Relationships among types of activity engagement and insomnia symptoms among older adults

Abstract Background An increasing awareness exists that lack of activity engagement is associated with insomnia symptoms. However, the majority of studies have focused on the association between a single type of activity engagement and insomnia symptoms. Methods This is a cross-sectional study using...

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Main Authors: Da Eun Kim, Tonya J. Roberts, Chooza Moon
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-021-02042-y
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author Da Eun Kim
Tonya J. Roberts
Chooza Moon
author_facet Da Eun Kim
Tonya J. Roberts
Chooza Moon
author_sort Da Eun Kim
collection DOAJ
description Abstract Background An increasing awareness exists that lack of activity engagement is associated with insomnia symptoms. However, the majority of studies have focused on the association between a single type of activity engagement and insomnia symptoms. Methods This is a cross-sectional study using secondary data from the Health and Retirement Study examining the relationships among different types of activity engagement and insomnia symptoms among older adults. The sample for this study included 3321 older adults who responded to survey modules on activity engagement and insomnia symptoms in 2016. Activity engagement was measured using items for three types of activities (i.e., social, cognitive, and physical) validated in this study. Insomnia symptoms were measured using four items (i.e., difficulty of falling asleep, waking up during the night, waking up too early, and feeling rested). Independent t-tests were conducted to identify the differences in insomnia symptoms according to activity engagement level. Regressions were conducted to examine the associations among three types of activity engagement and insomnia symptoms after adjusting for covariates such as demographics, chronic disease, activities of daily living difficulty, cognitive function, sleep disorder, loneliness, and caregiving. Results The respondents in the high-level social, cognitive, and physical activity engagement groups were found to show fewer insomnia symptoms. Furthermore, higher social (β = − 0.04, p = 0.040) and cognitive (β = − 0.06, p = 0.007) activity engagements were associated with fewer insomnia symptoms even after adjusting for other types of activity engagement and all covariates. Conclusions This study suggests that older adults with higher social and cognitive activity engagements may be likely to have fewer insomnia symptoms. Based on these results, future research is needed to develop multi-component intervention programs that can encourage older adults to engage in these activities.
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spelling doaj.art-258b8094630d435f893430d75f1e541d2022-12-21T22:05:41ZengBMCBMC Geriatrics1471-23182021-01-0121111010.1186/s12877-021-02042-yRelationships among types of activity engagement and insomnia symptoms among older adultsDa Eun Kim0Tonya J. Roberts1Chooza Moon2College of Nursing and Research Institute of Nursing Science, Kyungpook National UniversitySchool of Nursing, University of Wisconsin-MadisonCollege of Nursing, University of IowaAbstract Background An increasing awareness exists that lack of activity engagement is associated with insomnia symptoms. However, the majority of studies have focused on the association between a single type of activity engagement and insomnia symptoms. Methods This is a cross-sectional study using secondary data from the Health and Retirement Study examining the relationships among different types of activity engagement and insomnia symptoms among older adults. The sample for this study included 3321 older adults who responded to survey modules on activity engagement and insomnia symptoms in 2016. Activity engagement was measured using items for three types of activities (i.e., social, cognitive, and physical) validated in this study. Insomnia symptoms were measured using four items (i.e., difficulty of falling asleep, waking up during the night, waking up too early, and feeling rested). Independent t-tests were conducted to identify the differences in insomnia symptoms according to activity engagement level. Regressions were conducted to examine the associations among three types of activity engagement and insomnia symptoms after adjusting for covariates such as demographics, chronic disease, activities of daily living difficulty, cognitive function, sleep disorder, loneliness, and caregiving. Results The respondents in the high-level social, cognitive, and physical activity engagement groups were found to show fewer insomnia symptoms. Furthermore, higher social (β = − 0.04, p = 0.040) and cognitive (β = − 0.06, p = 0.007) activity engagements were associated with fewer insomnia symptoms even after adjusting for other types of activity engagement and all covariates. Conclusions This study suggests that older adults with higher social and cognitive activity engagements may be likely to have fewer insomnia symptoms. Based on these results, future research is needed to develop multi-component intervention programs that can encourage older adults to engage in these activities.https://doi.org/10.1186/s12877-021-02042-ySleepLeisure activitiesExerciseAged
spellingShingle Da Eun Kim
Tonya J. Roberts
Chooza Moon
Relationships among types of activity engagement and insomnia symptoms among older adults
BMC Geriatrics
Sleep
Leisure activities
Exercise
Aged
title Relationships among types of activity engagement and insomnia symptoms among older adults
title_full Relationships among types of activity engagement and insomnia symptoms among older adults
title_fullStr Relationships among types of activity engagement and insomnia symptoms among older adults
title_full_unstemmed Relationships among types of activity engagement and insomnia symptoms among older adults
title_short Relationships among types of activity engagement and insomnia symptoms among older adults
title_sort relationships among types of activity engagement and insomnia symptoms among older adults
topic Sleep
Leisure activities
Exercise
Aged
url https://doi.org/10.1186/s12877-021-02042-y
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