Research Article
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Year 2019, , 59 - 63, 28.03.2019
https://doi.org/10.7197/223.vi.532240

Abstract

References

  • 1. Türkiye İstatistik Kurumu (TÜİK). Yaşlılarla İstatistikler 2016. Sayı: 24644. Erişim Tarihi: 15.03.2018. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24644.2. Korczyn AD. The underdiagnosis of the vascular contribution to dementia. J Neurol Sci 2005;229-230:3-6. 3. 2010 Alzheimer’s disease facts and figures. Alzheimers Dement 2010;6:158-94.4. Foley D, Ancoli-Israel S, Britz P, et al. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. J Psychosom Res. 2004;56:497–502.5. Cricco M, Simonsick EM, Foley DJ. The impact of insomnia on cognitive functioning in older adults. J Am Geriatr Soc. 2001;49:1185–1189.6. Brookmeyer R, Gray S, Kawas C. Projections of Alzheimer’s disease in the United States and the public health impact of delaying disease onset. Am J Public Health. 1998;88:1337–1342.7. Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independencein activities of daily living in Turkish older adults. Arch GerontolGeriatr. 2015;61:344–350. doi:10.1016/j.archger.2015.08.0198. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. JPsychiatr Res. 1975;12:189–198.9. Jelicic M, Bosma H, Ponds RWHM, Van Boxtel MPJ, Houx PJ, Jolles J. Subjective sleep problems in later life as predictors of cognitive decline. Report from the Maas‐ tricht Ageing Study (MAAS). International Journal of Geriatric Psychiatry 2002;17(1): 73-7.10. Empson, J., & Clarke, P. (1970). Rapid eye movements and remembering. Nature, 227, 287–288.11. Fishbein, W., Katsaniotis, C., & Chattman, D. (1974). Paradoxical sleep: Prolonged augmentation following learning. Brain Research, 79, 61–75.12. Salzarulo, P. (1995). Opening remarks—Perspectives on the relationship between cognitive processes and sleep disturbances. Journal of Sleep Research, 4, 1.13. Benington, J. H., & Frank, M. G. (2003). Cellular and molecular connections between sleep and synaptic plasticity. Progress in Neurobiology, 69, 71–101.14. Gais, S., & Born, J. (2004). Low acetylcholine during slow-wave sleep is critical for declarative memory consolidation. Proceedings of the National Academy of Sciences of the USA, 101, 2140– 2144.15. Kavikondala S, Jiang CQ, Zhang WS, et al. Intergenerational ‘mismatch’ and adiposity in a developing population: the Guangzhou biobank cohort study. Soc Sci Med 2010;70:834-43.16. Cabeza, R., Anderson, N. D., Locantore, J. K., & McIntosh, A. R. (2002). Aging gracefully: Compensatory brain activity in high-performing older adults. Neuroimage, 17, 1394–1402.17. Carskadon, M. A., Brown, E. D., & Dement, W. C. (1982). Sleep fragmentation in the elderly: Relationship to daytime sleep tendency. Neurobiology of Aging, 3, 321–327.18. Ball, K., Berch, D., Helmers, K., Jobe, J., Leveck, M., Marsiske, M., et al. (2002). Effects of cognitive training interventions with older adults. The Journal of the American Medical Association, 288, 2271–2281.19. Simonsick, E. M., Guralnik, J. M., & Fried, L. P. (1999). Who walks? Factors associated with walking behavior in disabled older women with and without self-reported walking difficulty. Journal of the American Geriatrics Society, 47, 672–680.

Evaluation of the relationship between insomnia and cognitive function

Year 2019, , 59 - 63, 28.03.2019
https://doi.org/10.7197/223.vi.532240

Abstract

Aim: The elderly
population in the world is increasing every year. On the other hand, diseases
with severe morbidity and mortality are associated with aging. Cognitive
dysfunction and dementia play an important role in these syndromes. The
awareness and prevention of the modifiable factors is very significant in this
regard. Sleep disorders associated with aging are a frequent but often ignored
problem in the geriatric population. The aim of the study was to investigate
the relationship between insomnia and cognitive functions of patients.

Methods and
Materials:

Individuals over 65 years of age who applied to the internal medicine
department with insomnia problem were included in the study. Patients who were
currently diagnosed with dementia, mild cognitive disorder and depression and
those diagnosed during their outpatient clinic applications were not included
in the study. Katz Activities of daily Living Scale, Lawton Brody Instrumental
Activities of Daily Living Scale were applied to all patients. The cognitive
functions of the participants were evaluated by Mini Mental State Assessment
Test (MMSE). The resultsi and the relationship between insomnia and cognitive
functions were evaluated.

Results: The mean age of
the participants was 71.5 ± 5.4 years and 311 (47.7%) patients were female. The
number of patients with insomnia was 254 (39%). 568 (87.1%) people obtained 24
points or more from MMSE. İnsomnia increases the deterioration in cognitive
functions by 1.6 times (95% Confidence Interval; 1.1 -2.5, p: 0.04).







Conclusion: The awareness and
treatment of insomnia in elders may be useful in improving cognitive functions.
Therefore, chronic insomnia should be paid attention in elderly people.

References

  • 1. Türkiye İstatistik Kurumu (TÜİK). Yaşlılarla İstatistikler 2016. Sayı: 24644. Erişim Tarihi: 15.03.2018. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24644.2. Korczyn AD. The underdiagnosis of the vascular contribution to dementia. J Neurol Sci 2005;229-230:3-6. 3. 2010 Alzheimer’s disease facts and figures. Alzheimers Dement 2010;6:158-94.4. Foley D, Ancoli-Israel S, Britz P, et al. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. J Psychosom Res. 2004;56:497–502.5. Cricco M, Simonsick EM, Foley DJ. The impact of insomnia on cognitive functioning in older adults. J Am Geriatr Soc. 2001;49:1185–1189.6. Brookmeyer R, Gray S, Kawas C. Projections of Alzheimer’s disease in the United States and the public health impact of delaying disease onset. Am J Public Health. 1998;88:1337–1342.7. Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independencein activities of daily living in Turkish older adults. Arch GerontolGeriatr. 2015;61:344–350. doi:10.1016/j.archger.2015.08.0198. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. JPsychiatr Res. 1975;12:189–198.9. Jelicic M, Bosma H, Ponds RWHM, Van Boxtel MPJ, Houx PJ, Jolles J. Subjective sleep problems in later life as predictors of cognitive decline. Report from the Maas‐ tricht Ageing Study (MAAS). International Journal of Geriatric Psychiatry 2002;17(1): 73-7.10. Empson, J., & Clarke, P. (1970). Rapid eye movements and remembering. Nature, 227, 287–288.11. Fishbein, W., Katsaniotis, C., & Chattman, D. (1974). Paradoxical sleep: Prolonged augmentation following learning. Brain Research, 79, 61–75.12. Salzarulo, P. (1995). Opening remarks—Perspectives on the relationship between cognitive processes and sleep disturbances. Journal of Sleep Research, 4, 1.13. Benington, J. H., & Frank, M. G. (2003). Cellular and molecular connections between sleep and synaptic plasticity. Progress in Neurobiology, 69, 71–101.14. Gais, S., & Born, J. (2004). Low acetylcholine during slow-wave sleep is critical for declarative memory consolidation. Proceedings of the National Academy of Sciences of the USA, 101, 2140– 2144.15. Kavikondala S, Jiang CQ, Zhang WS, et al. Intergenerational ‘mismatch’ and adiposity in a developing population: the Guangzhou biobank cohort study. Soc Sci Med 2010;70:834-43.16. Cabeza, R., Anderson, N. D., Locantore, J. K., & McIntosh, A. R. (2002). Aging gracefully: Compensatory brain activity in high-performing older adults. Neuroimage, 17, 1394–1402.17. Carskadon, M. A., Brown, E. D., & Dement, W. C. (1982). Sleep fragmentation in the elderly: Relationship to daytime sleep tendency. Neurobiology of Aging, 3, 321–327.18. Ball, K., Berch, D., Helmers, K., Jobe, J., Leveck, M., Marsiske, M., et al. (2002). Effects of cognitive training interventions with older adults. The Journal of the American Medical Association, 288, 2271–2281.19. Simonsick, E. M., Guralnik, J. M., & Fried, L. P. (1999). Who walks? Factors associated with walking behavior in disabled older women with and without self-reported walking difficulty. Journal of the American Geriatrics Society, 47, 672–680.
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Medical Science Research Articles
Authors

Naim Ata

Publication Date March 28, 2019
Acceptance Date March 26, 2019
Published in Issue Year 2019

Cite

AMA Ata N. Evaluation of the relationship between insomnia and cognitive function. CMJ. March 2019;41(1):59-63. doi:10.7197/223.vi.532240