Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Rest-Activity Rhythm and Sleep pattern in the Elderly

노인의 휴식.활동 일주기 생체리듬과 수면양상

  • Received : 2011.08.17
  • Accepted : 2011.12.29
  • Published : 2011.12.30
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Abstract

Purpose: The study compared the rest-activity rhythm and sleep pattern of elderly with young group. Methods: The subjects were 22 over than 65 years old and 23 under 65 years old. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for this study. The data were analyzed with $x^2$, Lamda test, t-test and correlation with SPSS 15.0 program. Results: The elderly had lower curve than the young group in rest-activity rhythm on each time zone. In particular, the elderly group had lower rest-activity rhythm curve of 8, 9, 14, 18, 19, 20, 21, 22 and 23 time zone than those of young group. Sleep pattern had statistical difference in the total sleep time, PSQI and insomnia. Total sleep time of elderly had lower score and PSQI and Insomnia had higher score than young group. Age had correlation with rest-activity rhythm, sleep efficiency, PSQI and insomnia. Conclusion: Rest-activity rhythm of the elderly showed an increase in activity in the early morning because of earlier get up than the young group and an decrease in activity in the afternoon because of taking a nap at this time. Elderly sleep was that total sleep time increased but sleep efficiency decreased and insomnia intensified. This sleep pattern was related to age and rest-activity rhythm.

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References

  1. Alessi, C. A., Schnelle, J. F., MacRae, P. G., Ouslander, J. G., Al-Samarrai, N., Simmons, S. F., et al. (1995). Does physical activity improve sleep in impaired nursing home residents? Journal of the American Geriatrics Society, 43, 1098-1102.
  2. Bastien, B. H., Vallieres, C., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome for insomnia research. Sleep Medicine, 2, 297-307. https://doi.org/10.1016/S1389-9457(00)00065-4
  3. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kuper, D. J. (1998). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213.
  4. Carvalho-Bos, S. S., Riemersma-van der Lek, R. F., Waterhouse, J., Reilly, T., & Van Someren, E. J. (2007). Strong association of the rest-activity rhythm with well-being in demented elderly women. American Journal of Geriatric Psychiatry, 15, 92-100. https://doi.org/10.1097/01.JGP.0000236584.03432.dc
  5. Choi, J. S., & Jang, I. S. (2003). Gerontology of welfare. Seoul: Seoul National University Press, 17-18.
  6. Chun, J. S. (2007). A study on sleep patterns and awareness in the elderly. Unpublished master's thesis, Dankook University, Yongin.
  7. Cho, Y. W., Lee, H., Lee, J. W., Han, S. Y., & Lee, M. Y. (2003). Sleep disorders in maintenance dialysis patients with end-stage renal disease. Journal of the Korean Neurological Association, 21, 492-498.
  8. Enderlin, C. A. (2009). Sleep in older women with breast cancer. Unpublished doctor's thesis, Arkansas University, Arkansas.
  9. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical ower analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  10. Fitchten, C. S., Creti, L., Amsel, R., Brender, W., Weinstein, N., & Libman, E. (1995). Poor sleepers who do not complain of insomnia: Myths and realities about lifestyle characteristics of older good and poor sleepers. Journal of Behavioral Medicine, 18, 189-223. https://doi.org/10.1007/BF01857869
  11. Kim, O. S., Kim, A. J., Kim, S. W., Baik, S. H., & Yang, K. M. (2003). Fatigue, depression and sleep in young adult and middle-aged. Journal of Korean Academy of Nursing, 33, 618-624.
  12. Kim, O. S., & Yang, S. J. (2007). Health status, sleeping, exercise, and nutrition of elderly women. Journal of Ewha Nursing Science, 19(2), 1-9.
  13. Lee, E. J. (2007). Rest-activity, sleep pattern, quality of life in patient with restless leg syndrom. Journal of Korean Academy of Nursing, 39, 422-437. https://doi.org/10.4040/jkan.2009.39.3.422
  14. Lee, P. S., & Jang, S. O. (2001). The study on the effect of stage based exercise motivational intervention program for elderly. Journal of Korean Academy of Nursing, 31, 818-833.
  15. Park, J. S. (2004). The effects of an elderly health promotion program on health promotion lifestyles, health status and quality of life in the elderly. Journal of Korean Academy of Nursing, 35, 1194-1204.
  16. Park, Y. H. (2007). Physical activity and sleep patterns in elderly who visited a community senior case. Journal of Korean Academy of Nursing, 37, 5-13.
  17. Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college etudents. Journal of Psychosomatic Research, 43, 583-596.
  18. Shirota, A., Tamaki, M., Hayashi, M., & Hori, T. (1999). Effects of daytime activity on nocturnal sleep in the elderly. Psychiatry & Clinical Neurosciences, 54, 309-310.
  19. Shirota, A., Tamaki, M., Hayashi, M., Shirakawa, S., & Hori, T. (2000). Effects of volititional lifestyle on rest-activity cycle in the aged. Psychiatry & Clinical Neurosciences, 53, 271-272.
  20. Shin, K. R., Byeon, Y. S., Kang, Y. H., & Oak, J. W. (2008). A study on physical symptom, activity of daily living, and health-related quality of life (HRQoL) in the com-munity-dwelling older adults. Journal of Korean Academy of Nursing, 38, 437-444. https://doi.org/10.4040/jkan.2008.38.3.437
  21. Shin, K. L., Yi, H. R., Kim, J. Y., & Shin, C. (2006). Prevalence and associated factors of excessive daytime sleepiness in adult. Journal of Korean Academy of Nursing, 36, 829-836.
  22. Sherrill, D. L., Kotchou, K., & Quan, S. F. (1998). Association of physical activity and human sleep disorders. Archives of Internal Medicine, 158, 1894-8. https://doi.org/10.1001/archinte.158.17.1894
  23. Sim, M. K., & Park, J. M. (2004). A study on the physical health status, depression and health behaviors of the elderly. Journal of Korean Community Nursing, 15, 438-449.
  24. Sok, S. R., & Choi, J. Y. (2010). Factors influencing sleep of elderly women. Journal of Korean Academy of Nursing, 40, 119-126. https://doi.org/10.4040/jkan.2010.40.1.119
  25. Steven, H. F. (2003). Sleep in the elderly what is normal? Clinics in Geriatric Medicine, 19, 177-188. https://doi.org/10.1016/S0749-0690(02)00064-2
  26. Tryon, W. W. (2004). Issues of validity in actigraphic sleep assessment. Sleep, 27, 158-165.
  27. Uezu, E., Taira, K., Tanka, H., Arakawa, M., Urasaki, C., & Toguchi, H. (2000). Survey of sleep-health and lifestyle of the elderly in Okinawa. Psychiatry Clin Neurosci, 54(3), 11-13.
  28. Van Den Berg, J. F., Van Rooij, F. J., Vos, H., Tulen, J. H., Hofman, A., Miedema, H. M., et al. (2008). Disagreement between subjective and actigraphic measures of sleep duration in a population-based study of elderly persons. Journal of Sleep Research, 17, 295-302. https://doi.org/10.1111/j.1365-2869.2008.00638.x
  29. Van Someren, E. J., Swaab, D. F., Colenda, C. C., Cohen, W., McCall, W. V., & Rosen-quist, P. B. (1999). Bright light therapy: Improved sensitivity to its effects on rest-activity rhythms in Alzheimer patients by application of nonparametric methods. Chronobiology International, 16, 505-518. https://doi.org/10.3109/07420529908998724
  30. Yun, C. H. (2005). Clinical features, classiflcations and diagnosis of circadian rhythm sleep disorders. Journal of Korean Society of Sleep Medicine, 2, 21-22.