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Associations between anemia and insomnia or excessive daytime sleepiness in older adults.

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dc.contributor.authorKara, Osman
dc.contributor.authorElibol, Tayfun
dc.contributor.authorKoc Okudur, Saadet
dc.contributor.authorSmith, Lee
dc.contributor.authorSoysal, PINAR
dc.contributor.institutionauthorSOYSAL, PINAR
dc.date.accessioned2022-09-01T13:47:22Z
dc.date.available2022-09-01T13:47:22Z
dc.date.issued2022-08-29T00:00:00Z
dc.descriptionObjective: Sleep disorders including excessive daytime sleepiness (EDS), insomnia and anemia are both common. The aim of this study is to investigate associations between anemia and insomnia/EDS in the elderly. Methods: A total of 744 older outpatients were included in this cross-sectional study. Anemia was defined as a hemoglobin concentration below 12 g/dL in females and <13 g/dl in males. Patients were divided into two groups as anemic and non-anemic. The Epworth Sleepiness Scale score of ≥11 points indicates EDS. Insomnia Severity Index with scores of ≥8 indicates insomnia. Results: The mean age was 79.8±7.7 years. The prevalence of insomnia, EDS and anemia was 62.1%, 23.8%, and 47.2%, respectively. Insomnia (66.3% vs 58.5%) and EDS (29.6% vs 18.6%) were more common in patients with anemia compared to those without anemia (p<0.05). In univariate analysis, there were significant associations between anemia and insomnia [odds ratio (OR):1.4, 95% confidence interval (CI):1.0-1.9], and EDS (OR:1.8,95% CI:1.3-2.6). In multivariate analysis, the relationship between insomnia and nocturia, chronic obstructive pulmonary disease (COPD), and number of drugs used persisted, whereas being male, of an older age, coronary arterial disease, COPD, Parkinson's disease, dementia, and urinary incontinence were associated with EDS (p<0.05), but there was no significant relationships between anemia and insomnia/EDS (p>0.05). Conclusion: The present data suggests that an elderly who has anemia is 1.4 times more likely to experience insomnia and 1.8 times more likely to experience EDS than those without anemia.
dc.identifier.citationKara O., Elibol T., Koc Okudur S., Smith L., Soysal P., -Associations between anemia and insomnia or excessive daytime sleepiness in older adults.-, Acta clinica Belgica, ss.1-6, 2022
dc.identifier.doi10.1080/17843286.2022.2116895
dc.identifier.pubmed36036443
dc.identifier.scopus8513686234
dc.identifier.urihttp://hdl.handle.net/20.500.12645/30938
dc.identifier.wosWOS:000847401400001
dc.subjectAnemia
dc.subjectexcessive daytime sleepiness
dc.subjectinsomnia
dc.subjectolder adults
dc.titleAssociations between anemia and insomnia or excessive daytime sleepiness in older adults.
dc.typeArticle
dspace.entity.typePublication
local.avesis.ide87b5ca5-6cbf-472e-a394-0ca6f80147b7
local.indexed.atPubMed
local.indexed.atWOS
local.indexed.atScopus
local.publication.isinternational1
relation.isAuthorOfPublication0e36986e-d71d-4579-a395-877af097ade5
relation.isAuthorOfPublication.latestForDiscovery0e36986e-d71d-4579-a395-877af097ade5

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