Uyku Süresinin Kronik Hastalıklar ve Geriatrik Sendromlar ile İlişkisi

Abstract

Amaç: Geriatrik hastalarda uyku süresinin kronik hastalıklar ve geriatrik sendromlar ile ilişkisini araştırmak hedeflenmiştir. Materyal ve Metod: Çalışmamız kesitsel olarak Ocak 2024-Haziran 2024 tarihleri arasında geriatri polikliniğe ilk kez kabul edilen 174 hastayı içermekteydi. 65 yaş altı, aktif enfeksiyonu, terminal dönem hastalığı, malignite tanısı, son bir ay içinde travma ve enfeksiyon öyküsü olan hastalar çalışma dışında bırakıldı. Çalışmamızda ‘National Sleep Foundation’ ve ‘American Academy of Sleep Medicine (AASM)’ önerileri doğrultusunda geriatrik hastalarda 8 saat/gün üzerindeki uyku süreleri-ni uzun uyku olarak aldık. Bulgular: Çalışmamıza uyku süresi uzun olmayan (≤8 saat) 107 ve uyku süresi uzun olan (˃8 saat) 67 geriatrik hasta alındı. İki grup arasında yaş ve cinsiyet açısından anlamlı farklılık yoktu (p=0.174, p=0.739). İki grup arasında kronik hastalıklar, kronik hastalık sayısı ve ilaç sayısı açısından anlamlı farklılık yoktu. Uyku süresi uzun olanlarda sarkopeni (%49’a karşı %33, p=0.046) ve malnütrisyon (%35’e karşı %21, p=0.041) istatistiksel olarak anlamlı daha yüksek saptandı. İki grup arasında kırılganlık, depresyon, bilişsel durum, temel ve enstrümental günlük yaşam aktiviteleri açısından istatistiksel anlamlı farklılık yoktu (p=0.208, p=0.062, p=0.097, p=0.110, p=0.117). Sonuç: Uyku süresi uzun olanlarda sarkopeni ve malnütrisyon daha yüksek oranda görülmüştür. Bundan yola çıkarak uyku süresi uzun olan geriatrik hastalarda sarkopeni ve malnütrisyon taraması-na önem verilmelidir

Keywords

• Geriatrik sendrom
• malnütrisyon
• sarkopeni
• uyku

Association of Sleep Duration with Chronic Diseases and Geriatric Syndromes

Abstract

Background: It was aimed to investigate the relationship between sleep duration and chronic diseases and geriatric syndromes in geriatric patients. Materials and Methods: Our cross-sectional study included 174 patients admitted to the geriatric outpatient clinic for the first time between January 2024 and June 2024. Patients under 65 years of age, with active infection, terminal illness, diagnosis of malignancy, and history of trauma and infection in the last month were excluded from the study. In our study, in accordance with the recommendations of the ‘National Sleep Foundation’ and the ‘American Academy of Sleep Medi-cine (AASM)’, we considered sleep duration over 8 hours/day as long sleep in geriatric patients. Results: In our study, 107 geriatric patients with no long sleep duration (≤8 hours) and 67 geriatric patients with long sleep duration (˃8 hours) were included. There was no significant difference between the two groups in terms of age and gender (p=0.174, p=0.739). There was no significant difference between the two groups in terms of chronic diseases, number of chronic diseases and number of medications. Sarcopenia (%49 vs %33, p=0.046) and malnutrition (%35 vs %21, p=0.041) were found to be significantly higher in patients with longer sleep duration. There was no statistically significant difference between the two groups in terms of frailty, depression, cogni-tive status, basic and instrumental activities of daily living (p=0.208, p=0.062, p=0.097, p=0.110, p=0.117). Conclusions: Sarcopenia and malnutrition were observed at a higher rate in patients with long sleep duration. Based on this, sarcopenia and malnutrition screening should be emphasised in geriatric patients with long sleep duration.

Keywords

• Geriatric syndrome
• malnutrition
• sarcopenia
• sleep

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