Produção Nacional
Can Sleep Problems Have a Negative Impact on Falls in Older People?
2018; American Academy of Sleep Medicine; Volume: 14; Issue: 10 Linguagem: Inglês
10.5664/jcsm.7418
ISSN1550-9397
AutoresPriscila K. Morelhão, Rafael Zambelli Pinto, Cynthia Gobbi, Sérgio Tufik, Mônica L. Andersen,
Tópico(s)Balance, Gait, and Falls Prevention
ResumoFree AccessSleep DeprivationCan Sleep Problems Have a Negative Impact on Falls in Older People? Priscila K. Morelhão, MSc, Rafael Z. Pinto, PhD, Cynthia Gobbi, MSc, Sergio Tufik, PhD, Monica L. Andersen, PhD Priscila K. Morelhão, MSc Department of Physical Therapy, Faculty of Science and Technology, Sao Paulo State University (UNESP), Presidente Prudente, Brazil Search for more papers by this author , Rafael Z. Pinto, PhD Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil Search for more papers by this author , Cynthia Gobbi, MSc Department of Physical Therapy, Faculty of Science and Technology, Sao Paulo State University (UNESP), Presidente Prudente, Brazil Search for more papers by this author , Sergio Tufik, PhD Department of Psychobiology, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil Search for more papers by this author , Monica L. Andersen, PhD Address correspondence to: Monica Levy Andersen, PhD, Universidade Federal de São Paulo, Napoleão de Barros, 925 Vila Clementino -04024-002, São Paulo/SP-Brazil+55 11 2149-0155+55 11 5572-5092 E-mail Address: [email protected] Department of Psychobiology, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil Search for more papers by this author Published Online:October 15, 2018https://doi.org/10.5664/jcsm.7418SectionsPDF ShareShare onFacebookTwitterLinkedInRedditEmail ToolsAdd to favoritesDownload CitationsTrack Citations AboutINTRODUCTIONIt is estimated that the number of people aged at least 60 years will increase approximately 56% until 2030, and by 2050, this population will reach around 2.1 billion.1 The rise of life expectancy and the projected growth of the population who are aged at least 60 years generates challenges in the health field, because the prevalence of chronic diseases expand in older people.2 According to the Global Burden of Disease Study 2016, people are living longer, but are not necessarily associating quality of life to their later years. In fact, more limitations and high rates of disabilities have been reported.3Falls are a public health problem with devastating consequences for an individual and family that also contribute to the high rates of disability and mortality.4 The Global Burden of Disease Study 2010 revealed that falling is among the top seven highest causes of years lived with disability in older people.5 Another issue to consider are sleep problems in older people. In the aging process, there is an increase of the number of awakenings, while the total quantity of nocturnal sleep is reduced.6 Thus, sleep disturbances are more frequent in older individuals.6One sleep problem that mainly affects the elderly is excessive daytime sleepiness.6 It is known that 15% of the elderly have complain about excessive daytime sleepiness with no specific cause.7 A cross-section study demonstrated that women with excessive daytime sleepiness have reported at least one previous fall.8 Recent literature showed that men with short sleep duration had increased risk of fall,9 and, in adolescents, sleep deprivation had increased falls in different conditions.10 The effects of sleep deprivation cause significant harm to self-regulation abilities that influences attention, decision making and impulsiveness,10 this aspect has detrimental input in outcome falls in all ages.8,10The relationship between sleep problems and risk of falls can be influenced by several factors, such as associated diseases, depression, balance problems, impaired cognitive functions, and use of medication. Health professionals should pay more attention to the mechanisms that cause sleep deprivation and provide non-drug interventions that improve both risk of falls and sleep problems. We propose that sleep problems can be a risk factor for falls. The fact is that sleep deprivation causes deleterious damages in organism causing imbalance in the systems of balance, coordination, attention, and concentration that can lead to falls.In conclusion, we would like to emphasize the importance of sleep problems in the risk of falls in the elderly population and call attention to both health problems that negatively impact quality of life in older people. We recommend that future studies should investigate effective treatments to improve sleep quality in older people. Furthermore, clinicians should discuss the risks of falling with their elderly patients with sleep problems and also with their family members.DISCLOSURE STATEMENTAll authors have read and approved the final version of this manuscript. The authors are supported by grants from the Associacao Fundo de Incentivo à Pesquisa (AFIP). MLA and ST are CNPq fellowship recipients. PKM is supported by grant from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The authors report no conflicts of interest.CITATIONMorelhão PK, Pinto RZ, Gobbi C, Tufik S, Andersen ML. Can sleep problems have a negative impact of falls in older people? J Clin Sleep Med. 2018;14(10):1821–1822.REFERENCE1 United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2015Accessed date April 24, 2018 http://www.un.org/en/development/desa/population/theme/ageing/WPA2015.shtml. Google Scholar2 Lima MG, Barros MB, Cesar CL, Goldbaum M, Carandina L, Ciconelli RMImpact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: a population-based study. Rev Panam Salud Publica; 2009;254:314-321, 19531319. CrossrefGoogle Scholar3 GBD 2016 Disease and injury Incidence and Prevalence CollaboratorsGlobal, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet; 2017;39010100:1211-1259, 28919117. CrossrefGoogle Scholar4 Sherrington C, Tiedemann APhysiotherapy in the prevention of falls in older people. J Physiother; 2015;612:54-60, 25797882. CrossrefGoogle Scholar5 Salomon JA, Wang H, Freeman MKet al.Healthy life expectancy for 187 countries, 1990-2010: a systematic analysis for the Global Burden Disease Study 2010. Lancet; 2012;3809859:2144-2162, 23245606. CrossrefGoogle Scholar6 Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MVMeta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep; 2004;277:1255-1273, 15586779. CrossrefGoogle Scholar7 Pack AI, Dinges DF, Gehrman PR, Staley B, Pack FM, Maislin GRisk factors for excessive sleepiness in older adults. Ann Neurol; 2006;596:893-904, 16718691. CrossrefGoogle Scholar8 Hayley AC, Williams LJ, Kennedy GAet al.Excessive daytime sleepiness and falls among older men and women: cross-sectional examination of a population-based sample. BMC Geriatrics; 2015;15:74, 26141865. CrossrefGoogle Scholar9 Stone KL, Blackwell TL, Ancoli-Israel Set al.Sleep disturbances and increased risk of falls in older community-dwelling men: the outcomes of Sleep Disorders in Older Men (MrOS Sleep) Study. J Am Geriatr Soc; 2014;622:299-305, 24428306. CrossrefGoogle Scholar10 Kim SY, Sim S, Kim SG, Choi HGSleep deprivation is associated with bicycle accidents and slip and fall injuries in Korean adolescents. PLoS One; 2015;108:e0135753, 26280345. CrossrefGoogle Scholar Previous article Next article FiguresReferencesRelatedDetails Volume 14 • Issue 10 • October 15, 2018ISSN (print): 1550-9389ISSN (online): 1550-9397Frequency: Monthly Metrics History Submitted for publicationJune 15, 2018Submitted in final revised formJune 15, 2018Accepted for publicationJune 26, 2018Published onlineOctober 15, 2018 Information© 2018 American Academy of Sleep MedicinePDF download
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