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DOI: 10.1590/0004-282X20170031
Impact of insomnia on self-perceived health in the elderly
O impacto da insçnia na auto-percepção de saúde do idosoABSTRACT
Health self-perception is a strong indicator of the health of a population.
Objective
To investigate the association between self-perceived health, and sociodemographic and clinical factors in a sample of elderly outpatients in Rio de Janeiro.
Methods
A sample of 345 elderly patients was assessed with an anamnesis, Lawton and Brody’s Scale, Katz Index, Geriatric Depression Scale, Timed Up and Go Test, and Study of Osteoporotic Fracture Index. Logistic regression analyses were performed to investigate the predictors of self-perceived health.
Results
Risk of falls, frailty, functional performance on the Instrumental Activities of Daily Living, insomnia, and familial support were related to self-perceived health. Insomnia was the variable that strongly influenced self-perceived health (OR = 0.47, CI 95%: 0.28–0.80, p = 0.01) in our sample.
Conclusions
The investigation of insomnia in the elderly should be routinely performed in primary care, because of the negative impact it imposes on the health of this population.
RESUMO
A autopercepção de saúde é um forte indicador de saúde da população.
Objetivo
Investigar a associação entre a autopercepção de saúde e os fatores clínicos e sociodemográficos de um grupo de idosos atendidos em um pólo de atenção secundária no Rio de Janeiro.
Métodos
A amostra composta por 345 idosos foi avaliada através da anamnese dirigida, Escala de Lawton e Brody, Índice de Katz, Índice de SOF, Escala de Depressão Geriátrica e o Teste Timed Up and Go. Análises de regressão logística foram realizadas para avaliar quais os fatores preditores da autopercepção de saúde.
Resultados
O risco de quedas, a fragilidade, a performance nas Atividades Instrumentais de Vida Diárias, a insçnia e o suporte familiar foram as variáveis relacionadas à autopercepção de saúde. A insçnia foi a variável que mais influenciou na autopercepção de saúde na nossa amostra. (OR = 0,47, IC95%: 0,28–0,80, p = 0,01).
Conclusões
A investigação de insçnia no idoso deve ser realizada rotineiramente na atenção primária, devido ao impacto negativo que ela exerce na saúde desta população.
Publication History
Received: 13 October 2016
Accepted: 22 December 2016
Article published online:
05 September 2023
© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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