Sleep Quality and 1-Year Incident Cognitive Impairment in Community-Dwelling Older Adults
Identifieur interne : 000689 ( Pmc/Corpus ); précédent : 000688; suivant : 000690Sleep Quality and 1-Year Incident Cognitive Impairment in Community-Dwelling Older Adults
Auteurs : Olivier Potvin ; Dominique Lorrain ; Hélène Forget ; Micheline Dubé ; Sébastien Grenier ; Michel Préville ; Carol HudonSource :
- Sleep [ 0161-8105 ] ; 2012.
Abstract
To examine in cognitively intact older men and women the associations between subjective sleep quality and 1-yr incident cognitive impairment.
Prospective cohort study.
General community.
1,664 cognitively intact individuals age 65 to 96 years.
Sleep quality at baseline was measured using the Pittsburgh Sleep Quality Index (PSQI). Cognitive functioning was assessed at baseline and 12 months later using the Mini-Mental State Examination (MMSE). Incident general cognitive impairment was defined according to a follow-up MMSE score below the 15th percentile according to normative data and of at least 2 points below baseline. General cognitive impairments were also separated into amnestic and nonamnestic subtypes according to MMSE delayed recall performance. Associations between sleep quality indicators at baseline and incident cognitive impairment were assessed by odds ratio (OR) adjusted for age, education, baseline MMSE score, psychotropic drug use, anxiety, depressive episodes, cardiovascular conditions, and chronic diseases. Results revealed that global PSQI score was significantly linked with incident cognitive impairment (OR 1.17, 95% confidence interval (CI) 1.05-1.30) in men, but not in women. In women, sleep disturbance score (OR 2.62, 95% CI 1.41-4.86) and long sleep duration (≥ 9 hr; OR 3.70, 95% CI 1.49-9.17) were associated with nonamnestic and amnestic incident cognitive impairment, respectively. In men, short sleep duration (≤ 5 hr; OR 4.95, 95% CI 1.72-14.27) and habitual sleep efficiency score (OR 1.94, 95% CI 1.42-2.66) were associated with amnestic and general incident cognitive impairment, respectively.
Sleep quality in older adults should receive particular attention by clinicians because poor sleep quality can be an early sign of cognitive decline.
Potvin O; Lorrain D; Forget H; Dubé M; Grenier S; Préville M; Hudon C. Sleep quality and 1-year incident cognitive impairment in community-dwelling older adults.
Url:
DOI: 10.5665/sleep.1732
PubMed: 22467987
PubMed Central: 3296791
Links to Exploration step
PMC:3296791Le document en format XML
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<author><name sortKey="Potvin, Olivier" sort="Potvin, Olivier" uniqKey="Potvin O" first="Olivier" last="Potvin">Olivier Potvin</name>
<affiliation><nlm:aff id="aff1">Université de Sherbrooke, Sherbrooke, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2">Centre de recherche Hôopital Charles LeMoyne, Longueuil, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff3">Centre de recherche Université Laval Robert-Giffard, Québec, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lorrain, Dominique" sort="Lorrain, Dominique" uniqKey="Lorrain D" first="Dominique" last="Lorrain">Dominique Lorrain</name>
<affiliation><nlm:aff id="aff1">Université de Sherbrooke, Sherbrooke, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff4">Centre de recherche sur le vieillissement, Centre de santé et de services sociaux - Institut universitaire de gériatrie de Sherbrooke, Sherbrooke, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Forget, Helene" sort="Forget, Helene" uniqKey="Forget H" first="Hélène" last="Forget">Hélène Forget</name>
<affiliation><nlm:aff id="aff5">Université du Québec en Outaouais, Gatineau, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dube, Micheline" sort="Dube, Micheline" uniqKey="Dube M" first="Micheline" last="Dubé">Micheline Dubé</name>
<affiliation><nlm:aff id="aff6">Université du Québec à Trois-Rivières, Trois-Rivières, Canada</nlm:aff>
</affiliation>
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<author><name sortKey="Grenier, Sebastien" sort="Grenier, Sebastien" uniqKey="Grenier S" first="Sébastien" last="Grenier">Sébastien Grenier</name>
<affiliation><nlm:aff id="aff7">Centre de recherche Institut universitaire de gériatrie de Montréal et Université du Québec à Montréal, Montréal, Canada</nlm:aff>
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<author><name sortKey="Preville, Michel" sort="Preville, Michel" uniqKey="Preville M" first="Michel" last="Préville">Michel Préville</name>
<affiliation><nlm:aff id="aff1">Université de Sherbrooke, Sherbrooke, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff2">Centre de recherche Hôopital Charles LeMoyne, Longueuil, Canada</nlm:aff>
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<author><name sortKey="Hudon, Carol" sort="Hudon, Carol" uniqKey="Hudon C" first="Carol" last="Hudon">Carol Hudon</name>
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<affiliation><nlm:aff id="aff8">Université Laval, Québec, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff1">Université de Sherbrooke, Sherbrooke, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff2">Centre de recherche Hôopital Charles LeMoyne, Longueuil, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff3">Centre de recherche Université Laval Robert-Giffard, Québec, Canada</nlm:aff>
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<author><name sortKey="Lorrain, Dominique" sort="Lorrain, Dominique" uniqKey="Lorrain D" first="Dominique" last="Lorrain">Dominique Lorrain</name>
<affiliation><nlm:aff id="aff1">Université de Sherbrooke, Sherbrooke, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff4">Centre de recherche sur le vieillissement, Centre de santé et de services sociaux - Institut universitaire de gériatrie de Sherbrooke, Sherbrooke, Canada</nlm:aff>
</affiliation>
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<author><name sortKey="Forget, Helene" sort="Forget, Helene" uniqKey="Forget H" first="Hélène" last="Forget">Hélène Forget</name>
<affiliation><nlm:aff id="aff5">Université du Québec en Outaouais, Gatineau, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dube, Micheline" sort="Dube, Micheline" uniqKey="Dube M" first="Micheline" last="Dubé">Micheline Dubé</name>
<affiliation><nlm:aff id="aff6">Université du Québec à Trois-Rivières, Trois-Rivières, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Grenier, Sebastien" sort="Grenier, Sebastien" uniqKey="Grenier S" first="Sébastien" last="Grenier">Sébastien Grenier</name>
<affiliation><nlm:aff id="aff7">Centre de recherche Institut universitaire de gériatrie de Montréal et Université du Québec à Montréal, Montréal, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Preville, Michel" sort="Preville, Michel" uniqKey="Preville M" first="Michel" last="Préville">Michel Préville</name>
<affiliation><nlm:aff id="aff1">Université de Sherbrooke, Sherbrooke, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2">Centre de recherche Hôopital Charles LeMoyne, Longueuil, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hudon, Carol" sort="Hudon, Carol" uniqKey="Hudon C" first="Carol" last="Hudon">Carol Hudon</name>
<affiliation><nlm:aff id="aff3">Centre de recherche Université Laval Robert-Giffard, Québec, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff8">Université Laval, Québec, Canada</nlm:aff>
</affiliation>
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<series><title level="j">Sleep</title>
<idno type="ISSN">0161-8105</idno>
<idno type="eISSN">1550-9109</idno>
<imprint><date when="2012">2012</date>
</imprint>
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<front><div type="abstract" xml:lang="en"><sec><title>Study Objectives:</title>
<p>To examine in cognitively intact older men and women the associations between subjective sleep quality and 1-yr incident cognitive impairment.</p>
</sec>
<sec><title>Design:</title>
<p>Prospective cohort study.</p>
</sec>
<sec><title>Setting:</title>
<p>General community.</p>
</sec>
<sec><title>Participants:</title>
<p>1,664 cognitively intact individuals age 65 to 96 years.</p>
</sec>
<sec><title>Measurements and Results:</title>
<p>Sleep quality at baseline was measured using the Pittsburgh Sleep Quality Index (PSQI). Cognitive functioning was assessed at baseline and 12 months later using the Mini-Mental State Examination (MMSE). Incident general cognitive impairment was defined according to a follow-up MMSE score below the 15<sup>th</sup>
percentile according to normative data and of at least 2 points below baseline. General cognitive impairments were also separated into amnestic and nonamnestic subtypes according to MMSE delayed recall performance. Associations between sleep quality indicators at baseline and incident cognitive impairment were assessed by odds ratio (OR) adjusted for age, education, baseline MMSE score, psychotropic drug use, anxiety, depressive episodes, cardiovascular conditions, and chronic diseases. Results revealed that global PSQI score was significantly linked with incident cognitive impairment (OR 1.17, 95% confidence interval (CI) 1.05-1.30) in men, but not in women. In women, sleep disturbance score (OR 2.62, 95% CI 1.41-4.86) and long sleep duration (≥ 9 hr; OR 3.70, 95% CI 1.49-9.17) were associated with nonamnestic and amnestic incident cognitive impairment, respectively. In men, short sleep duration (≤ 5 hr; OR 4.95, 95% CI 1.72-14.27) and habitual sleep efficiency score (OR 1.94, 95% CI 1.42-2.66) were associated with amnestic and general incident cognitive impairment, respectively.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Sleep quality in older adults should receive particular attention by clinicians because poor sleep quality can be an early sign of cognitive decline.</p>
</sec>
<sec><title>Citation:</title>
<p>Potvin O; Lorrain D; Forget H; Dubé M; Grenier S; Préville M; Hudon C. Sleep quality and 1-year incident cognitive impairment in community-dwelling older adults. <italic>SLEEP</italic>
2012;35(4):491-499.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sleep</journal-id>
<journal-id journal-id-type="publisher-id">Sleep</journal-id>
<journal-title-group><journal-title>Sleep</journal-title>
</journal-title-group>
<issn pub-type="ppub">0161-8105</issn>
<issn pub-type="epub">1550-9109</issn>
<publisher><publisher-name>Associated Professional Sleep Societies, LLC</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22467987</article-id>
<article-id pub-id-type="pmc">3296791</article-id>
<article-id pub-id-type="doi">10.5665/sleep.1732</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Sleep Quality and Cognitive Impairment in Older Adults</subject>
</subj-group>
</article-categories>
<title-group><article-title>Sleep Quality and 1-Year Incident Cognitive Impairment in Community-Dwelling Older Adults</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Potvin</surname>
<given-names>Olivier</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lorrain</surname>
<given-names>Dominique</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Forget</surname>
<given-names>Hélène</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dubé</surname>
<given-names>Micheline</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff6"><sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Grenier</surname>
<given-names>Sébastien</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff7"><sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Préville</surname>
<given-names>Michel</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hudon</surname>
<given-names>Carol</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
Université de Sherbrooke, Sherbrooke, Canada</aff>
<aff id="aff2"><label>2</label>
Centre de recherche Hôopital Charles LeMoyne, Longueuil, Canada</aff>
<aff id="aff3"><label>3</label>
Centre de recherche Université Laval Robert-Giffard, Québec, Canada</aff>
<aff id="aff4"><label>4</label>
Centre de recherche sur le vieillissement, Centre de santé et de services sociaux - Institut universitaire de gériatrie de Sherbrooke, Sherbrooke, Canada</aff>
<aff id="aff5"><label>5</label>
Université du Québec en Outaouais, Gatineau, Canada</aff>
<aff id="aff6"><label>6</label>
Université du Québec à Trois-Rivières, Trois-Rivières, Canada</aff>
<aff id="aff7"><label>7</label>
Centre de recherche Institut universitaire de gériatrie de Montréal et Université du Québec à Montréal, Montréal, Canada</aff>
<aff id="aff8"><label>8</label>
Université Laval, Québec, Canada</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: Olivier Potvin, PhD, <addr-line>Centre de recherche Université Laval Robert-Giffard, 2601, de la Canardière, Québec, Canada G1J 2G3</addr-line>
<phone>418-663-5000 ext. 6857</phone>
<fax>418-663-5971</fax>
<email>Olivier.Potvin@crulrg.ulaval.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>1</day>
<month>4</month>
<year>2012</year>
</pub-date>
<volume>35</volume>
<issue>4</issue>
<fpage>491</fpage>
<lpage>499</lpage>
<history><date date-type="received"><month>6</month>
<year>2011</year>
</date>
<date date-type="rev-recd"><month>8</month>
<year>2011</year>
</date>
<date date-type="accepted"><month>10</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© 2012 Associated Professional Sleep Societies, LLC.</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract><sec><title>Study Objectives:</title>
<p>To examine in cognitively intact older men and women the associations between subjective sleep quality and 1-yr incident cognitive impairment.</p>
</sec>
<sec><title>Design:</title>
<p>Prospective cohort study.</p>
</sec>
<sec><title>Setting:</title>
<p>General community.</p>
</sec>
<sec><title>Participants:</title>
<p>1,664 cognitively intact individuals age 65 to 96 years.</p>
</sec>
<sec><title>Measurements and Results:</title>
<p>Sleep quality at baseline was measured using the Pittsburgh Sleep Quality Index (PSQI). Cognitive functioning was assessed at baseline and 12 months later using the Mini-Mental State Examination (MMSE). Incident general cognitive impairment was defined according to a follow-up MMSE score below the 15<sup>th</sup>
percentile according to normative data and of at least 2 points below baseline. General cognitive impairments were also separated into amnestic and nonamnestic subtypes according to MMSE delayed recall performance. Associations between sleep quality indicators at baseline and incident cognitive impairment were assessed by odds ratio (OR) adjusted for age, education, baseline MMSE score, psychotropic drug use, anxiety, depressive episodes, cardiovascular conditions, and chronic diseases. Results revealed that global PSQI score was significantly linked with incident cognitive impairment (OR 1.17, 95% confidence interval (CI) 1.05-1.30) in men, but not in women. In women, sleep disturbance score (OR 2.62, 95% CI 1.41-4.86) and long sleep duration (≥ 9 hr; OR 3.70, 95% CI 1.49-9.17) were associated with nonamnestic and amnestic incident cognitive impairment, respectively. In men, short sleep duration (≤ 5 hr; OR 4.95, 95% CI 1.72-14.27) and habitual sleep efficiency score (OR 1.94, 95% CI 1.42-2.66) were associated with amnestic and general incident cognitive impairment, respectively.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Sleep quality in older adults should receive particular attention by clinicians because poor sleep quality can be an early sign of cognitive decline.</p>
</sec>
<sec><title>Citation:</title>
<p>Potvin O; Lorrain D; Forget H; Dubé M; Grenier S; Préville M; Hudon C. Sleep quality and 1-year incident cognitive impairment in community-dwelling older adults. <italic>SLEEP</italic>
2012;35(4):491-499.</p>
</sec>
</abstract>
<kwd-group><kwd>Sleep quality</kwd>
<kwd>elderly</kwd>
<kwd>cognition</kwd>
<kwd>cognitive decline</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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