Sleep apnea risk, cognitive and functional impairment: hidden trio’s among elderly: an exploratory study in Mysore, Karnataka, India

2016-10-22T03-07-52Z
Source: International Journal of Community Medicine and Public Health
Savitha Rani B. B., Praveen Kulkarni, Sunil Kumar D., Renuka M., Ashok N. C..
Background: Advancement in medical sciences with socioeconomic improvement across the country have led to increased life expectancy among Indians, which has resulted in increased old age dependency ratio. Indian health care delivery system is more deviant towards productive age groups and has side lined the veterans who constitute about 7-8% of our population. Morbidities among elderly are largely preventable and treatable if detected at early stages. Sleep disturbances, cognitive impairment and functional limitation are commonly neglected by elderly and often overlooked, whereas these conditions can severely impair the living status and quality of life among elderly. Methods: This cross sectional study was conducted in the Urban field practice area of Department of Community Medicine, JSS Medical College, Mysore for a period of three months. Details regarding Sociodemographic characteristics, sleep disturbance using STOP-BANG tool, Functional status using IADL Scale and cognitive impairment using MINICOG tool were collected in a pretested structured survey schedule by interview technique. Results: Among 102 of Geriatric subjects included in the present study, majority were in the age group 60-69 years- 72 (70.6%) and least 7 (6.9%) were 80 and above. 48 (49.1%) were males and 54 (52.9%) were females. Majority 43 (42.1%) were having Intermediate risk of sleep apnoea and 27 (26.4%) were having high risk. 44 (43.2%) were found to have subclinical cognitive impairments. Functional status scores will significantly lower among subjects with sleep and cognitive disturbances compared to their normal counterparts. Conclusions: There is a higher burden of sleep apnea, cognitive impairment among elderly which have significant influence on their functional status. Thus there is a need for evolving a strategy to include these screening procedures in the regular health check-up among elderly.


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