Hubungan Kadar Vitamin D dengan Kejadian Insomnia Pada Kelompok Lanjut Usia di Panti Santa Anna

Anastasia Ratnawati Biromo, Noer Saelan Tadjudin, Alexander Halim Santoso, Yohanes Firmansyah, William Gilbert Satyanegara, Dean Ascha Wijaya, Joshua Kurniawan, Ayleen Nathalie Jap, Fladys Jashinta Mashadi, Melkior Michael Fransisco, Linginda Soebrata

Sari


ABSTRACT

 

Vitamin D deficiency is a public health problem that affects everyone regardless of their age. It is linked to various health problems, and one of them is sleep problem. Nearly 60% of elderly have sleep problems, with insomnia being the most frequently reported symptom. Insomnia can lead to physical, mental, behaviour problems, and increasing risk of having diabetes and cardiovascular disease. To find the association between vitamin D and insomnia in elderly. This research uses cross sectional study to find association between vitamin D and insomnia in elderly who live in Santa Anna’s nursing home. Respondents who met the inclusion criterias were measured for vitamin D and then filling out Insomnia Severity Index (ISI) questionnaire. Statistical analysis used is the Mann-Whitney test. Twenty-seven participants met the inclusion criteria, with the mean age of 75,59 (SD 7,42) years and vitamin D level 19,93 (SD 6,87) ng/ml. There was no significant difference in vitamin D level between non-insomnia and insomnia (p-value 0,979). However, from this study we found that lower vitamin D serum was associated with the increasing risk of insomnia. Vitamin D deficiency should be taken into account when treating elderly with sleep disorder. Health practitioners should consider Vitamin D supplementation as adjunctive treatment in sleep problems.

 

Keywords: Insomnia, Elderly, Vitamin D

 

 

ABSTRAK

 

Defisiensi vitamin D merupakan masalah kesehatan umum yang dapat terjadi pada semua orang tanpa memandang usia. Defisiensi vitamin D dihubungkan dengan berbagai macam masalah kesehatan, salah satunya adalah gangguan tidur. Gangguan tidur pada lansia merupakan masalah yang sering ditemui, dimana hampir 60% lansia mengalami gangguan tidur. Insomnia dapat menyebabkan gangguan fisik, mental, perilaku, dan meningkatkan risiko penyakit diabetes serta kardiovaskular. Meneliti hubungan vitamin D dengan kejadian insomnia pada lansia. Penelitian ini merupakan studi potong lintang yang mencari hubungan antara kadar vitamin D dengan kejadian insomnia pada orang lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi dilakukan pengukuran kadar vitamin D dan pengisian kuesioner Insomnia Severity Index (ISI) untuk insomnia. Analisis statistik dilakukan dengan menggunakan uji Mann-Whitney. Sebanyak 27 responden memenuhi kriteria inklusi dengan rerata usia 75,59 (SD 7,42) tahun, dengan kadar vitamin D 19,93 (SD 6,87) ng/ml. Hasil analisis statistik tidak mendapatkan perbedaan rerata kadar vitamin D yang bermakna antara kelompok dengan atau tanpa insomnia (p-value 0,979), meski demikian pada penelitian ini didapatkan bahwa defisiensi vitamin D berisiko meningkatkan terjadinya insomnia. Defisiensi vitamin D harus dipertimbangkan dalam manajemen lanjut usia dengan gangguan tidur. Suplementasi vitamin D dapat dipertimbangkan sebagai terapi tambahan pada lanjut usia yang mengalami gangguan tidur.

 

Kata Kunci: Insomnia, Lansia, Vitamin D


Kata Kunci


Insomnia; Lansia; Vitamin D

Teks Lengkap:

Download Artikel

Referensi


Abboud, M. (2022). Vitamin D Supplementation and Sleep: A Systematic Review and Meta-Analysis of Intervention Studies. Nutrients, 14(5), 1076.https://doi.org/10.3390/nu14051076

Aernout, E., Benradia, I., Hazo, J. B., Sy, A., Askevis-Leherpeux, F., Sebbane, D., & Roelandt, J. L. (2021). International study of the prevalence and factors associated with insomnia in the general population. Sleep Medicine, 82, 186–192. https://doi.org/10.1016/j.sleep.2021.03.028

Alkhatatbeh, M., Khwaileh, H., & Abdul-razzak, K. K. (2022). Abnormal Anxiety and Depression scores in University Students from Jordan Insomnia is not Associated with Vitamin D Deficiency but is Associated with Abnormal Anxiety and Depression scores in University Students from Jordan. Scientific Literature Nutrition And Metabolism, January.

AlRasheed, M. M., Fekih-Romdhane, F., Jahrami, H., Pires, G. N., Saif, Z., Alenezi, A. F., Humood, A., Chen, W., Dai, H., Bragazzi, N., Pandi-Perumal, S. R., BaHammam, A. S., & Vitiello, M. V. (2022). The prevalence and severity of insomnia symptoms during COVID-19: A global systematic review and individual participant data meta-analysis. Sleep Medicine, 100, 723.https://doi.org/10.1016/j.sleep.2022.06.020

Amrein, K., Scherkl, M., Hoffmann, M., Neuwersch-Sommeregger, S., Köstenberger, M., Tmava Berisha, A., Martucci, G., Pilz, S., & Malle, O. (2020). Vitamin D deficiency 2.0: an update on the current status worldwide. European Journal of Clinical Nutrition, 74(11), 1498–1513. https://doi.org/10.1038/s41430-020-0558-y

Anggi Hanafiah Syanif, Joni Haryanto, & Elida Ulfiana. (2022). Fulfillment of Sleep Needs in Elderly Insomnia in South Sibolga District, Sibolga City. Journal Of Nursing Practice, 6(1), 67–74. https://doi.org/10.30994/jnp.v6i1.196

Appleton, S. L., Reynolds, A. C., Gill, T. K., Melaku, Y. A., & Adams, R. J. (2022). Insomnia Prevalence Varies with Symptom Criteria Used with Implications for Epidemiological Studies: Role of Anthropometrics, Sleep Habit, and Comorbidities. Nature and Science of Sleep, 14, 775–790. https://doi.org/10.2147/NSS.S359437

Bhaskar, S., Hemavathy, D., & Prasad, S. (2016). Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. Journal of Family Medicine and Primary Care, 5(4), 780. https://doi.org/10.4103/2249-4863.201153

Biben, V., Defi, I. R., Nugraha, G. I., & Setiabudia, B. (2017). Vitamin D Status and its Impact on Body Composition in Elderly Community-dwelling Individuals in Bandung and Sumedang, West Java Province, Indonesia. Asian Journal of Epidemiology, 10(2), 63–69. https://doi.org/10.3923/aje.2017.63.69

Bouillon, R. (2017). Comparative analysis of nutritional guidelines for vitamin D. Nature Reviews Endocrinology, 13(8), 466–479. https://doi.org/10.1038/nrendo.2017.31

Chang, S. W., & Lee, H. C. (2019). Vitamin D and health - The missing vitamin in humans. Pediatrics and Neonatology, 60(3), 237–244. https://doi.org/10.1016/j.pedneo.2019.04.007

Eshaghi, S., Morteza, T., Khadijeh, I., Knechtle, B., Nikolaidis, P. T., & Chtourou, H. (2020). The effect of aerobic training and vitamin D supplements on the neurocognitive functions of elderly women with sleep disorders. Biological Rhythm Research, 51(5), 727–734. https://doi.org/10.1080/09291016.2019.1579884

Han, B., Zhu, F.-X., Shi, C., Wu, H.-L., & Gu, X.-H. (2017). Association between Serum Vitamin D Levels and Sleep Disturbance in Hemodialysis Patients. Nutrients, 9(2), 139. https://doi.org/10.3390/nu9020139

Majid, M. S., Ahmad, H. S., Bizhan, H., Hosein, H. Z. M., & Mohammad, A. (2018). The effect of vitamin D supplement on the score and quality of sleep in 20–50 year-old people with sleep disorders compared with control group. Nutritional Neuroscience, 21(7), 511–519. https://doi.org/10.1080/1028415X.2017.1317395

Mason, C., de Dieu Tapsoba, J., Duggan, C., Wang, C.-Y., Korde, L., & McTiernan, A. (2016). Repletion of vitamin D associated with deterioration of sleep quality among postmenopausal women. Preventive Medicine, 93, 166–170.https://doi.org/10.1016/j.ypmed.2016.09.035

Massa, J., Stone, K. L., Wei, E. K., Harrison, S. L., Barrett-Connor, E., Lane, N. E., Paudel, M., Redline, S., Ancoli-Israel, S., & Orwoll, E. (2015). Vitamin D and actigraphic sleep outcomes in older community-dwelling men: the MrOS sleep study. Sleep, 38(2), 251–257.

Muscogiuri, G., Barrea, L., Scannapieco, M., Di Somma, C., Scacchi, M., Aimaretti, G., Savastano, S., Colao, A., & Marzullo, P. (2019). The lullaby of the sun: the role of vitamin D in sleep disturbance. Sleep Medicine, 54, 262–265. https://doi.org/10.1016/j.sleep.2018.10.033

Pludowski, P., Holick, M. F., Grant, W. B., Konstantynowicz, J., Mascarenhas, M. R., Haq, A., Povoroznyuk, V., Balatska, N., Barbosa, A. P., Karonova, T., Rudenka, E., Misiorowski, W., Zakharova, I., Rudenka, A., Łukaszkiewicz, J., Marcinowska-Suchowierska, E., Łaszcz, N., Abramowicz, P., Bhattoa, H. P., & Wimalawansa, S. J. (2018). Vitamin D supplementation guidelines. Journal of Steroid Biochemistry and Molecular Biology, 175, 125–135. https://doi.org/10.1016/j.jsbmb.2017.01.021

Prietl, B., Treiber, G., Pieber, T. R., & Amrein, K. (2013). Vitamin D and immune function. Nutrients, 5(7), 2502–2521. https://doi.org/10.3390/nu5072502

Prono, F., Bernardi, K., Ferri, R., & Bruni, O. (2022). The Role of Vitamin D in Sleep Disorders of Children and Adolescents: A Systematic Review. International Journal of Molecular Sciences, 23(3), 1430.https://doi.org/10.3390/ijms23031430

Wacker, M., & Holick, M. F. (2013). Sunlight and Vitamin D: A global perspective for health. Dermato-Endocrinology, 5(1), 51108.https://doi.org/10.4161/derm.24494




DOI: https://doi.org/10.33024/mnj.v6i7.13516

Refbacks

  • Saat ini tidak ada refbacks.


Penerbit: Universitas Malahayati

 Creative Commons License

Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License