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Day-time sleep and active ageing in later life

Published online by Cambridge University Press:  11 November 2010

SUSAN VENN*
Affiliation:
Centre for Research on Gender and Ageing (CRAG), University of Surrey, Guildford, UK.
SARA ARBER
Affiliation:
Centre for Research on Gender and Ageing (CRAG), University of Surrey, Guildford, UK.
*
Address for correspondence: Susan Venn, Centre for Research on Gender and Ageing (CRAG), Department of Sociology, University of Surrey, Guildford GU2 7XH, UK. E-mail: s.venn@surrey.ac.uk

Abstract

The concept of ‘active ageing’ has received much attention through strategic policy frameworks such as that initiated by the World Health Organisation, and through government and non-governmental organisation initiatives. The primary goal of these initiatives is to encourage older people to be active and productive, and to enhance quality of life, health and wellbeing. It is well known that with increasing age, night-time sleep deteriorates, which has implications for how older people maintain activity levels, and leads to an increased propensity for day-time sleep. Using data from 62 interviews with people aged 65–95 years living in their own homes who reported poor sleep, this paper explores the meanings of day-time sleep, and how the attitudes and practices of ‘active ageing’ are intricately linked to the management of day-time sleep and bodily changes that arise from the ageing process. The desire to be active in later life led to primarily dichotomous attitudes to day-time sleep; older people either chose to accept sleeping in the day, or resisted it. Those who accepted day-time sleep did so because of recognition of decreasing energy in later life, and an acknowledgement that napping is beneficial in helping to maintain active lives. Those who resisted day-time sleep did so because time spent napping was regarded as being both unproductive and as a negative marker of the ageing process.

Type
Articles
Copyright
Copyright © Cambridge University Press 2010

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References

Almeida, O. P. and Pfaff, J. J. 2005. Sleep complaints among older general practice patients: association with depression. British Journal of General Practice, 55, 520, 864–66.Google Scholar
Ancoli-Israel, S., Ayalon, L. and Salzman, C. 2008. Sleep in the elderly: normal variations and common sleep disorders. Harvard Review Psychiatry, 16, 5, 279–86.Google Scholar
Arbuckle, T. Y., Gold, D. P., Chaikelson, J. S. and Lapidus, S. 1994. Measurement of activity in the elderly: the activities checklist. Canadian Journal on Aging, 13, 4, 550–65.Google Scholar
Boden-Albala, B., Bazil, C., Moon, Y., De Rosa, J., Elkind, M. S., Paik, M. C. and Sacco, R. L. 2008. Unplanned napping causes seniors vascular events. Paper presented at the International Stroke Conference, American Stroke Association, February, New Orleans.Google Scholar
Bowling, A. 1993. The concepts of successful and positive ageing. Family Practice, 10, 4, 449–53.Google Scholar
Bowling, A. 2008. Enhancing later life: how older people perceive active ageing? Ageing and Mental Health, 12, 3, 293301.Google Scholar
Brassington, G. S., King, A. C. and Bliwise, D. L. 2000. Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64–99 years. Journal of the American Geriatrics Society, 48, 10, 1234–40.Google Scholar
Buysse, D. J., Reynolds, C. F. 3rd, Monk, T. H., Berman, S. R. and Kupfer, D. J. 1998. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Journal of Psychiatry Research, 28, 2, 193213.CrossRefGoogle Scholar
Campbell, S. S., Murphy, P. J. and Stauble, T. N. 2005. Effects of a nap on nighttime sleep and waking function in older subjects. Journal of the American Geriatrics Society, 53, 1, 4853.Google Scholar
Clarke, A. and Warren, L. 2007. Hopes, fears and expectations about the future: what do older people's stories tell us about active ageing? Ageing & Society, 27, 4, 465–88.Google Scholar
Cumming, E. and Henry, W. E. 1961. Growing Old, the Process of Disengagement. Basic, New York.Google Scholar
Dautovich, N. D., McCrae, C. S. and Rowe, M. 2008. Subjective and objective napping and sleep in older adults: are evening naps bad for nighttime sleep? Journal of the American Geriatrics Society, 56, 9, 1681–86.CrossRefGoogle ScholarPubMed
Department for Work and Pensions 2005. Opportunity Age: Opportunity and Security Throughout Life. Department for Work and Pensions, London. Available online at www.dwp.gov.uk/opportunity_age/ [Accessed April 2010].Google Scholar
Department of Health 2005. Independence, Well-being and Choice: Our Vision for the Future of Social Care in England. Cm 6499, Department of Health, London.Google Scholar
Ekerdt, D. J. 1986. The busy ethic: moral continuity between work and retirement. The Gerontologist, 26, 3, 239–44.Google Scholar
Estes, C. 1982. Austerity and aging in the United States: 1980 and beyond. International Journal of Health Services: Planning, Administration, Evaluation, 12, 4, 573–84.Google Scholar
Feinsilver, S. H. 2003. Sleep in the elderly. What is normal? Clinical Geriatric Medicine, 19, 1, 177–88.CrossRefGoogle Scholar
Ficca, G., Axelsson, J., Mollicone, D. J., Muto, V. and Vitiello, M. V. 2009. Naps, cognition and performance. Sleep Medicine Reviews, 110. doi:10.1016/j.smrv.2009.09.005.Google Scholar
Frisoni, G. B., De Leo, D., Rozzini, R. and Trabucchi, M. 1996. Napping in the elderly and its association with night sleep and psychological status. International Psychogeriatrics, 8, 3, 7787.Google Scholar
Gilleard, C. and Higgs, P. 1998. Ageing and the limiting conditions of the body. Sociological Research Online, 3, 4. Available online at http://www.socresonline.org.uk/socresonline/3/4/4.html [Accessed 30 August 2010].CrossRefGoogle Scholar
Havighurst, R. 1963. Successful ageing. In Williams, R. H., Tibbits, C. and Donahue, W. (eds), Processes of Ageing. Volume 1, Atherton, New York, 299320.Google Scholar
Hennessy, C. H. and Walker, A. 2010. Promoting multi-disciplinary and inter-disciplinary ageing research in the United Kingdom. Ageing & Society. doi:10.1017/S0144686X1000067X.Google Scholar
Hislop, J. and Arber, S. 2003. ‘Sleepers wake!’ The gendered nature of sleep disruption among mid-life women. Sociology, 37, 4, 695711.Google Scholar
Jolanki, O. 2009. Talk about old age, health and morality. In Edmondson, R. and Von Kondratowitz, H. (eds), Valuing Older People: A Humanist Approach to Ageing. Policy Press, Bristol, UK, 261–74.CrossRefGoogle Scholar
Katz, S. 2005. Busy bodies: activity, aging and the management of everyday life. In Katz, S. (ed.), Cultural Aging, Life Courses, Lifestyle and Senior Worlds. Broadview, Peterborough, Ontario, 121–39.Google Scholar
King, A. C., Oman, R. F., Brassington, G. S., Bliwise, D. L. and Haskell, W. L. 1997. Moderate-intensity exercise and self-rated quality of sleep in older adults: a randomized controlled trial. Journal of the American Medical Association, 277, 1, 64–6.Google Scholar
Martin, J. L. and Ancoli-Israel, S. 2006. Napping in older adults. Sleep Medicine Clinics, 1, 2, 177–86.Google Scholar
McCrae, C. S., Rowe, M. A., Dautovich, N. D., Lichstein, K. L., Durrence, H. H., Riedel, B. W., Taylor, D. J. and Bush, A. J. 2006. Sleep hygiene practices in two community dwelling samples of older adults. Sleep, 29, 12, 1551–60.Google Scholar
Meadows, R. 2005. The ‘negotiated night’: an embodied conceptual framework for the sociological study of sleep. Sociological Review, 53, 2, 248–54.Google Scholar
Meadows, R., Arber, S., Venn, S. and Hislop, J. 2008 a. Engaging with sleep: male definitions, understandings and attitudes. Sociology of Health and Illness, 30, 5, 696710.CrossRefGoogle ScholarPubMed
Meadows, R., Arber, S., Venn, S. and Hislop, J. 2008 b. Unruly bodies and couples' sleep. Body and Society, 14, 4, 7592.Google Scholar
Morgan, K. 1998. Sleep and insomnia in later life. In Tallis, R., Filit, H. and Brocklehurst, J. (eds), Brocklehurst's Textbook of Geriatric Medicine and Gerontology. Churchill Livingstone, Edinburgh, 1399–412.Google Scholar
Morgan, K. 2003. Daytime activity and risk factors for late-life insomnia. Journal of Sleep Research, 12, 3, 231–38.Google Scholar
Newman, A. B., Spiekerman, C. F., Enright, P., Lefkowitz, D., Manolio, T., Reynolds, C. F. and Robbins, J. 2000. Daytime sleepiness predicts mortality and cardiovascular disease in older adults: the cardiovascular health study research group. Journal of the American Geriatrics Society, 48, 2, 115–23.Google Scholar
Ohayon, M. M., Carskadon, M. A., Guilleminault, C. and Vitiello, M. V. 2004. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep, 27, 7, 1255–73.Google Scholar
Ohayon, M. M. and Vecchierini, M. F. 2005. Normative sleep data: cognitive function, and daily living activities in older adults in the community. Sleep, 28, 8, 981–9.Google Scholar
Patton, M. Q. 2002. Qualitative Research and Evaluation Methods. Third edition, Sage, London.Google Scholar
Pilcher, J. J., Michalowski, K. R. and Carrigan, R. D. 2001. The prevalence of daytime napping and its relationship to nighttime sleep. Behavioural Medicine 27, 2, 71–6.Google Scholar
Steenhuysen, J. 2008. Daytime dozing may be warning sign of stroke. Reuters Online. Thomson Reuters, US edition, 21 February. Available online at http://www.reuters.com/article/idUSN2148427820080221 [Accessed 7 September 2010].Google Scholar
Stone, K. L., Ewing, S. K., Lui, L. Y., Ensrud, K. E., Ancoli-Israel, S., Bauer, D. C., Cauley, J. A., Hillier, T. A. and Cummings, S. R. 2006. Self reported sleep and nap habits and risk of falls and fractures in older women: the study of osteoporotic fractures. Journal of the American Geriatrics Society, 54, 8, 1177–83.CrossRefGoogle ScholarPubMed
Townsend, P. 1981. The structured dependency of the elderly: a creation of social policy in the twentieth century. Ageing & Society, 1, 1, 528.Google Scholar
Venn, S. 2007. ‘It's okay for a man to snore’: the influence of gender on sleep disruption in couples. Sociological Research Online, 12, 5. Available online at http://www.socresonline.org.uk/12/5/1.html [Accessed 7 September 2010].Google Scholar
Venn, S. and Arber, S. 2008. Conflicting sleep demands: parents and young people in UK households. In Steger, B. and Brunt, L. (eds), Worlds of Sleep. Frank and Timme, Berlin, 105–29.Google Scholar
Venn, S. and Arber, S. 2009. Poor Sleep Among Community Dwelling Older People. Workpackage 2, Briefing Paper 2, SomnIA Sleep in Ageing, University of Surrey, Guildford, UK. Available online at http://www.somnia.surrey.ac.uk/bp.html [Accessed 7 September 2010].Google Scholar
Venn, S., Arber, S., Meadows, R. and Hislop, J. 2008. The fourth shift: exploring the gendered nature of sleep disruption among couples with children. British Journal of Sociology, 59, 1, 7997.CrossRefGoogle ScholarPubMed
Walker, A. 2002. The evolving meaning of retirement: a strategy for active ageing. International Social Security Review, 5, 5, 121–39.Google Scholar
Walker, A. 2006. Active ageing in employment: its meaning and potential. Asia-Pacific Review, 13, 1, 7893.Google Scholar
Williams, S. J. 2005. Sleep and Society: Sociological Ventures into the (Unknown). Routledge, London.Google Scholar
Williams, S. J. 2007. The social etiquette of sleep: some sociological reflections and observations. Sociology, 41, 2, 313–28.Google Scholar
World Health Organisation (WHO) 2002. Active Ageing. A Policy Framework. English edition, WHO, Geneva.Google Scholar
Xu, Q., Song, Y., Hollenbeck, A., Blair, A., Schatzken, A. and Chen, H. 2010. Day napping and short night sleeping are associated with higher risk of diabetes in older adults. Diabetes Care, 33, 1, 7883.Google Scholar
Youn, I., Kripke, D. F., Youngstedt, S. D. and Elliott, J. A. 2003. Actigraphy suggests age-related differences in napping and nocturnal sleep. Journal of Sleep Research, 12, 2, 8793.Google Scholar