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Updated: Jun 1, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Predicting Sleep Quality Based on Metabolic, Body Composition, and Physical Fitness Variables in Aged People:
Pedro Forte1,2,3,4, Samuel G Encarnação2,3,5, José E Teixeira3,4,6,7,8
1Physiotherapy and Pain Group, Department of Physical Therapy, University of Alcala, 28801 Madrid, Spain.
Good sleep quality in older adults is linked to better physical fitness, especially lower limb strength and mobility. Improving physical fitness may enhance sleep quality in this population.
Area of Science:
- Gerontology
- Sleep Science
- Exercise Physiology
Background:
- Sleep quality is vital for older adults' health, influenced by physiological and functional factors.
- The interplay between sleep quality, physical fitness, body composition, and metabolic health in seniors is not well understood.
Purpose of the Study:
- To explore associations between sleep quality and physical, metabolic, and body composition variables in older adults.
- To assess a logistic regression model's ability to classify sleep quality using non-sleep-related predictors.
Main Methods:
- Evaluated 32 older adults (mean age 69) on sleep quality (Pittsburgh Sleep Quality Index), physical fitness (Functional Fitness Test), body composition (bioimpedance), and clinical markers.
- Employed group comparisons, associative analysis, and 5-fold cross-validated logistic regression for sleep quality classification.
Main Results:
- Good sleep quality correlated with superior back stretch, lower limb strength (5TSTS), and longer sleep duration.
- Poor sleep quality showed moderate associations with reduced lower limb strength and mobility.
- A logistic regression model using 5TSTS and Timed Up and Go (TUG) test achieved 76% accuracy in classifying sleep quality.
Conclusions:
- Physical fitness and clinical factors significantly impact sleep quality in older adults.
- Interventions targeting lower limb strength may improve sleep outcomes in this demographic.
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