Measuring the prevalence of sleep disturbances in people with dementia living in care homes: a systematic review and meta-analysis.
actigraphy
aging; insomnia
dementia
Journal
Sleep
ISSN: 1550-9109
Titre abrégé: Sleep
Pays: United States
ID NLM: 7809084
Informations de publication
Date de publication:
15 04 2020
15 04 2020
Historique:
received:
02
07
2019
revised:
27
09
2019
pubmed:
22
10
2019
medline:
15
4
2021
entrez:
22
10
2019
Statut:
ppublish
Résumé
Sleep disturbances are a feature in people living with dementia, including getting up during the night, difficulty falling asleep, and excessive daytime sleepiness and may precipitate a person with dementia moving into residential care. There are varying estimates of the frequency of sleep disturbances, and it is unknown whether they are a problem for the individual. We conducted the first systematic review and meta-analysis on the prevalence and associated factors of sleep disturbances in the care home population with dementia. We searched Embase, MEDLINE, and PsycINFO (29/04/2019) for studies of the prevalence or associated factors of sleep disturbances in people with dementia living in care homes. We computed meta-analytical estimates of the prevalence of sleep disturbances and used meta-regression to investigate the effects of measurement methods, demographics, and study characteristics. We included 55 studies of 22,780 participants. The pooled prevalence on validated questionnaires of clinically significant sleep disturbances was 20% (95% confidence interval, CI 16% to 24%) and of any symptom of sleep disturbance was 38% (95% CI 33% to 44%). On actigraphy using a cutoff sleep efficiency of <85% prevalence was 70% (95% CI 55% to 85%). Staff distress, resident agitation, and prescription of psychotropic medications were associated with sleep disturbances. Studies with a higher percentage of males had a higher prevalence of sleep disturbance. Clinically significant sleep disturbances are less common than those measured on actigraphy and are associated with residents and staff distress and the increased prescription of psychotropics. Actigraphy appears to offer no benefit over proxy reports in this population.
Identifiants
pubmed: 31633188
pii: 5601416
doi: 10.1093/sleep/zsz251
pmc: PMC7157185
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Department of Health
ID : 14/220/06
Pays : United Kingdom
Informations de copyright
© Sleep Research Society 2019. Published by Oxford University Press [on behalf of the Sleep Research Society].
Références
J Sleep Med Disord. 2014 Aug 28;1(1):
pubmed: 25374963
Stat Med. 1998 Apr 30;17(8):857-72
pubmed: 9595616
Drugs Real World Outcomes. 2015 Nov 25;2(4):363-368
pubmed: 26688788
Psychogeriatrics. 2016 Sep;16(5):289-97
pubmed: 26510632
J Alzheimers Dis. 2018;66(4):1463-1470
pubmed: 30412491
Int J Geriatr Psychiatry. 2008 Sep;23(9):889-95
pubmed: 18306150
Int Psychogeriatr. 2015 Nov;27(11):1875-92
pubmed: 26138674
Gerontol Clin (Basel). 1961;3:247-57
pubmed: 14492936
Int J Geriatr Psychiatry. 2001 May;16(5):504-12
pubmed: 11376467
Int Psychogeriatr. 2016 Jun;28(6):1017-27
pubmed: 26739512
Dement Geriatr Cogn Disord. 2007;24(3):169-76
pubmed: 17641527
Tidsskr Nor Laegeforen. 2012 Sep 18;132(17):1956-9
pubmed: 23007358
Tijdschr Gerontol Geriatr. 2006 Mar;37(1):19-24
pubmed: 16529151
Nihon Ronen Igakkai Zasshi. 2017;54(3):392-402
pubmed: 28855464
Eur J Clin Pharmacol. 2016 Aug;72(8):987-94
pubmed: 27071994
J Sleep Res. 2000 Mar;9(1):5-11
pubmed: 10733683
Scand J Caring Sci. 1996;10(3):137-43
pubmed: 9060783
Int Psychogeriatr. 2015 Dec;27(12):1945-55
pubmed: 26424155
Arch Psychiatr Nurs. 2015 Oct;29(5):346-54
pubmed: 26397440
J Am Geriatr Soc. 2005 Sep;53(9):1510-7
pubmed: 16137280
Int J Geriatr Psychiatry. 2006 Aug;21(8):792-9
pubmed: 16906632
Am J Geriatr Psychiatry. 2005 May;13(5):420-3
pubmed: 15879592
Int Psychogeriatr. 2014 Jan;26(1):81-91
pubmed: 24059840
Compr Gerontol A. 1988 Oct;2(3):120-32
pubmed: 3148369
Int J Geriatr Psychiatry. 2018 Apr;33(4):663-670
pubmed: 29282768
Fortschr Neurol Psychiatr. 2007 Dec;75(12):720-7
pubmed: 17464898
Int J Geriatr Psychiatry. 2007 Jul;22(7):632-8
pubmed: 17136713
Rev Esp Geriatr Gerontol. 2012 May-Jun;47(3):96-101
pubmed: 22578384
Int J Nurs Stud. 2015 May;52(5):980-7
pubmed: 25776735
J Consult Clin Psychol. 1992 Aug;60(4):586-94
pubmed: 1506506
Int J Geriatr Psychiatry. 2010 Oct;25(10):1065-72
pubmed: 20104514
Sleep Med Rev. 2013 Dec;17(6):475-88
pubmed: 23669093
J Gerontol A Biol Sci Med Sci. 2016 Feb;71(2):273-8
pubmed: 26248560
Int J Geriatr Psychiatry. 2014 Apr;29(4):384-91
pubmed: 23963653
Dement Geriatr Cogn Dis Extra. 2018 Oct 9;8(3):333-347
pubmed: 30386370
Int J Geriatr Psychiatry. 2006 Oct;21(10):945-50
pubmed: 16927407
Am J Geriatr Psychiatry. 2019 Jun;27(6):581-589
pubmed: 30799167
Sleep. 2003 Nov 1;26(7):893-901
pubmed: 14655926
Ann Agric Environ Med. 2014;21(2):412-5
pubmed: 24959800
Alzheimers Dement. 2017 Jan;13(1):28-37
pubmed: 27172148
Int J Geriatr Psychiatry. 2009 Jan;24(1):25-32
pubmed: 18512257
J Affect Disord. 2016 Jan 15;190:264-271
pubmed: 26540080
J Sleep Res. 2003 Dec;12(4):331-7
pubmed: 14633245
Int Psychogeriatr. 2009 Jun;21(3):485-93
pubmed: 19368752
Int J Geriatr Psychiatry. 2019 Sep;34(9):1308-1315
pubmed: 30136743
BMC Geriatr. 2017 Oct 27;17(1):253
pubmed: 29078755
J Am Med Dir Assoc. 2014 Jan;15(1):54-61
pubmed: 24220139
Arch Public Health. 2014 Nov 10;72(1):39
pubmed: 25810908
Psychogeriatrics. 2018 Mar;18(2):113-122
pubmed: 29409164
Int Psychogeriatr. 2009 Jun;21(3):476-84
pubmed: 19257917
Am J Geriatr Psychiatry. 2018 Jan;26(1):25-38
pubmed: 28669575
Int Psychogeriatr. 2016 Dec;28(12):2001-2008
pubmed: 27411666
J Alzheimers Dis. 2019;69(1):227-236
pubmed: 30958349
J Am Geriatr Soc. 2011 Aug;59(8):1393-402
pubmed: 21797835
Drugs Aging. 2015 Dec;32(12):1045-53
pubmed: 26612596
Neurology. 1994 Dec;44(12):2308-14
pubmed: 7991117
Int Psychogeriatr. 2009 Jun;21(3):469-75
pubmed: 19243654
BMC Health Serv Res. 2018 Nov 16;18(1):864
pubmed: 30445937
Aging Ment Health. 2017 Dec;21(12):1248-1255
pubmed: 27584047
Curr Med Res Opin. 2004 Oct;20(10):1605-12
pubmed: 15462693
Am J Geriatr Psychiatry. 2006 Feb;14(2):112-20
pubmed: 16473975
Int Psychogeriatr. 2019 Feb;31(2):251-265
pubmed: 30221615
Int J Geriatr Psychiatry. 2009 Jun;24(6):570-7
pubmed: 19051223
J Alzheimers Dis. 2018;63(3):871-886
pubmed: 29710720
Int J Geriatr Psychiatry. 2008 Nov;23(11):1182-90
pubmed: 18484678
Int J Geriatr Psychiatry. 2001 Jan;16(1):39-44
pubmed: 11180484
Sleep. 2004 Nov 1;27(7):1255-73
pubmed: 15586779
Front Aging Neurosci. 2016 Apr 21;8:72
pubmed: 27148044
J Geriatr Psychiatry Neurol. 1999 Summer;12(2):53-9
pubmed: 10483925
Int J Geriatr Psychiatry. 2002 Jul;17(7):604-9
pubmed: 12112156
J Pain Symptom Manage. 2016 Dec;52(6):795-805
pubmed: 27524403
PLoS One. 2015 Oct 29;10(10):e0141653
pubmed: 26513358
Sleep. 1991 Dec;14(6):540-5
pubmed: 1798888
Am J Geriatr Psychiatry. 2012 Jun;20(6):460-7
pubmed: 22531105
Cancer Nurs. 2018 Mar/Apr;41(2):E13-E20
pubmed: 28146014
Cochrane Database Syst Rev. 2016 Nov 16;11:CD009178
pubmed: 27851868
J Alzheimers Dis. 2016;50(4):1217-25
pubmed: 26757042
Neurologia. 2006 Jan-Feb;21(1):19-25
pubmed: 16525922
Int Psychogeriatr. 2009 Dec;21(6):1134-41
pubmed: 19735590
Int J Geriatr Psychiatry. 2014 Aug;29(8):828-36
pubmed: 24806873
Cochrane Database Syst Rev. 2008 Oct 08;(4):CD003164
pubmed: 18843641
Int J Geriatr Psychiatry. 2018 Jan;33(1):e49-e57
pubmed: 28370353
Int Psychogeriatr. 2011 Oct;23(8):1231-9
pubmed: 21729409
Geriatr Nurs. 2014 Nov-Dec;35(6):474-8
pubmed: 25108708
J Am Med Dir Assoc. 2016 Jun 1;17(6):495-500
pubmed: 26944910
Am J Geriatr Psychiatry. 2010 Dec;18(12):1054-65
pubmed: 21155143
Eur J Neurol. 2016 May;23(5):979-88
pubmed: 26945537
J Gerontol B Psychol Sci Soc Sci. 2016 May;71(3):458-62
pubmed: 25429026
Int J Surg. 2010;8(5):336-41
pubmed: 20171303