Banca de DEFESA: EUNICE FERNANDES MARANHÃO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : EUNICE FERNANDES MARANHÃO
DATE: 12/09/2025
TIME: 14:00
LOCAL: Remoto
TITLE:

SLEEP QUALITY AND FRAILTY IN COMMUNITY-DWELLING ELDERLY
PEOPLE: RESULTS OF THE PRO-EVA STUDY

KEY WORDS:

Older People, Sleep quality , Frailty

PAGES: 35
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Physiological and psychological changes resulting from human
aging can impact sleep patterns, such as reduced sleep efficiency,
fragmentation, and an increased incidence of disorders like insomnia and
sleep apnea. Recent studies suggest that poor sleep quality could be
associated with Frailty Syndrome (FS) in older adults. FS is characterized by
a multisystem decline in the organism, leading to an increase in adverse
outcomes, such as falls, hospitalization, institutionalization, and mortality.
Objective: To investigate the relationship between sleep quality and Frailty
Syndrome in community-dwelling older adults. Methods: This was a cross-
sectional study conducted in Parnamirim/RN. The study population consisted
of older adults of both sexes aged 60 years or older. Questionnaires were
administered to evaluate sociodemographic and anthropometric variables,
chronic conditions, physical performance, frailty syndrome, and sleep quality.
Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI),
and Frailty Syndrome was measured using the phenotype proposed by Fried
et al. The association between sleep and frailty variables was analyzed using
measures of association, while one-way ANOVA was used to compare the
mean values of PSQI components across Frailty Phenotype categories.
Finally, a multiple linear regression analysis was performed to verify the
association between the studied variables. Results: The sample consisted of
281 community-dwelling older adults, with a mean age of 70.5 years, 65.5%
classified as pre-frail, and 16.4% as frail according to Fried’s Frailty
Phenotype. It was observed that 66.5% had poor sleep quality, as assessed
by the PSQI. In the bivariate analysis, 84.8% of frail older adults had poor
sleep quality, and 45.7% of them frequently used sleeping medications.
Multinomial logistic regression analysis showed that the use of sleeping
medications (p=0.010) and daytime dysfunction (p=0.025) were significantly
associated with frailty. Conclusion: These results suggest an association
between poor sleep quality and frailty in older adults, where the use of
medications and the lack of regular sleep habits may influence this
association.

COMMITTEE MEMBERS:
Externa à Instituição - INGRID GUERRA AZEVEDO - UCT
Externa à Instituição - MARCELA MONTEIRO PIMENTEL - UEPB
Presidente - 350637 - RICARDO OLIVEIRA GUERRA