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Updated: Oct 2, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Community-dwelling adults with functional limitations are at greater risk for sleep disturbances
Megan K Beckett1, Marc N Elliott1, Megan Mathews1
1RAND Corporation, Santa Monica, California, USA.
Objective:
To evaluate whether sleep disturbances vary along a continuum of functional limitations in a large nationally representative sample of US adults.
Methods:
Using 2014-2015 National Health Interview Survey data (n = 33,424), we considered associations between each of 5 sleep disturbance measures (duration, trouble falling asleep, trouble staying asleep, use of sleep medications, waking rested) and Functional Limitations Index score, which distinguishes among adults with little-or-no (least-limited), moderate (somewhat-limited), and high functional limitations (most-limited).
Results:
Somewhat-limited and most-limited respondents reported significantly worse sleep health for all sleep disturbance measures than people with little-or-no limitations, even controlling for body mass index, psychological distress, and 14 health indicators.
Conclusions:
People with significant self-reported limitations in physical functioning, independent of specific disabilities or disabling condition, report more sleep disturbances. Clinicians may want to evaluate the sleep health of patients with functional limitations.
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