Global sleep satisfaction of older people: the Jerusalem Cohort Study.
OBJECTIVE
To describe the nature of global sleep satisfaction (GSS) of older people and the factors associated with it.


METHODS
A 7-year follow-up of an age-homogenous cohort.


METHODS
Community based.


METHODS
Two hundred ninety subjects aged 70 at baseline and 77 at follow-up.


METHODS
Self-reported sleep domains and a comprehensive assessment of health variables, including psychosocial, physical, and functional factors, at ages 70 and 77.


RESULTS
GSS was found to be poor in 25% of subjects at ages 70 and 77, with an estimated average annual remission rate of 7% and an annual incidence of 2.4%. Poor GSS at ages 70 and 77 was significantly associated with difficulty falling asleep, awakening feeling tired, two or more nocturnal awakenings, and taking sleeping tablets. Significant cross-sectional associations were found at age 70 and 77 between poor GSS and poor self-rated health, general fatigue, depression, dependence in one or more activities of daily living, and low level of physical activity. In a regression analysis, risk factors at age 70 for subsequent poor GSS were loneliness, depression, poor self-rated health, economic difficulties, back pain, obesity, and prior poor GSS. The only significant long-term association was between poor GSS and poor self-rated health. GSS did not influence mortality data.


CONCLUSIONS
Poor GSS in older people is common and chronic. Its chief determinants are loneliness, depression, poor self-rated health, economic difficulties, back pain, and obesity. It predicts poor self-rated health but not increased mortality.
Jacobs
Jeremy M
JM
Department of Geriatrics and Rehabilitation, Hadassah Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel. jeremyj@clalit.org.il
Cohen
Aaron
A
Hammerman-Rozenberg
Robert
R
Stessman
Jochanan
J
D000367:Age Factors; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D010549:Personal Satisfaction; D015995:Prevalence; D012189:Retrospective Studies; D012890:Sleep / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires