title: Age and sleep disturbances among American men and women: data from the U.S. Behavioral Risk Factor Surveillance System.
abstract: OBJECTIVE
  Explore the prevalence of sleep-related complaints across age groups, examining effects of sex, general health, and depressed mood.
  
  
  METHODS
  Cross-sectional analysis of data from the 2006 Behavioral Risk Factor Surveillance System (BRFSS).
  
  
  METHODS
  Epidemiologic.
  
  
  METHODS
  Complete-case analysis included 155,877 participants who responded to questions related to Self-Reported Sleep Disturbance (SLEEPDIST) and Self-Reported Tiredness/Lack of Energy (TIREDNESS).
  
  
  METHODS
  None.
  
  
  RESULTS
  Outcomes were self-reported complaints in response to survey questions assessing SLEEPDIST and TIREDNESS, dichotomized as reporting a complaint < 6 versus ≥ 6 nights or days, respectively, in a 2-wk period. Predictors were age, general health, and depressed mood. All analyses were adjusted for race/ethnicity, income, education, and time since last medical checkup. Across all age groups, women reported more SLEEPDIST and TIREDNESS. Poor general health, mild depressed mood, and moderate/severe depressed mood were associated with SLEEPDIST and TIREDNESS. Both SLEEPDIST and TIREDNESS generally declined across the life span, with fewest endorsements in respondents older than 80 yr. For SLEEPDIST, odds ratios (ORs, reference = 80+) declined from age 18-54 yr, rose slightly, and then declined again after age 59 yr in men. The pattern was similar for women, except a more marked rise was noted from age 40-59 yr. The pattern was similar for TIREDNESS.
  
  
  CONCLUSIONS
  Advancing age was not associated with increased Self-Reported Sleep Disturbance or Self-Reported Tiredness/Lack of Energy. These results suggest that the often-reported increase in sleep problems with age is a nonlinear phenomenon, mediated by factors other than physiologic aging.
authors.affiliation: Center for Sleep and Circadian Neurobiology, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Grandner@upenn.edu
authors.forename: Michael A
authors.initials: MA
authors.lastname: Grandner
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Martin
authors.forename: Nirav P
authors.initials: NP
authors.lastname: Patel
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Jackson
authors.forename: Philip R
authors.initials: PR
authors.lastname: Gehrman
authors.forename: Grace
authors.initials: G
authors.lastname: Pien
authors.forename: Michael L
authors.initials: ML
authors.lastname: Perlis
authors.forename: Dawei
authors.initials: D
authors.lastname: Xie
authors.forename: Daohang
authors.initials: D
authors.lastname: Sha
authors.forename: Terri
authors.initials: T
authors.lastname: Weaver
authors.forename: Nalaka S
authors.initials: NS
authors.lastname: Gooneratne
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D012737:Sex Factors; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult