Longitudinal Health Consequences of Insomnia Symptoms among Middle-Aged and Older Adults in Thailand

Introduction: Insomnia symptoms may impact on various health outcomes. It is unclear how insomnia symptoms impact on health in Thailand. In a longitudinal study of ageing adults in Thailand, the goal of the research was to evaluate the relationships between insomnia symptoms and ۲۰ health indicators. Methods: Prospective cohort data from the Health, Aging and Retirement in Thailand study, which included participants ۴۵ years of age and older (N = ۲۸۶۳) from three successive waves in ۲۰۱۵, ۲۰۱۷, and ۲۰۲۰ were analyzed. Insomnia symptoms and health indicators were assessed by self-report. Generalized Estimating Equations analysis and logistic regression analysis were used to evaluate the longitudinal relationships between measures of insomnia symptoms and ۲۰ health indicators. Results: In ۲۰۲۰, ۱۱.۷% of people reported having insomnia symptoms, compared to ۱۵.۶% in ۲۰۱۵ and ۱۴.۶% in ۲۰۱۷. Insomnia symptoms were positively correlated with three poor mental health indicators (depressive symptoms, quality of life and self-rated mental health), eight poor physical health indicators (hypertension, self-rated physical health status, cardiovascular disease, diabetes, osteoporosis, chronic lung disease, kidney disease, and physical injury), and two lifestyle indicators (physical inactivity and meal skipping) in logistic regression models. Conclusion: The study found that a number of indicators of physical and mental illness as well as lifestyle choices were linked to symptoms of insomnia. Improved detection and management of insomnia symptoms could lower indicators of physical and mental illness in Thailand. Corresponding Author:  Karl Peltzer View Orcid in Profile You can search for this author in PubMed     Google Scholar Profile

Keywords:

Health , Insomnia Symptoms , Lifestyle , Longitudinal Study , Thailand