الفهرس | Only 14 pages are availabe for public view |
Abstract Sleep is an important aspect in life that affects physical health, quality of life and overall well-being in diseased as well as healthy populations. Sleep and circadian rhythm disturbances are prevalent in frail elderly Frailty is a geriatric syndrome indicating multisystem impairment and increased vulnerability he frailty phenotype in the elderly is characterized by the presence of at least three of the following items: decreased grip strength, a report of fatigue and exhaustion, decreased activity, slow gait and weight loss, Grip strength and slow gait speed are also parameters included in the sarcopenia diagnostic criteria. Frailty and sarcopenia share many risk factors, pathophysiological pathways and clinical consequences. The aim of this work is to study the prevelance of sleep disturbances among frail elderly patients. The study enrolled 100 frail elderly, divided to 3 age groups 60-69, 70-79 and over 80 All participants underwent medical history and clinical assessment,are screened by frail scale and Clinical frailty index divided to mild, moderate and severe frail Sleep disturbances were detected using the Pittsburgh sleep quality index using Arabic version, assessment of mood by the geriatric depression scale (GDS), assessment of physical function using activities of daily living (ADL) and instrumental activities of daily living (IADL),and assessment of nutrition done using Mini Nutritional Assessment(MNA). Our study concluded that sleep disturbance is more frequent among participants with frailty and that by increasing the severity of frailty All the component of Pittsburgh sleep quality index in are affected sleep quality, sleep latency, sleep efficiency and daytime dysfunction. Has significant relationship with frailty Sleep Quality (component 6 in PSQI) is also prevalent in frail but more in the mild frail group Also in our study we concluded that there is a significant relationship between comorbidities and sleep disorders Heart failure showed significant relation between both frailty and sleep disorders Chest diseases also showed a significant relation with sleep disorders Polypharmacy (use of multiple medication) showed is more prevalent in frail elderly, and more prevalent with frailty as regards nutritional assessment, the frail elderly showed more risk for malnutrition and malnourishment, and showed a significant relationship between total Pittsburgh sleep quality index score and malnutrition. |