, New York, USA; 4Cervical Cancer Prevention Program, National Cancer Institute of Argentina, Buenos Aires, Argentina; 5Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, USA *These authors contributed equally to this work Objective: Stroke survivors generally have problems completing instrumental activities of daily living (IADL; eg, preparing meals, chores, taking a bath, and managing finances). However, it is unclear how stroke survivors might stave off IADL issues. Studies indicating that sleep has restorative neurological effects provide potential mechanisms to address issues with IADL. The aim of this study was to ascertain the association between sleep duration (short or long sleep duration) and IADL among stroke survivors and those without a stroke history.Methods: Data of 486,619 participants were analyzed from the 2000 to 2015 National Health Interview Survey (NHIS), a nationally representative sample. Measures of self-reported stroke, sociodemographic variables, sleep duration, and IADL problems were collected. Binary logistic regression was utilized to analyze the relationship of short (≤6 hours) and long (≥9 hours) sleep duration with limitations to IADL.Results: Of the sample, 3% reported a physician-diagnosed stroke event. The mean age was 45.73 years; 52.7% were female; 77.4% were White; 14.2% were Black; 41.3% were married, 62.7% were employed; 31.1% reported that annual family income was less than $35,000; 87% reported good-to-excellent health; and 29.7% reported short sleep (≤6 hours). Approximately 30% of stroke survivors reported IADL problems, and 34.4% who reported IADL problems were short sleepers. Among stroke survivors, long sleepers were 97% more likely than average sleepers to report IADL problems (OR =1.97, 95% CI =1.71–2.26, P<0.001) adjusting for age, sex, race, marital status, poverty, and health.Conclusion: Findings from our study indicate that, among stroke survivors, long sleepers were more likely to report IADL problems compared to average sleepers (7–8 hours). Future studies should investigate other potential mediators such as severity of stroke, medication, comorbidities, level of impairment, and whether improving sleep among stroke survivors may improve IADL. Keywords: stroke, sleep, instrumental activities of daily living, quality of life, functional impairment |
| format |
article |
| author |
Seixas AA Chung DP Richards SL Madhavaram S Raghavan P Gago J Casimir G Jean-Louis G |
| author_facet |
Seixas AA Chung DP Richards SL Madhavaram S Raghavan P Gago J Casimir G Jean-Louis G |
| author_sort |
Seixas AA |
| title |
The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| title_short |
The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| title_full |
The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| title_fullStr |
The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| title_full_unstemmed |
The impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| title_sort |
impact of short and long sleep duration on instrumental activities of daily living among stroke survivors |
| publisher |
Dove Medical Press |
| publishDate |
2019 |
| url |
https://doaj.org/article/e3cdd5b013f441bdb7b7c738fd3f3d63 |
| work_keys_str_mv |
AT seixasaa theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT chungdp theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT richardssl theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT madhavarams theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT raghavanp theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT gagoj theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT casimirg theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT jeanlouisg theimpactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT seixasaa impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT chungdp impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT richardssl impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT madhavarams impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT raghavanp impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT gagoj impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT casimirg impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors AT jeanlouisg impactofshortandlongsleepdurationoninstrumentalactivitiesofdailylivingamongstrokesurvivors |
| _version_ |
1718402500939218944 |