The health-related quality-of-life impact of nocturnal awakenings in the middle-aged and older Finnish population

V??t?inenS.; TuomilehtoH.; SaramiesJ.TuomilehtoJ.UusitaloH.HussiE.Kein?nen-KiukaanniemiS.MartikainenJ.

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The health-related quality-of-life impact of nocturnal awakenings in the middle-aged and older Finnish population

机译：The health-related quality-of-life impact of nocturnal awakenings in the middle-aged and older Finnish population

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Purpose The aim of the study is to examine the healthrelated quality-of-life (HRQOL) impact of the nocturnal awakenings and the duration of the sleep in the Finnish middle-aged and older population. Methods Cross-sectional sample consisted of 823 community-dwelling persons aged 55-75 living in a single municipality in a rural area of Eastern Finland. Frequency of the nocturnal awakenings was dichotomized as reporting "frequent," if the participant reported subjectively awakening "often" or "very often," and "infrequent" if the participant reported awakening "sometimes" or less frequently. HRQOL was measured with a preference-based HRQOL-index instrument, 15D. Analyses were adjusted for gender, BMI, morbidities, depression, employment and marital status, current smoking and drinking, exercise, recommendation to exercise from a health care professional, and subjective opinion about own exercise habits. Results Frequent nocturnal awakenings had statistically and clinically significant negative impact on HRQOL, the mean (SE) adjusted marginal HRQOL impact being -0.0416 (0.006). More than 10 and less than 6.5 h of daily sleep were associated with higher probability of having low HRQOL, adjusted odd ratios (95 CI) being 2.65 (1.11-6.33) and 2.65 (1.55-4.52), respectively. However, the changes in daily sleep duration did not have noticeable influence on the significance or magnitude of the negative HRQOL impact of the frequent nocturnal awakenings. Conclusions Nocturnal awakenings displayed a strong independent association with decreased HRQOL. The findings suggest that both clinicians and researchers should pay closer attention to nocturnal awakenings and other sleep problems in order to find ways to improve the quality of life in individuals with such conditions.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2013年第10期|2737-2748|共12页
作者
V??t?inenS.; TuomilehtoH.; SaramiesJ.TuomilehtoJ.UusitaloH.HussiE.Kein?nen-KiukaanniemiS.MartikainenJ.;
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作者单位

Pharmacoeconomics and Outcomes Research Unit (PHORU), School of Pharmacy, University of Eastern;

Oivauni Sleep Clinic, Kuopio, Finland;

South Karelia Central Hospital, Lappeenranta, FinlandDepartment of Chronic Disease Prevention, National Institute for Health and Welfare, HelsinkiDepartment of Ophthalmology, School of Medicine, University of Tampere, Tampere, FinlandInstitute of Health Sciences, University of Oulu, Oulu, Finland;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
15D; Health status; Insomnia; Outcome assessment; Quality of life; Sleep;

The health-related quality-of-life impact of nocturnal awakenings in the middle-aged and older Finnish population

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