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Sleep of Māori and non-Māori of advanced age

Making Education Easy

From Māori Health Review Issue 62
Authors:
  • Gibson R et al.
Summary:

This investigation into sleep problems among people of advanced age included 251 Māori and 398 non-Māori aged 79–90 years. The study researchers found that 25.5% of Māori and 31.7% of non-Māori reported a current sleep problem. Reporting a current sleep problem was more likely among non-Māori (adjusted OR 0.52; 95% CI, 0.30 to 0.90) and among those who reported a past sleep problem (adjusted OR 2.67; 95% CI, 1.25 to 5.72). In logistic regression analyses, sleep problems were related to poorer self-rated physical and mental health, as well as falls over the previous year. For instance, in regard to mental health, those reporting a current sleep problem were more likely to also score highly for symptoms of depression on the Geriatric Depression Scale than those who did not report a current sleep problem (OR 4.42; 95% CI, 2.40 to 8.14).

Comment:
A good reminder of how important it is to recognise and address sleep problems. We tend to focus on sleep issues in middle-aged adults, and during pregnancy/the postnatal period. As the authors suggest, we must not forget to ask about sleep hygiene with our kaumātua, particularly when you consider their increased risk for poor sleep such as long-term conditions, polypharmacy and moko jumping into their beds (so says my mum!).
Reference: N Z Med J. 2016;129(1436):52-61
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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