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    This study aimed to examine the association between sleep quality and physical performance among a group of UK community-dwelling older adults, according to sex. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Physical performance was assessed using a short physical performance battery (SPPB), a timed up-and-go, and a hand-grip strength test. Of 591 eligible study members, 401 completed the Pittsburgh Sleep Quality Index. In regression analyses, men who reported poor sleep quality were significantly more likely to have a poor SPPB score, even after adjustment for confounding factors (OR = 2.54, 95% CI 1.10-5.89, P= .03). The direction of the relationship was reversed among women, where those who reported poor sleep were less likely to have a low SPPB score (OR = 0.36, 95% CI 0.15-0.85, P = .02). Poor sleep quality was associated with poorer hand-grip strength among women (regression coefficient = -0.34 z score, 95% CI -0.64, -0.04, P = .03), but this relationship was not observed among men (regression coefficient = 0.28 z score, 95% CI -0.01, 0.57, P = .06). We found evidence of an association between poor sleep quality and poorer physical performance in older adults, though there appear to be important sex differences. Copyright © 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.

    Citation

    Hayley J Denison, Karen A Jameson, Avan A Sayer, Harnish P Patel, Mark H Edwards, Teresa Arora, Elaine M Dennison, Cyrus Cooper, Janis Baird. Poor sleep quality and physical performance in older adults. Sleep health. 2021 Apr;7(2):205-211

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    PMID: 33223446

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