Abstract
Abstract
Introduction:
Stroke survivors have a heightened risk of having problems with daily functioning. However, it is unclear what behavioral factors increase the likelihood of problems with daily functioning among stroke survivors. Hence, the purpose of this study is to investigate the association between short sleep duration and daily functioning, among stroke survivors.
Methods:
For analysis, we used data from the National Health Interview Survey (NHIS) 2000–2015 dataset which contained sociodemographic variables, self-reported stroke, problems with instrumental activities of daily living (IADL), and sleep duration. Data were analyzed to investigate the association between IADL and short sleep duration among stroke survivors.
Results:
Of the sample of 1,108,043 individuals (mean age was 45.73 yrs.; S.D.=141.48), 52.7% were female, 77.4% identified as White, 14.2% as Black, 41.3% were married, 62.7% were currently working, 31.1% had families earning less than $35,000 annually, and 87% reported their general health status as Excellent to Good. Thirty percent of stroke survivors reported problems with IADL and 34.4% of respondents who reported problems with IADL were short sleepers. Results from the Binary Logistic regression indicated that stroke survivors (N=14, 350) who are short sleepers were 35% more likely to report problems with activities of daily living, as compared to stroke survivors who did not report short sleep (OR=1.355, 95% CI=1.23–1.49, p<.001), adjusting for the effects of age, sex, race, marital status, health status, and income.
Conclusion:
Findings from our study indicate that stroke survivors who experience less than seven hours of sleep per day on average are at increased risk of IADL problems. Future studies should investigate whether improving sleep would improve IADL functioning in stroke survivors.
Support (If Any):
NIH/NINDS U54NS081765
NIMHD R01MD007716
NHLBI R25HL105444
