{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:33:38Z","timestamp":1777458818724,"version":"3.51.4"},"reference-count":62,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T00:00:00Z","timestamp":1482105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the effect of self\u2010reported daytime sleepiness on performance\u2010based balance measures and self\u2010reported balance confidence in community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional secondary analysis of an observational cohort study designed to develop and refine measures of balance and mobility in community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Older adults (aged 78.2 \u00b1 5.9) (n = 120).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      The performance\u2010based gait and balance measures included gait speed, double support time, and step width. Narrow walk, obstacle walk, and timed standing balance were also assessed. The Activities\u2010Specific Balance Confidence Scale was included as a self\u2010reported measure. Daytime sleepiness was defined as an Epworth Sleepiness Scale score of 9 or greater. Body mass index, fall\u2010related comorbidities, and use of central nervous system (\n                      <jats:styled-content style=\"fixed-case\">CNS<\/jats:styled-content>\n                      ) medications were considered as covariates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010five percent of participants reported daytime sleepiness. Participants reporting daytime sleepiness differed significantly from those without in gait speed (adjusted difference (standard error (\n                      <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\n                      )) \u22120.09 (0.04) m\/s,\n                      <jats:italic>P<\/jats:italic>\n                      = .03), step width (adjusted difference (\n                      <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\n                      ) 0.02 (0.01),\n                      <jats:italic>P<\/jats:italic>\n                      = .03), and self\u2010reported balance confidence (adjusted difference (\n                      <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\n                      ) \u22121.02 (0.38),\n                      <jats:italic>P<\/jats:italic>\n                      = .01) even after adjusting for covariates. Two\u2010way analysis of variance of\n                      <jats:styled-content style=\"fixed-case\">CNS<\/jats:styled-content>\n                      medication use and daytime sleepiness showed no significant interaction effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Self\u2010reported daytime sleepiness is associated with slower gait speed and poor balance confidence in community\u2010dwelling older adults. Subjective sleep assessment should be considered when assessing balance and implementing interventions for improving balance in older adults. Further study is needed to examine the role of\n                      <jats:styled-content style=\"fixed-case\">CNS<\/jats:styled-content>\n                      medication use.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14735","type":"journal-article","created":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T07:08:41Z","timestamp":1482131321000},"page":"1019-1025","source":"Crossref","is-referenced-by-count":25,"title":["Balance and Mobility in Community\u2010Dwelling Older Adults: Effect of Daytime Sleepiness"],"prefix":"10.1111","volume":"65","author":[{"given":"Shachi","family":"Tyagi","sequence":"first","affiliation":[{"name":"Division of Geriatrics and Gerontology Department of Medicine School of Medicine University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subashan","family":"Perera","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Gerontology 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