Table 2.
SDSQ symptom | Frequency‡
|
Endorsement§
|
||||||
---|---|---|---|---|---|---|---|---|
Non-demented
|
Poss/prob AD
|
Non-demented
|
Poss/prob AD
|
|||||
SP+ | SP− | SP+ | SP− | SP+ | SP− | SP+ | SP− | |
(1) Number of wake-ups per night | 2.7 ± 1.1 | 2.7 ± 1.1 | 2.5 ± 1.2 | 1.9 ± 1.1* | 93.0 | 86.2 | 92.9 | 78.0+* |
(2) Drowsy during the day | 1.9 ± 1.1 | 1.7 ± 1.1 | 2.3 ± 1.1 | 1.9 ± 1.1* | 66.2 | 60.4 | 75.7 | 64.8 |
(3) Takes naps during the day | 1.8 ± 1.1† | 1.8 ± 1.2 | 2.5 ± 1.2 | 2.0 ± 1.2+* | 60.8† | 59.4 | 77.8 | 68.7 |
(4) Equal sleep time day = night | 0.2 ± 0.6† | 0.1 ± 0.2 | 0.8 ± 1.2 | 0.3 ± 0.7* | 2.8† | 2.5 | 20.6 | 5.6* |
(5) Takes >30 min to fall asleep | 2.2 ± 1.1 | 1.2 ± 1.0* | 1.6 ± 1.3 | 0.7 ± 0.9* | 76.4† | 34.5* | 52.2 | 14.9* |
(6) Wakes up during night for >1 Hr | 2.2 ± 1.0† | 1.1 ± 1.0* | 1.5 ± 1.1 | 0.7 ± 0.8* | 81.9† | 33.1* | 51.5 | 13.3* |
(7) Wakes up too early | 2.1 ± 1.1 | 1.2 ± 1.0* | 2.0 ± 1.1 | 0.9 ± 0.9* | 73.5 | 38.1* | 66.2 | 24.1* |
(8) Restless sleep | 1.7 ± 1.0 | 1.0 ± 0.9* | 1.8 ± 1.0 | 1.0 ± 0.9* | 57.4 | 26.2* | 56.1 | 24.3* |
(9) Lies awake tense/worried | 1.2 ± 1.0 | 0.8 ± 0.8* | 1.6 ± 1.1 | 0.7 ± 0.8* | 33.3 | 17.5+* | 50.8 | 17.2* |
(10) Snores heavily | 0.7 ± 1.1† | 0.9 ± 1.2 | 1.4 ± 1.4 | 1.2 ± 1.2 | 20.4+† | 29.6 | 46.9 | 36.5 |
(11) Has trouble breathing | 0.3 ± 0.6 | 0.3 ± 0.7 | 0.7 ± 1.1 | 0.3 ± 0.8* | 7.4 | 6.0 | 21.0 | 7.7 |
(12) Breathes irregularly | 0.2 ± 0.6† | 0.3 ± 0.8 | 0.8 ± 1.1 | 0.4 ± 0.9+* | 8.2 | 8.2 | 24.1 | 11.8 |
(13) Twitches/jerks in sleep | 0.7 ± 0.9 | 0.5 ± 0.8 | 1.2 ± 1.4 | 1.1 ± 1.2 | 19.3 | 14.1 | 33.3 | 35.8 |
(14) Wakes up with headache | 0.5 ± 0.9 | 0.4 ± 0.7 | 0.7 ± 1.0 | 0.5 ± 0.8 | 15.5 | 8.4 | 20.0 | 12.7 |
(15) Wakes at night with pain | 1.0 ± 1.0† | 0.6 ± 0.9* | 0.5 ± 0.9 | 0.5 ± 0.8 | 30.4 | 16.6 | 13.3 | 12.1 |
(16) Uses medication to help get to sleep | 1.0 ± 1.0 | 0.3 ± 0.7* | 0.8 ± 1.3 | 0.3 ± 0.7* | 37.5 | 10.0* | 25.0 | 7.2* |
(17) Uses alcohol to help get to sleep | 0.1 ± 0.2 | 0.1 ± 0.3 | 0.0 ± 0.4 | 0.0 ± 0.3 | 0.0 | 1.3 | 1.5 | 0.6 |
(18) Has bowel/bladder problems at night | 2.0 ± 1.3 | 1.5 ± 1.4* | 1.8 ± 1.4 | 1.0 ± 1.3* | 62.7 | 45.8 | 55.2 | 27.1* |
(19) Has muscle cramps during sleep | 1.4 ± 1.0 | 1.1 ± 1.0 | 0.9 ± 0.8 | 0.8 ± 0.9 | 46.5 | 38.3 | 29.7 | 23.6 |
(20) Has restless legs during sleep | 1.5 ± 1.0 | 0.9 ± 1.1* | 0.9 ± 1.2 | 0.6 ± 0.9 | 54.8 | 30.9 | 25.0 | 17.6 |
(21) Awakes feeling well rested | 2.8 ± 1.0 | 3.2 ± 1.0* | 2.5 ± 1.1 | 3.2 ± 1.0* | 91.7 | 91.6 | 77.0 | 91.3 |
Non-demented are healthy elderly subjects with normal cognitive function at the time of sleep symptom assessment. Poss/prob AD: individuals met NINCDS-ADRDA criteria for possible or probable Alzheimer’s disease. Sample sizes given reflect number of respondents, however, the numbers for whom each variable were recorded varied. SP+: Endorsed ‘sleep problems’; SP−: did not endorse ‘sleep problems’. Frequency ratings compared by Mann–Whitney non-parametric comparison; endorsement compared by chi-square;
indicates Holm-adjusted P < 0.05 for SP+ versus SP− within the cohort;
indicates Holm-adjusted P < 0.05 for AD SP+ versus NDE SP+ (across cohorts);
indicates Holm-adjusted P-value for SP+ versus SP− is marginally not significant,
indicates Holm-adjusted P-value for AD SP+ versus NDE SP+ is marginally not significant (range: 0.059–0.08; see text for values).
Frequency (ratings for ‘in previous months’): 0, never; 1, less than once per month; 2, at least once per month; 3, at least once per week; 4, nearly every day/night).
Endorsement: ratings of at least once per month (2–4) – ‘endorsed’; ratings of never/less than once per month (0 or 1) – ‘un-endorsed’.