Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-26T02:10:12.187Z Has data issue: false hasContentIssue false
  • English
  • Français

Sleep/awake status throughout the night and circadian motor activity patterns in older nursing-home residents with or without dementia, and older community-dwelling people without dementia

Published online by Cambridge University Press:  14 July 2016

Yu Kume ,
Ayuto Kodama ,
Kotaro Sato ,
Satoko Kurosawa ,
Takashi Ishikawa  and
Sachiko Ishikawa
Yu Kume*
Affiliation:
Department of Occupational Therapy, Graduate School of Health Sciences, Akita University, Akita, Japan
Ayuto Kodama
Affiliation:
Kodama clinic, Doctor of Health Sciences, Akita City, Japan
Kotaro Sato
Affiliation:
Aizenen, Doctor of Health sciences, Akita, Japan
Satoko Kurosawa
Affiliation:
Kurakakenosato, Katakami, Japan
Takashi Ishikawa
Affiliation:
Department of Occupational Therapy, Graduate School of Health Sciences, Akita University, Akita, Japan
Sachiko Ishikawa
Affiliation:
Nakamichi care center, Yurihonjo, Japan
*
Correspondence should be addressed to: Yu Kume, Department of Occupational Therapy, Akita University, Graduate School of Health Sciences, Assistant Professor, Doctor of Health sciences, 1-1-1 Hondo Akita, Japan010–8543. Phone & Fax: +81-18-884-6556. Email: [email protected].
Get access

Abstract

Background:

Sleep disturbances are commonly observed in older nursing home residents, mainly in combination with dementia. However, sleep-associated circadian motor activity patterns have not been thoroughly investigated in Japanese nursing homes. The present study aimed to respectively clarify the effect of community living and the presence of dementia on sleep disturbances and interrupted activity rhythm of older nursing-home residents with or without dementia and older community-dwelling people without dementia.

Methods:

Actigraph devices worn on the participants’ non-dominant wrists for seven days were used to collect objective measurements of the sleep/awake status throughout the night and the circadian motor activity patterns. The presence of dementia was assessed by a trained medical doctor using the residents’ records and the Clinical Dementia Rating (CDR). The functional capacity of the participants was determined using the Barthel Index (BI).

Results:

Fifty-one older people in Akita prefecture were included in the current study, consisting of 17 residents with dementia (mean age: 82.2 years), 17 residents without dementia (84.5 years), and 17 community-dwelling people (83.6 years). The results showed that older nursing-home residents with dementia had significantly a lower rate of sleep efficiency and a longer awake time throughout the night than the other groups. Older nursing-home residents with and without dementia had more fragmented rhythm than community-dwelling people without dementia.

Conclusion:

These results provide evidence of poor sleep/awake status throughout the night and interrupted circadian activity rhythms in nursing-home residents with and without dementia. However, further studies performed according to dementia classifications are needed.

Keywords

dementiaaged caresleepbiological rhythmsnursing homes
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 12 , December 2016 , pp. 2001 - 2008
Copyright
Copyright © International Psychogeriatric Association 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ancoli-Israel, S. (2009). Sleep and its disorders in aging populations. Sleep Medicine, 10, S7–S11.CrossRefGoogle ScholarPubMed
Anderiesen, H., Scherder, E. J., Goossens, R. H. and Sonneveld, M. H. (2014). A systematic review–physical activity in dementia: the influence of the nursing home environment. Applied Ergonomics, 45, 1678–1686.CrossRefGoogle ScholarPubMed
Aschoff, J., Fatranská, M., Giedke, H., Doerr, P., Stamm, D. and Wisser, H. (1971). Human circadian rhythms in continuous darkness: entrainment by social cues. Science, 171, 213–215.Google Scholar
Brown, D. T., Westbury, J. L. and Schuz, B. (2015). Sleep and agitation in nursing home residents with and without dementia. International Psychogeriatrics, 27, 1945–1955.CrossRefGoogle ScholarPubMed
Cooke, J. R. and Ancoli-Israel, S. (2011). Normal and abnormal sleep in the elderly. Handbook of Clinical Neurology, 98, 653–665.CrossRefGoogle ScholarPubMed
Dijk, D. J., Duffy, J. F. and Czeisler, C. A. (2001). Age-related increase in awakenings: impaired consolidation of nonREM sleep at all circadian phases. Sleep, 24, 565–577.CrossRefGoogle ScholarPubMed
Dilip, V. J., Jeffrey, A. L., David, F. and Roger, P. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Washington, DC, London, England: American Psychiatric Association.Google Scholar
Duffy, J. F., Dijk, D. J., Klerman, E. B. and Czeisler, C. A. (1998). Later endogenous circadian temperature nadir relative to an earlier wake time in older people. The American Journal of Physiology, 275, R1478–R1487.Google Scholar
Ehlers, C. L., Frank, E. and Kupfer, D. J. (1988). Social zeitgebers and biological rhythms. A unified approach to understanding the etiology of depression. Archives of General Psychiatry, 45, 948–952.CrossRefGoogle ScholarPubMed
Ersser, S., Wiles, A., Taylor, H., Wade, S., Walsh, R. and Bentley, T. (1999). The sleep of older people in hospital and nursing homes. Journal of Clinical Nursing, 8, 360–368.Google Scholar
Harper, D. G. et al. (2001). Differential circadian rhythm disturbances in men with Alzheimer disease and frontotemporal degeneration. Archives of General Psychiatry, 58, 353–360.Google Scholar
Hofman, A. et al. (2011). The Rotterdam study: 2012 objectives and design update. European Journal of Epidemiology, 26, 657–686.Google Scholar
Honma, K., Honma, S., Nakamura, K., Sasaki, M., Endo, T. and Takahashi, T. (1995). Differential effects of bright light and social cues on reentrainment of human circadian rhythms. The American Journal of Physiology, 268, R528–R535.Google ScholarPubMed
Huang, Y. L., Liu, R. Y., Wang, Q. S., Van Someren, E. J., Xu, H. and Zhou, J. N. (2002). Age-associated difference in circadian sleep-wake and rest-activity rhythms. Physiology & Behavior, 76, 597–603.Google Scholar
Hughes, C. P., Berg, L., Danziger, W. L., Coben, L. A. and Martin, R. L. (1982). A new clinical scale for the staging of dementia. The British Journal of Psychiatry, 140, 566–572.Google Scholar
Lacks, P. and Morin, C. M. (1992). Recent advances in the assessment and treatment of insomnia. Journal of Consulting and Clinical Psychology, 60, 586–594.Google Scholar
Luik, A. I., Zuurbier, L. A., Hofman, A., Van Someren, E. J. and Tiemeier, H. (2013). Stability and fragmentation of the activity rhythm across the sleep-wake cycle: the importance of age, lifestyle, and mental health. Chronobiology International, 30, 1223–1230.Google Scholar
Ministry of Health, Labour and Welfare (MHLW) (2014). Long-term care, health and welfare services. Usage status of Long-Term Care, Health and Welfare Services for the Elderly in japan 2014-10 (in Japanese): Statistics & Other Data. Available at: http://www.mhlw.go.jp/toukei/saikin/hw/kaigo/service13/dl/kekka-gaiyou_05.pdf; last accessed April 14, 2016.Google Scholar
Monk, T. H., Buysse, D. J., Carrier, J., Billy, B. D. and Rose, L. R. (2001). Effects of afternoon "siesta" naps on sleep, alertness, performance, and circadian rhythms in the elderly. Sleep, 24, 680–687.Google Scholar
Motohashi, Y., Maeda, A., Wakamatsu, H., Higuchi, S. and Yuasa, T. (2000). Circadian rhythm abnormalities of wrist activity of institutionalized dependent elderly persons with dementia. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 55, M740–M743.Google Scholar
Oosterman, J. M., van Someren, E. J., Vogels, R. L., Van Harten, B. and Scherder, E. J. (2009). Fragmentation of the rest-activity rhythm correlates with age-related cognitive deficits. Journal of Sleep Research, 18, 129–135.Google Scholar
Paavilainen, P. et al. (2005). Circadian activity rhythm in demented and non-demented nursing-home residents measured by telemetric actigraphy. Journal of Sleep Research, 14, 61–68.Google Scholar
Swaab, D. F., Van Someren, E. J., Zhou, J. N. and Hofman, M. A. (1996). Biological rhythms in the human life cycle and their relationship to functional changes in the suprachiasmatic nucleus. Progress in Brain Research, 111, 349–368.Google Scholar
Van Someren, E. J. W., Kessler, A., Mirmiran, M. and Swaab, D. F. (1997). Indirect bright light improves circadian rest-activity rhythm disturbances in demented patients. Biological Psychiatry, 41, 955–963.CrossRefGoogle ScholarPubMed
Van Someren, E. J. W. and Riemersma-Van Der Lek, R. F. (2007). Live to the rhythm, slave to the rhythm. Sleep Medicine Reviews, 11, 465–484.Google Scholar
Van Someren, E. J. W., Swaab, D. F., Colenda, C. C., Cohen, W., McCall, W. V. and Rosenquist, P. B. (1999). Bright light therapy: improved sensitivity to its effects on rest-activity rhythms in Alzheimer patients by application of nonparametric methods. Chronobiology International, 16, 505–518.Google Scholar
Van Someren, E. J. W. et al. (1996). Circadian rest-activity rhythm disturbances in Alzheimer's disease. Biological Psychiatry, 40, 259–270.Google Scholar
Wever, R. A. (1989). Light effects on human circadian rhythms: a review of recent Andechs experiments. Journal of Biological Rhythms, 4, 161–185.Google Scholar
Yoon, I. Y., Kripke, D. F., Youngstedt, S. D. and Elliott, J. A. (2003). Actigraphy suggests age-related differences in napping and nocturnal sleep. Journal of Sleep Research, 12, 87–93.Google Scholar