Sleep Duration, Disturbances, and Health-Related Quality of Life in Stroke Survivors.

Abstract

to determine the association of sleep duration and disturbances with physical and mental health-related quality of life (HRQoL) in stroke survivors. cross-sectional analysis of the REasons for Geographic And Racial Differences in Stroke (REGARDS) second in-home visit (May 2013-Dec 2016). population-based national study, United States. Individuals with adjudicated incident stroke. Not Applicable MAIN OUTCOME MEASURES: Physical and Mental HRQoL based on the 12-item Short-Form. Sleep measures included sleep duration, difficulty initiating sleep, difficulty maintaining sleep, nonrestorative sleep, and a combined measure based on the latent class model. Logistic regression models were employed to investigate the association between sleep variables and HRQOL adjusting for demographic factors, socioeconomic factors, behavioral factors, and co-morbidities. This study included 368 non-Hispanic Black and White stroke survivors. The mean age was 76.0 years (SD=7.9) and 52.7% were males. Stroke survivors with short sleep duration were more likely to have poor physical HRQoL (OR: 2.87, 95% CI=1.46-5.62) compared to stroke survivors with adequate sleep duration after adjusting for confounding. Similarly, stroke survivors with nonrestorative sleep were 3 times more likely to have poor physical HRQoL (OR: 3.11, 95% CI=1.28-7.55) compared to stroke survivors with restorative sleep. sleep quantity and quality were associated with physical HRQoL in stroke survivors. These findings suggest that sleep health is associated with stroke rehabilitation.