Evidence map›Paper›PMID 27626617›Full record

ArticleJournal of the American Geriatrics Society2016

Self-Reported Sleep Problems Prospectively Increase Risk of Disability: Findings from the Survey of Midlife Development in the United States.

Elliot M Friedman

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  3. Association of Sleep Quality With Activity and Participation in Older Adults.Archives of physical medicine and rehabilitation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Elliot M FriedmanDepartment of Human Development and Family Studies, Purdue University, West Lafayette, Indiana.
Purdue University West Lafayette · US

Funding

U19 MIDlife in the United States-Diversity Supplement-WellsU19AG051426 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CAROL D. RYFF · 2016 to 2026
$74.8M
STATISTICS COREP01AG020166 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI RYFF, CAROL D. · 2002 to 2015
$50.6M
Living Well with Later Life Multimorbidity: a Biopsychosocial ApproachR01AG041750 · NIA · PURDUE UNIVERSITY · PI FRIEDMAN, ELLIOT · 2013 to 2017
$1.2M
NIA NIH HHS P01 AG020166NIA NIH HHS R01 AG041750NIA NIH HHS U19 AG051426
6 · The paper itself

Abstract

objectivesTo determine whether subjective poor sleep prospectively increases functional limitations and incident disability in a national sample of adults living in the United States.

designProspective cohort.

settingLongitudinal Survey of Midlife Development in the United States (MIDUS).

participantsYoung, middle-aged, and older men and women (aged 24-75) surveyed in 1995/96 (MIDUS 1) and followed up in 2004-06 (MIDUS 2). Complete data were available for 3,620 respondents. MEASUREMENTS: Data were from telephone interviews and self-administered questionnaires. Participant reported chronic sleep problems within the prior month; functional limitations were assessed using the Functional Status Questionnaire. Demographic (age, sex, race), socioeconomic (educational attainment), health (chronic conditions, depression), and health behavior (obesity, smoking) covariates were assessed to reduce potential confounding.

resultsApproximately 11% of the sample reported chronic sleep problems at both MIDUS waves. Average number of activity of daily living (ADL) and instrumental activity of daily living (IADL) limitations increased significantly between MIDUS 1 (ADL limitations: 0.06; IADL limitations: 0.95) and MIDUS 2 (ADL limitations: 0.15; IADL limitations: 1.6; P < .001). Adjusted regression models estimating change in ADL scores showed that chronic sleep problems at MIDUS 1 predicted significantly greater increases in ADL (incident rate ratio (IRR) = 1.55, P < .001) and IADL (IRR = 1.28, P < .001) limitations. In those with no functional limitations at baseline, logistic regression models showed that chronic sleep problems significantly increased the odds of incident ADL (odds ratio (OR) = 2.33, 95% confidence interval (CI) = 1.68-3.24, P < .001) and IADL (OR = 1.70, 95% CI = 1.21-2.42, P = .002) disability.

conclusionReports of chronic sleep problems predicted greater risk of onset of and increases in functional limitations 9 to 10 years later. Poor sleep may be a robust and independent risk factor for disability in adults of all ages.

Indexed as

Activities of Daily LivingDisability EvaluationAdultAgedAge FactorsChronic DiseaseDemographyFemaleGeriatric AssessmentHumansIncidenceInterviews as TopicLongitudinal StudiesMaleMiddle AgedProspective Studiesactivity of daily livingsdisabilityMIDUSsubjective sleep

Identifiers

PMID27626617
PMCPMC5118074
OpenAlexW2519502759

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.