Sleep Quality, Anxiety, and Depression Are Associated with Fall Risk Factors in Older Women

Rodrigo Serrano-Checa, Fidel Hita-Contreras, José Daniel Jiménez-García, Alexander Achalandabaso-Ochoa, Agustín Aibar-Almazán and Antonio Martínez-Amat
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Rodrigo Serrano-Checa: Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
Fidel Hita-Contreras: Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
José Daniel Jiménez-García: MOVE-IT Research Group and Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Cádiz, Spain
Alexander Achalandabaso-Ochoa: Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
Agustín Aibar-Almazán: Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
Antonio Martínez-Amat: Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain

IJERPH, 2020, vol. 17, issue 11, 1-11

Abstract: Gait, dynamic balance, and functional mobility problems are well-known fall risk factors. Furthermore, sleep disturbances, anxiety, and depression are prevalent among older women. This study aimed to analyze the associations of sleep quality, anxiety, and depression with functional mobility, gait speed, and dynamic balance in community-dwelling postmenopausal women aged ≥ 60 years. A total of 271 women (69.18 ± 5.69 years) participated in this study. Functional mobility (Timed Up-and-Go Test), dynamic balance (3-meter tandem walk test), gait speed (OptoGait® optical detection system), sleep quality (Pittsburgh Sleep Quality Index), and anxiety and depression (Hospital Anxiety and Depression Scale) were assessed. Our results showed that poor sleep efficiency and the use of sleeping medication were related to decreased gait speed (R 2 = 0.072). Poor functional mobility was linked to depression and the use of sleeping medication (R 2 = 0.159). Additionally, increased symptoms of anxiety and depression were associated with worsened dynamic balance (R 2 = 0.127). In conclusion, poorer sleep quality is associated with slower gait speed and reduced functional mobility, which is also related, along with impaired dynamic balance, to higher levels of anxiety and depression.

Keywords: sleep quality; anxiety; depression; gait speed; functionality; dynamic balance (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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