ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017
A community-based cross-sectional study of sleep quality in middle-aged and older adults.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Smoking and risk of sleep-related issues: a systematic review and meta-analysis of prospective studies.Canadian journal of public health = Revue canadienne de sante publique · 2020Pooled it
- Feasibility and Effectiveness of Assessing Subhealth Using a Mobile Health Management App (MibyeongBogam) in Early Middle-Aged Koreans: Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Sleep Quality and Daytime Sleepiness Among Women With Urgency Predominant Urinary Incontinence.Female pelvic medicine & reconstructive surgeryTrial
- Sleep Quality and Its Sociodemographic, Behavioural, Clinical, and Regional Correlates Among Adults in Kazakhstan: A National Cross-Sectional Survey.Clocks & sleep · 2026Article
- Analysis of sleep quality and its influencing factors among residents in Chengguan District of Lhasa.BMC public health · 2026Article
- Association of sarcopenia and frailty with sleep quality trajectories in middle-aged and older Chinese adults: findings from a nationally representative cohort study.BMC public health · 2025Article
- Wearable Monitoring Captures Sleep Disturbances in Patients With Chronic Inflammatory Demyelinating Polyneuropathy.Journal of the peripheral nervous system : JPNS · 2025Observational
- Impact of self-rated health status on sleep disturbance among elderly diabetics: finding from the indonesian family life survey.Sleep & breathing = Schlaf & Atmung · 2025Article
- Effects of chronic diseases on health related quality of life is mediated by sleep difficulty in middle aged and older adults.Scientific reports · 2025Article
- Sleep quality and cognitive functioning among Chinese older adults living in the US: a mixed-effects model analysis.BMC geriatrics · 2025Observational
- Sleep Quality Among Patients and Healthcare Providers in the Primary Healthcare Setting.Journal of clinical medicine · 2025Article
- Sleep quality and cognitive functioning among Chinese older adults living in the US: A mixed-effects model analysis.Research square · 2024Article
- Bidirectional associations between sleep quality/duration and multimorbidity in middle-aged and older people Chinese adults: a longitudinal study.BMC public health · 2024Article
- Prevalence of sleep disturbances and associated factors among Chinese residents: A web-based empirical survey of 2019.Journal of global health · 2023Article
- Socioeconomic Background and Self-Reported Sleep Quality in Older Adults during the COVID-19 Pandemic: An Analysis of the English Longitudinal Study of Ageing (ELSA).International journal of environmental research and public health · 2023Article
- Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Review
- The Effect of Chronic Disease and Mental Health on Sleep Quality among Migrant Elderly Following Children in Weifang City, China.International journal of environmental research and public health · 2022Article
- Association of healthy beverage index with circadian rhythm and quality of sleep among overweight and obese women: a cross-sectional study.Eating and weight disorders : EWD · 2022Article
- Who reports insufficient and disturbed sleep? Results from a representative population-based health survey in Hong Kong.BMJ open · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep quality has been widely studied among western countries. However, there is limited population-based evidence on insomnia in Chinese adult populations, especially in middle-aged and older adults. The aims of present study are to (1) examine the prevalence of poor sleep among Chinese middle-age and older adults, (2) compare the Pittsburgh Sleep Quality Index (PSQI) seven domain scores across different physical health statuses, (3) explore factors associated with insomnia.
methodsA cross-sectional survey was conducted using a multi-instrument questionnaire. In total, 1563 residents aged 45 or older in the community were interviewed. The Chinese version of the PSQI was used to assess sleep quality while poor sleep was defined as a total PSQI score >5. Socio-demographic, lifestyle and physical health data were also collected.
resultsThe prevalence of poor sleep among adults aged over 45 years was 20.67 %. Clusters logistic regression analysis identified that migrant workers, single marital status, lower education level, no physical exercise, illness within 2 weeks, and a higher total number of chronic diseases contribute to increased risk of poor sleep (P < 0.05). Among three clusters, physical health has the biggest independent contribution on sleep quality.
conclusionsOur results indicated that poor sleep was common in middle-aged and older adults. It was associated with identity of migrant worker, education level, exercise, illness within 2 weeks and number of chronic disease. Being ill within 2 weeks and having more chronic diseases were the major physical health-related factors contributing to poor sleep in the middle-aged and older people. Physical health may be a major determinant in sleep quality.
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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 OpenQuestion graph.