Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults

Detalhes bibliográficos
Autor(a) principal: Hara, Cláudia
Data de Publicação: 2011
Outros Autores: Stewart, Robert, Costa, Maria Fernanda Lima, Rocha, Fábio Lopes, Fuzikawa, Cíntia, Demicheli, Maria Elizabeth Uchôa de Oliveira, Firmo, Josélia Oliveira Araújo, Costa, Érico Castro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/8720
Resumo: Serviço de Seguridade Social dos Servidores do Estado de Minas Gerais. Belo Horizonte, MG, Brazil/Faculdade da Saúde e Ecologia Humana. Vespasiano, MG, Brazil;
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spelling Hara, CláudiaStewart, RobertCosta, Maria Fernanda LimaRocha, Fábio LopesFuzikawa, CíntiaDemicheli, Maria Elizabeth Uchôa de OliveiraFirmo, Josélia Oliveira AraújoCosta, Érico Castro2014-11-05T13:00:30Z2014-11-05T13:00:30Z20110161-810510.5665/SLEEP.1172.https://www.arca.fiocruz.br/handle/icict/8720engAssociated Professional Sleep SocietiesInsomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adultsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleServiço de Seguridade Social dos Servidores do Estado de Minas Gerais. Belo Horizonte, MG, Brazil/Faculdade da Saúde e Ecologia Humana. Vespasiano, MG, Brazil;King’s College London. Institute of Psychiatry. London, UK;Universidade Federal de Minas Gerais. Faculdade de Medicina. Saúde Pública Pesquisa do Envelhicimento/Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil;Serviço de Seguridade Social dos Servidores do Estado de Minas Gerais. Belo Horizonte, MG, Brazil;Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Saúde Mental. Belo Horizonte, BrazilUniversidade Federal de Minas Gerais. Faculdade de Medicina. Saúde Pública Pesquisa do Envelhicimento/Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil;Universidade Federal de Minas Gerais. Faculdade de Medicina. Saúde Pública Pesquisa do Envelhicimento/Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil;King’s College London. Institute of Psychiatry. London, UK/Universidade Federal de Minas Gerais. Faculdade de Medicina. Saúde Pública Pesquisa do Envelhicimento/Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, BrazilSTUDY OBJECTIVES: To investigate the association between different types of insomnia as exposures and excessive daytime sleepiness (EDS) as a binary outcome in older Brazilian residents. DESIGN: The baseline examination of the Bambuí Health and Ageing Study (BHAS), which is an ongoing population-based prospective cohort study of older adults. SETTING: Bambuí (15,000 inhabitants), a city in the State of Minas Gerais, Southeast Brazil PARTICIPANTS: All residents aged ≥ 60 years were eligible to take part in the BHAS baseline. Of 1742 residents identified who were ≥ 60 years, 1606 (92.2%) were interviewed and received comprehensive examinations of health status. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: EDS was defined as the presence of sleepiness ≥ 3 times per week in the last month, causing any interference in usual activities. All insomnia subtypes were significantly associated with EDS in unadjusted analyses, and these associations were only modestly altered after adjusting incrementally for the other covariates. In a final model, the 3 insomnia subtypes were entered into a fully adjusted model simultaneously to investigate mutual independence, giving prevalence ratios of 1.63 (95% CI 1.14-2.31) for initial insomnia, 2.13 (95% CI 1.48-3.07) for middle insomnia, and 1.36 (95% CI 0.94-1.96) for terminal insomnia. The population attributable fractions for initial, middle, and terminal insomnia on prevalence of EDS were 17.6%, 32.9%, and 9.7%, respectively. CONCLUSIONS: Middle insomnia emerged as the insomnia subtype most strongly associated with EDS. Further research is required to clarify causal pathways underlying this cross-sectional association.sleepinesscommunitysubtypes of insomniainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/8720/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALInsomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults.pdfInsomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults.pdfapplication/pdf183126https://www.arca.fiocruz.br/bitstream/icict/8720/2/Insomnia%20subtypes%20and%20their%20relationship%20to%20excessive%20daytime%20sleepiness%20in%20Brazilian%20community-dwelling%20older%20adults.pdfbe48250a18862d009c3f77870cd86398MD52TEXTInsomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults.pdf.txtInsomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults.pdf.txtExtracted texttext/plain38589https://www.arca.fiocruz.br/bitstream/icict/8720/3/Insomnia%20subtypes%20and%20their%20relationship%20to%20excessive%20daytime%20sleepiness%20in%20Brazilian%20community-dwelling%20older%20adults.pdf.txta13d41ce3ebc0279432488e7ffd280daMD53icict/87202019-06-19 10:12:19.828oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352019-06-19T13:12:19Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
title Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
spellingShingle Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
Hara, Cláudia
sleepiness
community
subtypes of insomnia
title_short Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
title_full Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
title_fullStr Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
title_full_unstemmed Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
title_sort Insomnia subtypes and their relationship to excessive daytime sleepiness in Brazilian community-dwelling older adults
author Hara, Cláudia
author_facet Hara, Cláudia
Stewart, Robert
Costa, Maria Fernanda Lima
Rocha, Fábio Lopes
Fuzikawa, Cíntia
Demicheli, Maria Elizabeth Uchôa de Oliveira
Firmo, Josélia Oliveira Araújo
Costa, Érico Castro
author_role author
author2 Stewart, Robert
Costa, Maria Fernanda Lima
Rocha, Fábio Lopes
Fuzikawa, Cíntia
Demicheli, Maria Elizabeth Uchôa de Oliveira
Firmo, Josélia Oliveira Araújo
Costa, Érico Castro
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Hara, Cláudia
Stewart, Robert
Costa, Maria Fernanda Lima
Rocha, Fábio Lopes
Fuzikawa, Cíntia
Demicheli, Maria Elizabeth Uchôa de Oliveira
Firmo, Josélia Oliveira Araújo
Costa, Érico Castro
dc.subject.en.pt_BR.fl_str_mv sleepiness
community
subtypes of insomnia
topic sleepiness
community
subtypes of insomnia
description Serviço de Seguridade Social dos Servidores do Estado de Minas Gerais. Belo Horizonte, MG, Brazil/Faculdade da Saúde e Ecologia Humana. Vespasiano, MG, Brazil;
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2014-11-05T13:00:30Z
dc.date.available.fl_str_mv 2014-11-05T13:00:30Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/8720
dc.identifier.issn.none.fl_str_mv 0161-8105
10.5665/SLEEP.1172.
identifier_str_mv 0161-8105
10.5665/SLEEP.1172.
url https://www.arca.fiocruz.br/handle/icict/8720
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Associated Professional Sleep Societies
publisher.none.fl_str_mv Associated Professional Sleep Societies
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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https://www.arca.fiocruz.br/bitstream/icict/8720/2/Insomnia%20subtypes%20and%20their%20relationship%20to%20excessive%20daytime%20sleepiness%20in%20Brazilian%20community-dwelling%20older%20adults.pdf
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