title: [Association between insomnia symptoms, daytime napping, and falls in community-dwelling elderly].
abstract: This study focused on associations between insomnia symptoms, daytime napping, and falls in community-dwelling elderly, using a population-based cross-sectional design and probability sample with 689 community-dwelling elders. The protocol consisted of self-reported and physical performance variables. The study used univariate and multivariate logistic regression analysis with statistical significance set at p < 0.05. Prevalence rates for insomnia symptoms and daytime napping were 49.9% (n = 339) and 62.8% (n = 432), respectively. 14.4% reported a single fall and 11.9% reported multiple falls. Falls were associated with female gender (OR = 7.73; 95%CI: 3.03-19.72), age > 80 (OR = 3.48; 95%CI: 1.54-7.85), napping (OR = 2.24; 95%CI: 1.24-4.05), and depressive symptoms (OR = 1.98; 95%CI: 1.11-3.53). The association between daytime napping and falls corroborates data from international research. Identifying modifiable risk factors may help programs to prevent falls in the elderly.
authors.affiliation: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil. fisioalexandreap@gmail.com
authors.forename: Alexandre Alves
authors.initials: AA
authors.lastname: Pereira
authors.forename: Maria Filomena
authors.initials: MF
authors.lastname: Ceolim
authors.forename: Anita Liberalesso
authors.initials: AL
authors.lastname: Neri
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression; D006970:Disorders of Excessive Somnolence / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D012890:Sleep / Q000502:physiology; D012892:Sleep Deprivation; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000453:epidemiology; D014505:Urban Population