Abstract

Objective:to analyze the relationship between the duration of self-reported night sleep and the cognitive performance of older adults.Method:the sample consisted of 156 older adults registered in Family Health Units (FHUs) in a city of São Paulo, divided into quartiles according to the duration of night sleep. Data collection was performed using a characterization questionnaire, Addenbrooke’s Cognitive Exam – Revised (ACE-R) and Pittsburgh Sleep Quality Index (PSQI). Descriptive, comparative and correlational statistical analyses were performed.Results:the older adults obtained a mean of 61.94 points in ACE-R and 55.1% presented good sleep quality. Comparative analyses showed differences between the groups only in the cognitive domain of verbal fluency (p=0.018). The post-hoc analyses showed that older adults who slept more hours, a mean of 8.85 hours (Q1), had lower scores when compared to those who slept a mean of 6.11 hours (Q3) (p=0.004) and of 4.52 hours (Q4) (p=0.045). The adjusted model with application of the stepwise method showed a relationship between the independent variables of schooling and sleep duration and the domain verbal fluency.Conclusion:it is concluded that sleep duration is related to the verbal fluency cognitive domain.

Highlights

  • In the world context, aging has stood out as a phenomenon

  • Considering sleep, its quality and duration as fundamental aspects for the well-being, balance, good functioning and maintenance of the organism, and the importance described in the literature with influence on cognition, the present study aims to analyze the relationship between duration of self-reported night sleep and the cognitive performance of the community older adults

  • From the results found in the comparative analyses, multiple linear regression analysis was continued only for verbal fluency, which showed a significant difference between the sleep quartiles and the total Addenbrooke’s Cognitive Exam – Revised (ACE-R) scores that refer to the general objective of this research

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Summary

Introduction

In 2017, the United Nations (UN) reported that the world population was 7.6 billion inhabitants and that, of these, 13% were 60 years old or older. Estimates indicate that this proportion will increase to 21% in 2050 and to 28% in 2100(1). REM sleep is distinguished by the presence of rapid eye movements, being a deep stage related to the difficulty of awakening. In this phase, the electroencephalographic pattern is similar to the state of wakefulness with eyes open and of stage 1 NREM sleep[6]

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