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<p>Sleep problems are a frequent condition in older adults. Good mobility is a critical factor for maintaining health and well-being. The association between both variables is still poorly understood. The objective was to verify the association between sleep problems and mobility difficulties among community-dwelling older adults. This was a cross-sectional study, with 6,929 older adults (≥ 60 years), from the Brazilian Longitudinal Study of Aging (2019–2021). Exposure variables were sleep problems: insomnia (initial, intermediate, and final), poor sleep quality, and daytime sleepiness. Outcomes were mobility difficulties (yes/no): walking (100&#xa0;m and 1&#xa0;km), running 1&#xa0;km, climbing one flight of stairs, and getting up from a chair. Multivariate logistic regression analyses were performed to investigate the associations. Older adults with insomnia (initial, intermediate, and final), poor sleep quality, and daytime sleepiness had between 1.80 (95%CI 1.34; 2.42) and 1.92 (95%CI 1.50; 2.45) greater odds of reporting difficulty in walking 100&#xa0;m, 1.59 (95%CI 1.29; 1.95) and 1.75 (95%CI 1.41; 2.18) of reporting difficulty in walking 1&#xa0;km, 1.63 (95%CI 1.28; 2.06) and 2.30 (95%CI 1.71; 3.10) of reporting difficulty in climbing one flight of stairs; 1.45 (95%CI 1.11; 1.90) and 1.79 (95%CI 1.32; 2.44) of reporting difficulty in getting up from a chair. Older adults with initial and final insomnia, and poor sleep quality had between 1.28 (95%CI 1.01; 1.62) and 2.09 (95%CI 1.46; 3.00) greater odds of reporting difficulty in running 1&#xa0;km. These results reinforce the importance of periodically evaluating older adults’ sleep health in order to prevent their mobility difficulties.</p>

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Sleep Problems and Mobility Difficulties in Community-Dwelling Older Adults: Findings from the ELSI-Brazil Study

  • 期刊论文

  • 发表日期：

    2025年11月28日

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  • Jaquelini Betta Canever,
  • Letícia Martins Cândido,
  • Bruno de Souza Moreira,
  • Ana Lúcia Danielewicz,
  • Maria Fernanda Lima-Costa,
  • Helena Iturvides Cimarosti,
  • Núbia Carelli Pereira de Avelar

摘要

Sleep problems are a frequent condition in older adults. Good mobility is a critical factor for maintaining health and well-being. The association between both variables is still poorly understood. The objective was to verify the association between sleep problems and mobility difficulties among community-dwelling older adults. This was a cross-sectional study, with 6,929 older adults (≥ 60 years), from the Brazilian Longitudinal Study of Aging (2019–2021). Exposure variables were sleep problems: insomnia (initial, intermediate, and final), poor sleep quality, and daytime sleepiness. Outcomes were mobility difficulties (yes/no): walking (100 m and 1 km), running 1 km, climbing one flight of stairs, and getting up from a chair. Multivariate logistic regression analyses were performed to investigate the associations. Older adults with insomnia (initial, intermediate, and final), poor sleep quality, and daytime sleepiness had between 1.80 (95%CI 1.34; 2.42) and 1.92 (95%CI 1.50; 2.45) greater odds of reporting difficulty in walking 100 m, 1.59 (95%CI 1.29; 1.95) and 1.75 (95%CI 1.41; 2.18) of reporting difficulty in walking 1 km, 1.63 (95%CI 1.28; 2.06) and 2.30 (95%CI 1.71; 3.10) of reporting difficulty in climbing one flight of stairs; 1.45 (95%CI 1.11; 1.90) and 1.79 (95%CI 1.32; 2.44) of reporting difficulty in getting up from a chair. Older adults with initial and final insomnia, and poor sleep quality had between 1.28 (95%CI 1.01; 1.62) and 2.09 (95%CI 1.46; 3.00) greater odds of reporting difficulty in running 1 km. These results reinforce the importance of periodically evaluating older adults’ sleep health in order to prevent their mobility difficulties.