Associations between Sleep Quality, Frailty, and Quality of Life among Older Adults in Community and Nursing Home Settings

Mateja Lorber, Sergej Kmetec (), Adam Davey, Nataša Mlinar Reljić, Zvonka Fekonja and Barbara Kegl
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Mateja Lorber: Faculty of Health Sciences, University of Maribor, Zitna Ulica 15, 2000 Maribor, Slovenia
Sergej Kmetec: Faculty of Health Sciences, University of Maribor, Zitna Ulica 15, 2000 Maribor, Slovenia
Adam Davey: College of Health Sciences, University of Delaware, 210 South College Avenue, Newark, NJ 19716, USA
Nataša Mlinar Reljić: Faculty of Health Sciences, University of Maribor, Zitna Ulica 15, 2000 Maribor, Slovenia
Zvonka Fekonja: Faculty of Health Sciences, University of Maribor, Zitna Ulica 15, 2000 Maribor, Slovenia
Barbara Kegl: Faculty of Health Sciences, University of Maribor, Zitna Ulica 15, 2000 Maribor, Slovenia

IJERPH, 2023, vol. 20, issue 6, 1-12

Abstract: Poor sleep quality is prevalent among older adults, but limited data document associations between frailty and quality of life comparing individuals living in the community with those in nursing homes. This cross-sectional study (conducted between August and November 2019) included 831 older adults (mean age 76.5 years) from Slovenia’s community and nursing home settings. The results showed comorbidity in 38% of community-dwelling older adults and 31% of older adults in nursing homes. The prevalence of frailty among community-dwelling older adults was 36.5%, and among older adults in a nursing home was 58.5%. A total of 76% of community-dwelling older adults and 95.8% of nursing home residents reported poor sleep quality. Sleep quality and frailty predict 42.3% of the total variability of quality of life for older adults in nursing homes and 34.8% for community-dwelling older adults. The study’s results indicate that the quality of life can be affected by factors (e.g., worse sleep quality and frailty) among older adults, regardless of being a resident or from the community. Understanding how sleep quality is affected by social, environmental, and biological factors can help improve sleep quality and potentially the quality of life of older adults.

Keywords: sleep quality; frailty; quality of life; older adults; nursing homes; community-dwelling (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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