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TITLE:

ASSOCIATION BETWEEN PHYSICAL ACTIVITY AND SLEEP IN GERIATRIC WITH CHRONIC PAIN

AUTHORS:

Dr Umair Hamza, Saima Awan, Kiran Khan

ABSTRACT:

Background: Physical laziness was known as a global prevalent with around 30% of older adults around the world reporting an outline of physical activity that falls short of the World Health Organization recommendations. Quality of Life decrease with age. Exercise has been shown to be actual in educating some psychosocial structures related to quality of life. We carried out a randomized measured trial to confirm the long-term efficiency of severe fitness program against lighter program on the quality of life senior people, compared to quality of life a large normal people Objective: The major objective of this study was to determine the association between physical activity and sleep in geriatrics with chronic pain. Method: This was an analytical associational study and Data was collected from Old age happy homes, Darul Kafala and AAFFIAT. In this study on variance sampling method was used and a sample of 138 patients were taken from a population of 20000 patients from old homes. Study was conducted after approval from institute review of board of respective institute data was taken from subject after informed consent. 138 older people as sample was collected by using convenient sampling technique. The physical activity was measured by using rapid assessment physical activity (RAPA) questionnaire among older adults. The PSQI (Pittsburgh Quality of Sleep Index) was used to measure the quality and pattern of sleep in older adults. Results: Chi square test of independence showed that there was a significant difference among male and female patients. Most of the study participants were with the minimum age group present in the data was 48-year-old person and maximum age group person was of 70 so the average or mean ages of the persons involved in this study were 59 year of age. Most of the females are involved in this study which is 72 in numbers (52.2%) out of 138 and male 66 out of 138 (47.8%) respectively and mostly the old peoples have 5 hours of actual sleep which is 54 in number (39.1%) and after peoples having 7 hours of actual sleep are in number (n=29) 21.0% and after that 4 hours of actual sleep persons which are in numbers 25 out of 138.The old age peoples stay 6 to 7 hours at bed and their numbers are 38(27.5%) and 56 (40.6%) respectively out of total 138 and other than this remaining all are also spend their most of the time in bed more or less although their sleeping hours are very less. Conclusion: PSQI is very helpful to assess quality and pattern of sleep in adults. Sleep duration and sleep disturbance can be measured using this scale. It consists of 9 items and Rapid assessment of physical activities questionnaire (RAPA) is very helpful and it is used for evaluation of physical activity and the reliability of this questionnaire is (0.67). This study concluded that almost a huge number of results shown a significant difference between a sleep and old age peoples regarding the different activities in our daily life comparing with the sleep as well as health of the patient is also compared in this study with the sleep. And almost all the results shown that there is a direct effect of activities with the sleep but a huge number of old peoples admitted that they have a good sleep of o to 4 hours even they do some activities done on daily or weekly bases and most of the old age peoples disturbed with some kind of pain at night or a wake for the purpose of washroom but still most of them don’t have a complain of early hour sleep but most of them have a complain of 5 or more hours of sleep.so we can finally conclude it that there are very less peoples who have a complain of early hours of sleeps and very high numbers of old peoples have complain of late hour of sleep.

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