{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:01:11Z","timestamp":1777734071834,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001790","name":"Central Queensland University","doi-asserted-by":"publisher","award":["RSH\/5336"],"award-info":[{"award-number":["RSH\/5336"]}],"id":[{"id":"10.13039\/501100001790","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>This study explored measures of subjective and objective sleep health and the association with fall occurrence and falls risk for older adults. A longitudinal observational study was conducted with participants in residential aged care (n\u2009=\u200936) and community dwelling (n\u2009=\u200935) settings. At baseline, objective sleep data involved wearing wrist worn accelerometers and measuring falls risk by walking using the Quantitative timed up and go (QTUG) of a simple, cognitive, and motor task. Subjective sleep data was collected by completing sleep diaries using the Karolinska Sleepiness Scale and sleep quality scale, respectively. Longitudinal falls data were collected at baseline, 3, 6, and 9\u2009months. Falls risk was calculated via QTUG. Responses to a fall questionnaire were used to quantify fall occurrence. Independent samples t-test examined differences in objective and subjective sleep variables between settings. Logistic regression explored whether objective or subjective sleep variables could predict an overall fall occurrence. Linear regression determined if a particular sleep variable could predict an overall falls risk. Multiple regression determined if sleep variables could predict falls risk. No significant differences were found between residential and community-dwelling adults in subjective or objective sleep measures. Logistic regression showed no significant associations between most sleep variables and falls risk, except for average awakening length, where each additional minute was associated with a 1.8% increase in fall likelihood (OR\u2009=\u20091.02, 95% CI [1.00-1.03], P\u2009=\u2009.037). Conversely, higher awakening frequency was associated with reduced falls risk in the simple timed up-and-go task ( R\u00b2\u2009=\u2009.21, \u03b2\u2009=\u2009\u2212.69, P\u2009=\u2009.009, 95% CI [\u22121.20 to \u22120.18]). Findings suggest no significant differences in sleep health or falls risk between residential and community-dwelling older adults, though specific sleep disruptions showed minor associations with falls risk.<\/jats:p>","DOI":"10.1177\/00469580241306274","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T05:08:06Z","timestamp":1734412086000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sleep Health and Falls Risk for Older Adults Living in Residential Aged Care and in Community Dwelling Settings: A Longitudinal Observation Study"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0181-5458","authenticated-orcid":false,"given":"Samantha","family":"Fien","sequence":"first","affiliation":[{"name":"Central Queensland University, Mackay, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha L.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Central Queensland University, Mackay, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick J.","family":"Owen","sequence":"additional","affiliation":[{"name":"Eastern Health Emergency Medicine Program, Melbourne, VIC, Australia"},{"name":"Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9666-5071","authenticated-orcid":false,"given":"Stephanie J.","family":"Alley","sequence":"additional","affiliation":[{"name":"Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corneel","family":"Vandelanotte","sequence":"additional","affiliation":[{"name":"Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeline","family":"Sprajcer","sequence":"additional","affiliation":[{"name":"Appleton Institute, Central Queensland University, Wayville, SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Waters","sequence":"additional","affiliation":[{"name":"Central Queensland University, Mackay, QLD, Australia"},{"name":"Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven T.","family":"Moore","sequence":"additional","affiliation":[{"name":"Central Queensland University, Rockhampton, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin W.L.","family":"Keogh","sequence":"additional","affiliation":[{"name":"Bond University, Gold Coast, Australia"},{"name":"AUT University, Auckland, New Zealand"},{"name":"Kasturba Medical College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace E.","family":"Vincent","sequence":"additional","affiliation":[{"name":"Appleton Institute, Central Queensland University, Wayville, SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"key":"bibr1-00469580241306274","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12192"},{"key":"bibr2-00469580241306274","doi-asserted-by":"publisher","DOI":"10.3390\/medsci9020031"},{"key":"bibr3-00469580241306274","doi-asserted-by":"publisher","DOI":"10.2147\/nss.S134864"},{"key":"bibr4-00469580241306274","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03222-1"},{"key":"bibr5-00469580241306274","unstructured":"Australian Institute of Health and Welfare. Falls in older Australians 2019-20: Hospitalisations and Deaths Among People Aged 65 and Over. Australian Government. 2022. Accessed August 20, 2024. https:\/\/www.aihw.gov.au\/reports\/injury\/falls-in-older-australians-2019-20-hospitalisation\/contents\/summary"},{"key":"bibr6-00469580241306274","unstructured":"Australian Institute of Health and Welfare. Disease Expenditure in Australia 2019-20. Australian Government. 2022. Accessed August 20, 2024. https:\/\/www.aihw.gov.au\/reports\/health-welfare-expenditure\/disease-expenditure-in-australia-2019-20\/contents\/summary"},{"key":"bibr7-00469580241306274","unstructured":"Australian Institute of Health and Welfare. Older Australians. Australian Government. 2024. Accessed August 20, 2024. https:\/\/www.aihw.gov.au\/reports\/older-people\/older-australians\/contents\/summary"},{"key":"bibr8-00469580241306274","unstructured":"Royal Commission into Aged Care Quality and Safety. Final report: care, dignity and respect. Vol. 2. 2021. 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