A multicomponent nonpharmacological intervention improves activity rhythms among nursing home residents with disrupted sleep/wake patterns

Journals of Gerontology - Series A Biological Sciences and Medical Sciences

Volumn 62, Issue 1, 2007, Pages 67-72

  Martin, Jennifer L ^a,b,d   Marler, Matthew R ^c   Harker, Judith O ^b   Josephson, Karen R ^b   Alessi, Cathy A ^a,b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b VA GREATER LOS ANGELES HEALTHCARE SYSTEM   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d GRECC (11E)   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

MELATONIN;

ACTIMETRY; AGE; AGED; ARTICLE; BEHAVIOR DISORDER; BEHAVIOR MODIFICATION; BODY TEMPERATURE; CIRCADIAN RHYTHM; CLINICAL TRIAL; COGNITION; COMORBIDITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; GERIATRIC CARE; HUMAN; LIGHT EXPOSURE; MAJOR CLINICAL STUDY; MALE; NOISE REDUCTION; NURSING HOME PATIENT; PHYSICAL ACTIVITY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SLEEP DISORDER; SLEEP PATTERN; SLEEP TIME; SLEEP WAKING CYCLE; COGNITIVE THERAPY; FOLLOW UP; INSOMNIA; KINESIOTHERAPY; METHODOLOGY; MOTOR ACTIVITY; MULTICENTER STUDY; NURSING HOME; PATHOPHYSIOLOGY; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; REST; RETROSPECTIVE STUDY; SLEEP; TIME; TREATMENT OUTCOME;

AGED, 80 AND OVER; CIRCADIAN RHYTHM; COGNITIVE THERAPY; EXERCISE THERAPY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MOTOR ACTIVITY; NURSING HOMES; REST; RETROSPECTIVE STUDIES; SLEEP; SLEEP INITIATION AND MAINTENANCE DISORDERS; TIME FACTORS; TREATMENT OUTCOME;

EID: 34047118644     PISSN: 10795006     EISSN: None     Source Type: Journal    
DOI: 10.1093/gerona/62.1.67     Document Type: Article

References (46)

1. Foley D, Ancoli-Israel S, Britz P, et al. Sleep disturbance and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America survey. J Psychosom Res. 2004;56:497-502.
2. Ancoli-Israel S, Klauber MR, Jones DW, et al. Variations in circadian rhythms of activity, sleep and light exposure related to dementia in nursing home patients. Sleep. 1997;20:18-23.
3. Bliwise DL, Bevier WC, Bliwise NG, et al. Systemic 24-hour behavior observations of sleep and wakefulness in a skilled-care nursing facility. Psychol Aging. 1990;15:16-24.
4. Gentili A, Weiner DK, Kuchibhatla M, et al. Factors that disturb sleep in nursing home residents. Aging. 1997;9:207-213.
5. Pat-Horenczyk R, Klauber MR, Shochat T, et al. Hourly profiles of sleep and wakefulness in severely versus mild-moderately demented nursing home patients. Aging Clin Exp Res. 1998;10:308-315.
6. Schnelle JF, Ouslander JG, Simmons SF, et al. The nighttime environment, incontinence care, and sleep disruption in nursing homes. J Am Geriatr Soc. 1993;41:910-914.
7. Van Someren EJW, Hagebeuk EEO, Lijzenga C, et al. Circadian rest activity rhythm disturbances in Alzheimer's disease. Biol Psychiatry. 1996;40:259-270.
8. Wu YH, Feenstra MG, Zhou JN, et al. Molecular changes underlying reduced pineal melatonin levels in Alzheimer disease: alterations in preclinical and clinical stages. J Clin Endocrinol Metab. 2003;88: 5898-5906.
9. Savaskan E, Oliveri G, Ohtake H, et al. Increased melatonin 1a-receptor immunoreactivity in the hippocampus of Alzheimer's disease patients. J Pineal Res. 2002;32:59.
10. Skene DJ, Swaab DF. Melatonin rhythmicity: effect of age and Alzheimer's disease. Exp Gerontol. 2003;38:199-206.
11. Shochat T, Martin J, Marler M, et al. Illumination levels in nursing home patients: effects on sleep and activity rhythms. J Sleep Res. 2000;9:373-380.
12. Campbell SS, Kripke DF, Gillin JC, et al. Exposure to light in healthy elderly subjects and Alzheimer's patients. Physiol Behav. 1988;42: 141-144.
13. Copinschi G, van Reeth O, Van Cauter E. Biologic rhythms. Effect of aging on the desynchronization of endogenous rhythmicity and environmental conditions. Presse Medicale. 1999;28:942-946.
14. Zee PC, Rosenberg RS, Turek FW. Effects of aging on entrainment and rate of resynchronization of circadian locomotor activity. Am J Physiol. 1992;263:5:1009-R1103.
15. Schnelle JF, MacRae PG, Ouslander JG, et al. Functional incidental training, mobility performance and incontinence care with nursing home residents. J Am Geriatr Soc. 1995;43:1356-1362.
16. Schnelle JF, Ouslander JG, Simmons SF, et al. Nighttime sleep and bed mobility among incontinent nursing home residents. J Am Geriatr Soc. 1993;41:903-909.
17. Schnelle JF, Alessi CA, Ouslander JG, Simmons SF. Noise and predictors of sleep in a nursing home environment. In: Albarede JL, Morley JE, Roth T, Vellas BJ, eds. Sleep Disorders and Insomnia in the Elderly. 7 ed. Paris: Serdi Publishers; 1993:89-99.
18. Ancoli-Israel S, Martin JL, Kripke DF, et al. Effect of light treatment on sleep and circadian rhythms in demented nursing home patients. J Am Geriatr Soc. 2002;50:282-289.
19. Ancoli-Israel S, Gehrman PR, Martin JL, et al. Increased light exposure consolidates sleep and strengthens circadian rhythms in severe Alzheimer's disease patients. Behav Sleep Med. 2003;1:22-36.
20. Lyketsos CG, Veiel L, Baker A, et al. A randomized, controlled trial of bright light therapy for agitated behaviors in dementia patients residing in long-term care. Int J Geriatr Psychiatry. 1999;14:520-525.
21. Sumaya IC, Rienzi BM, Deegan JF, et al. Bright light treatment decreases depression in institutionalized older adults: a placebo-controlled crossover study. J Gerontol Med Sci. 2001;56A:M356-M360.
22. Naylor E, Penev PD, Orbeta L, et al. Daily social and physical activity increases slow-wave sleep and daytime neuropsychological performance in the elderly. Sleep. 2000;23:87-95.
23. Alessi CA, Yoon EJ, Schnelle JF, et al. A randomized trial of a combined physical activity and environmental intervention in nursing home residents: do sleep and agitation improve? J Am Geriatr Soc. 1999;47:784-791.
24. Richards KC, Sullivan SC, Phillips RL, et al. The effect of individualized activities on the sleep of nursing home residents who are cognitively impaired: a pilot study. J Gerontol Nurs. 2001;27:30-37.
25. Alessi CA, Martin JL, Webber AP, et al. Randomized controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents. J Am Geriatr Soc. 2005;53: 619-626.
26. Martin JL, Webber AP, Alam T, et al. Daytime sleeping, sleep disturbance and circadian rhythms in nursing home residents. Am J Geriatr Psychiatry. 2006;14:121-129.
27. Ancoli-Israel S, Clopton P, Klauber MR, et al. Use of wrist activity for monitoring sleep/wake in demented nursing home patients. Sleep. 1997;20:24-27.
28. Martin JL, Mory AK, Alessi CA. Nighttime oxygen desaturation and symptoms of sleep disordered breathing in long-stay nursing home residents. J Gerontol Biol Sci Med Sci. 2005;60A:104-108.
29. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
30. Alexopoulos GS, Abrams RC, Young RC, et al. Cornell scale for depression in dementia. Biol Psychiatry. 1988;23:271-284.
31. Miller MD, Paradis CF, Houck PR, et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992;41:237-248.
32. Helmes E, Csapo KG, Short JA. Standardization and validation of the Multi-dimensional Observation Scale for Elderly Subjects (MOSES). J Gerontol. 1987;42:395-405.
33. Ray WA, Taylor JA, Lichtenstein MJ, et al. The nursing home behavior problem scale. J Gerontol. 1992;47:M9-M16.
34. Marler MR, Gehrman P, Ancoli-Israel S, et al. The sigmoidally-transformed cosine curve: a mathematical model for circadian rhythms with non-sinusoidal shapes. Stat Med. 2006;25:3893-3904.
35. Gehrman PR, Marler M, Martin JL, et al. The timing of activity rhythms in patients with dementia is related to survival. J Gerontol Biol Sci Med Sci. 2004;59A:I050-I055.
36. Martin J, Marler MR, Shochat T, et al. Circadian rhythms of agitation in institutionalized patients with Alzheimer's disease. Chronobiol Int. 2000;17:405-418.
37. Maxwell SE, Delaney HD. Designing Experiments and Analyzing Data. Pacific Grove, CA: Brooks/Cole Publishing Company; 1990.
38. Minors DS, Waterhouse JM. Deriving a "phase response curve" from adjustment to simulated time zone transitions. J Biol Rhythms. 1994;9:275-282.
39. Minors DS, Waterhouse JM, Wirz-Justice A. A human phase-response curve to light. Neurosci Lett. 1991;133:36-40.
40. Khalsa SB, Jewett ME, Cajochen C, et al. A phase response curve to single bright light pulses in human subjects. J Physiol (Lond). 2003;549:945-952.
41. Dijk DJ, Duffy JF. Circadian regulation of human sleep and age-related changes in its timing, consolidation and EEG characteristics. Ann Med. 1999;31:130-140.
42. Harper DG, Stopa EG, McKee AC, et al. Differential circadian rhythm disturbances in men with Alzheimer disease and frontotemporal degeneration. Arch Gen Psychiatry. 2001;58:353-360.
43. Satlin A, Volicer L, Stopa E, et al. Circadian locomotor activity and core-body temperature rhythms in Alzheimer's disease. Neurobiol Aging. 2000;16:765-771.
44. Minors D, Akerstedt T, Atkinson G, et al. The difference between activity when in bed and out of bed. I. Healthy subjects and selected patients. Chronobiol Int. 1996;13:27-34.
45. Van Someren EJW, Kessler A, Mirmiran M, et al. Indirect bright light improves circadian rest-activity rhythm disturbances in demented patients. Biol Psychiatry. 1997;41:955-963.
46. Van Someren EJW, Swaab DF, Colenda CC, et al. Bright light therapy: improved sensitivity to its effects on rest-activity rhythms in Alzheimer's patients by application of nonparametric disorder. Chronobiol Int. 1999; 16:505-518.