Observational studyFrontiers in public health2025
Association between sleep duration and disability in activities of daily living among Chinese older adults: a nationwide observational study.
Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Machine Learning-Based Multidimensional Health Decline Prediction Framework: Data-Driven Modeling for the Middle-Aged and Elderly Population.Healthcare (Basel, Switzerland) · 2026Article
- Associations of metals and micronutrients with functional disability in Chinese older adults: a mixture analysis approach.Scientific reports · 2026Article
- Association Between Social Participation, Physical Activity, and Intrinsic Capacity Decline: Empirical Evidence from the CHARLS.Healthcare (Basel, Switzerland) · 2026Article
- Longitudinal associations between changes in higher-level competence and sleep status among community-dwelling older adults in Japan.Frontiers in public health · 2026Article
- Serum hypocretin, neurofilament heavy chain, and interleukin-1β as combined predictors of sleep disorders following acute ischemic stroke.Frontiers in neuroscience · 2026Article
- The relationship between disability and quality of life among older adults: the roles of sleep, depression, and living arrangements.Frontiers in public health · 2026Article
- The impact of sleep duration, depressive symptoms, and cognitive function on daily activity among Chinese older adults: a serial multiple mediation model.Journal of global health · 2025Article
- The impact of frailty on quality of life among older adults in nursing homes: the mediating role of psychological resilience.Frontiers in public health · 2025Article
- The severity of depressive symptoms as a mediator in the sleep-osteoarthritis risk pathway: insights from the ELSA cohort.Frontiers in nutrition · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: This study aims to explore the relationship between sleep duration and Activity of Daily Living (ADL) disability among older adults in China. ADL disability severely impacts the quality of life of older adults and is associated with various physical and mental health issues. With the aging population in China, the burden of ADL disability is increasing. Methods: Data were sourced from the 2018 national follow-up of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), including 9,572 participants aged 65 and above. Sleep duration was assessed via self-reported questionnaire and categorized into short (<7 h), medium (7-8 h), and long (≥9 h). ADL disability was evaluated through Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL). Logistic regression models were used to analyze the relationship between sleep duration and ADL disability, with subgroup analyses conducted to explore differences by gender and physical activity. Results: The study found a significant non-linear relationship between sleep duration and ADL disability. Compared to older adults with a sleep duration of 7-8 h, those with over 9 h of sleep had a significantly higher risk of BADL and IADL disability (OR = 1.36, OR = 1.35). Subgroup analyses indicated that this relationship existed among older adults of different genders, age, and physical activity levels. Conclusion: For older adults in China, maintaining a sleep duration of 7-8 h may be an effective strategy for preventing ADL disability. Both excessively long and short sleep duration are associated with an increased risk of ADL disability in this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.