Factors affect the quality of sleep in elderly people with metabolic syndrome

Abstract

Aim: As more studies are conducted on the effects of metabolic syndrome (MetS) on the elderly, it becomes clear that these individuals suffer from worse sleep. In this study, we examined the factors affecting sleep quality in the elderly diagnosed with MetS. Materials and Methods: The study was conducted in the Internal Medicine Clinic of Malatya Training and Research Hospital. Elderly people over the age of 65 years, willing to cooperate, able to communicate, and scored 23 and above on the Standard Mini Mental Test were recruited. The individuals included in the study were individuals who met the criteria for MetS. A comprehensive geriatric evaluation form was applied to elderly individuals. Results: The study’s 378 participants had mean age of 72.05±6.56 years. People over the age of 60 who had high values for both their body mass index (BMI) and their waist-hip ratio also had high Pittsburgh Sleep Quality Index scores (p<0.05). The factors affecting sleep quality were examined by regression analysis. As a result of, having a BMI of 30 or higher [odds ratio (OR): 2.831, confidence interval (CI): 0.081-2.525], being 75 or older (OR: 2.021, CI: 0.081-2.525), being totally or partially dependent on others for the performance of daily activities (OR: 5.024, CI: 2.408-5.165), and using multiple drugs (OR: 2.831, 0.734-2.901), an increased likelihood of falling (OR: 4.871, CI: 1.056-6.146), an increased likelihood of depression (OR: 3.850, CI: 1.355-3.973) increases sleep quality index scores. Conclusion: The elderly individuals who already have MetS are more likely to have poor sleep quality due to the accumulation of many detrimental factors that arise as a direct result of MetS.