Insomnia in older adult females is highly associated with metabolic syndrome

doi:10.1007/s41999-021-00543-y

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Title:	Insomnia in older adult females is highly associated with metabolic syndrome
Authors:	Chang, Hui-Chi Hsu, Ying-Hsin Chou, Ming-Yueh Chu, Che-sheng Su, Chen-San Liang, Chih-Kuang Chang, Cheng-Ho Yang, Tsan Chen, Liang-Kung Lin, Yu-Te
Contributors:	Kaohsiung Vet Gen Hosp, Div Neurol, Dept Internal Med Kaohsiung Vet Gen Hosp, Ctr Geriatr & Gerontol Chia Nan Univ Pharm & Sci Natl Yang Ming Chiao Tung Univ, Aging & Hlth Res Ctr, Yangming Campus Natl Yang Ming Chiao Tung Univ, Sch Med, Dept Geriatr Med, Yangming Campus Kaohsiung Vet Gen Hosp, Dept Psychiat Meiho Univ, Dept Hlth Business Adm Taipei Vet Gen Hosp, Ctr Geriatr & Gerontol Taipei Municipal Gan Dau Hosp Tajen Univ, Dept Pharm
Keywords:	Insomnia Metabolic syndrome Sleep disturbance Older adults Gender
Date:	2021
Issue Date:	2023-11-11 11:49:09 (UTC+8)
Publisher:	SPRINGER
Abstract:	Purpose The aim of this study is to investigate the relationships between insomnia and metabolic syndrome among Taiwanese older adults. Methods This cross-sectional study enrolled participants aged over 60 years from outpatient clinics between July and September 2018. Demographic characteristics of all participants and questionnaire data for sleep duration, use of hypnotic agents, baseline activities of daily living, 5 items of the geriatric depression scale, comorbidities, medications, and risk of obstructive sleep apnea were obtained. Insomnia was defined by scores of questionnaires of the Chinese version of the Athens Insomnia Scale higher or equal to 6 points. Metabolic syndrome was diagnosed according to criteria of the National Cholesterol Education Program Adult Treatment Panel III. Multivariable forward stepwise logistic regression analysis was applied to investigate independent associations between insomnia and metabolic syndrome before and after stratifying by gender. Results Among the 336 participants (mean age 74.9 +/- 8.5 years, female 49.1%), 63.1% participants had metabolic syndrome, with significantly higher prevalence among females than males (males 56.7%; females 69.7%). Participants with metabolic syndrome had higher rates of insomnia (34.0% vs. 21.8%, P = 0.018). The significant associations between insomnia and metabolic syndrome disappeared after adjusting for all covariates. However, insomnia was independently associated with metabolic syndrome in older females (adjusted OR 2.614, 95% CI 1.011-6.763, P = 0.048) after adjusting for all covariates. Conclusions Insomnia is significantly associated with metabolic syndrome among older female adults. These findings suggest that gender may play a role in the pathogenesis of insomnia and metabolic syndrome in older adults. Key summary pointsAim To investigate the relationships between insomnia and metabolic syndrome among Taiwanese older adults. Findings Participants with metabolic syndrome had higher rates of insomnia. The significant associations between insomnia and metabolic syndrome disappeared after adjusting for all covariates. However, insomnia was independently associated with metabolic syndrome in older females after adjusting for all covariates. Message Older adult participants with metabolic syndrome have higher prevalence of insomnia. Insomnia has higher independent odds for metabolic syndrome in older females, but not in older males.
Relation:	EUR GERIATR MED, v.13, n.1, pp.203-212
Appears in Collections:	[Dept. of Senior Service and Health Management] Periodical Articles

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