Comorbidities and Risk Factors Associated With Insomnia in the Elderly Population

Introduction/Objectives: Sleep disorders affect around 50 to 70 million Americans, with chronic insomnia being the most common, especially in the elderly population. With an 11-fold increase in the US office visits due to insomnia, from 0.8 to 9.4 million, between 1993 and 2015, it is imperative to...

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Published in:Journal of primary care & community health 2023-01, Vol.14, p.21501319231168721-21501319231168721
Main Authors: Mookerjee, Neil, Schmalbach, Nicole, Antinori, Gianna, Thampi, Subhadra, Windle-Puente, Dylan, Gilligan, Amy, Huy, Ha, Andrews, Megha, Sun, Angela, Gandhi, Roshni, Benedict, William, Chang, Austin, Sanders, Ben, Nguyen, Justin, Keesara, Maanika Reddy, aliev, Janet, Patel, Aneri, Hughes, Isaiah, Millstein, Ian, Hunter, Krystal, Roy, Satyajeet
Format: Article
Language:English
Subjects:
Aged
Anxiety
Anxiety disorders
Atrial Fibrillation
Cardiac arrhythmia
Chronic insomnia
Chronic Pain
Comorbidity
Dementia
Depression - epidemiology
Female
Humans
Insomnia
Medical conditions
Mental depression
Older people
Original Research
Regression analysis
Retrospective Studies
Risk Factors
Sleep disorders
Sleep Initiation and Maintenance Disorders - epidemiology
Women
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Summary:Introduction/Objectives: Sleep disorders affect around 50 to 70 million Americans, with chronic insomnia being the most common, especially in the elderly population. With an 11-fold increase in the US office visits due to insomnia, from 0.8 to 9.4 million, between 1993 and 2015, it is imperative to identify the modifiable risk factors. The aim of our study was to examine the association of risk factors and comorbid medical conditions with insomnia in patients 65 years, and older. Methods: We performed a retrospective electronic medical record review of the patients aged 65 years and older, who visited our suburban internal medicine office between July 1, 2020 and June 30, 2021. Patients were divided into insomnia group, and the group without insomnia. The associated variables were compared. Results: Among 2431 patients, 247 patients (10.2%) had insomnia. Mean ages of the patients in the insomnia group and the group without insomnia were comparable (77 ± 8.1 year vs 76 ± 7.5 year; P = .211). There was a significantly greater frequency of women in the insomnia group compared to the group without insomnia (63.2% vs 55.5%; P = .022). In the insomnia group, there were significantly higher frequencies of association of certain comorbidities compared to the group without insomnia, such as dementia (6.5% vs 3.4%; P = .015), depression (30.8% vs 14.9%; P 
ISSN:2150-1319
2150-1327
DOI:10.1177/21501319231168721