Decision Editor: Vicki Freedom, PhD Association Between Insomnia Symptoms and Functional Status in U.S. Older Adults

Objectives. We studied the association between insomnia symptoms and late-life functioning, including physical capacity, limitations in household activities, and participation in valued activities. Methods. Participants were 6,050 adults independent in self-care activities from a representative sample of older Medicare beneficiaries. They completed objective measures of physical capacity and self-report measures of insomnia symptoms, help and difficulty with household activities, and participation in valued activities. Results. After adjustment, insomnia symptoms were associated with a greater odds of receiving help or having dif-ficulty with selected household activities (laundry, shopping), greater odds of help or difficulty with ≥1 household activit