RNCase SeriesJournal of gerontological nursing2025

Potential Influence of Acute Dysregulated Sleep on Fall Incidence Among Low-Income Older Women: A Case Study.

Kworweinski Lafontant, Abigail L Tice, Jethro Raphael M Suarez and 6 others

PMID 40608423

WHAT IT FOUND

Two low-income older women had sleep differences the night before a fall: one slept 267 minutes versus a 429-minute average; the other had more deep sleep and less REM sleep.

This cannot prove sleep caused the fall.

Key findings

01For each participant, the 7- and 30-day sleep averages appeared similar, but the night being compared, Nightx, showed notable differences.

02Participant B's total sleep time on Nightx was 267 minutes compared with a 7-day average of 429 minutes, her lowest total sleep time during the study period.

03Participant A's deep sleep increased to 63 minutes on Nightx from a 7-day average of 38.4 minutes, while REM sleep decreased to 82 minutes from 88.3 minutes.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

Only two participants were analysed, so the findings are descriptive and cannot establish that sleep changes caused falls. The low inclusion rate was due to insufficient Fitbit synchronization and lack of reported falls. There were no statistical comparisons because the sample was too small. Fitbit sleep staging may be less valid in older adults because of skin thickness and movement patterns. Data were lost if devices were not synced at least once per week, and no male participants had data for Nightx. Falls were self-reported during phone calls every 4 weeks, not directly observed. The two participants' fluctuations did not follow a set pattern.

Declared interests

The authors disclosed no potential conflicts of interest, financial or otherwise. The article is listed as NIH extramural research support.

The easy way to misread this

Do not read this as evidence that poor sleep caused the falls or that sleep screening will prevent falls. Only two women were analysed, the data were descriptive, and Fitbit data were missing for certain nights.

Read it on PubMed →