ArticleBMC public health2020
The relationship between sleep duration and all-cause mortality in the older people: an updated and dose-response meta-analysis.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of Experimental Sleep Deprivation on Peripheral Inflammation: An Updated Meta-Analysis of Human Studies.Journal of sleep research · 2026Pooled it
- Sleep quality and duration and frailty in older adults: a systematic review.Frontiers in public health · 2025Pooled it
- Does adherence to Canadian 24-Hour Movement Guidelines reduce all-cause mortality in patients with chronic kidney disease?Medicine · 2026Article
- The Association of Sleeping Duration and Sleep Problems With All-Cause Mortality Among a Cohort of Industrial Workers Followed Up for 36 Years.American journal of industrial medicine · 2026Article
- Lifestyle Medicine and Cardiovascular Health.American journal of lifestyle medicine · 2026Review
- Observational
- Association among objective and subjective sleep duration, depressive symptoms and all-cause mortality: the pathways study.BMC psychiatry · 2025Article
- Effects of Sleep Deprivation on Physical and Mental Health Outcomes: An Umbrella Review.American journal of lifestyle medicine · 2025Review
- Sleep Duration Polygenic Risk and Phenotype: Associations with Biomarkers of Accelerated Aging in the Baltimore Longitudinal Study of Aging.International journal of aging & human development · 2025Article
- Sleep Trajectories and All-Cause Mortality Among Low-Income Adults.JAMA network open · 2025Article
- The Mediterranean Diet, the DASH Diet, and the MIND Diet in Relation to Sleep Duration and Quality: A Narrative Review.Nutrients · 2024Review
- Influence of race and age in sleep duration and mortality relationship among adults in the United States: results from the 2004 NHIS-NDI record linkage study.Sleep and biological rhythms · 2024Article
- Sleep duration and mortality in patients with chronic noncommunicable disease: a population-based cohort study.Environmental health and preventive medicine · 2024Article
- The context of COVID-19 affected the long-term sleep quality of older adults more than SARS-CoV-2 infection.Frontiers in psychiatry · 2024Article
- Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023Article
- Influence of poor sleep on cardiovascular disease-free life expectancy: a multi-resource-based population cohort study.BMC medicine · 2023Article
- The association between subjective-objective discrepancies in sleep duration and mortality in older men.Scientific reports · 2022Article
- Review
- Association between Physical Frailty and Sleep Quality among Saudi Older Adults: A Community-Based, Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Understanding the Associations of Prenatal Androgen Exposure on Sleep Physiology, Circadian Proteins, Anthropometric Parameters, Hormonal Factors, Quality of Life, and Sex Among Healthy Young Adults: Protocol for an International, Multicenter Study.JMIR research protocols · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundShort or long sleep duration is proposed as a potential risk factor for all-cause mortality in the older people, yet the results of published studies are not often reproducible.
methodsLiterature retrieval, study selection and data extraction were completed independently and in duplicate. Only prospective cohort studies were included. Effect-size estimates are expressed as hazard ratio (HR) and 95% confidence interval (CI).
resultsSummary data from 28 articles, involving a total of 95,259 older people, were meta-analyzed. Overall analyses revealed a remarkably significant association between long sleep duration and all-cause mortality (adjusted HR = 1.24, 95% CI: 1.16-1.33, P < .001), whereas only marginal significance was observed for short sleep duration (adjusted HR = 1.04; 95% CI: 1.00-1.09; P = .033). Funnel plots suggested no publication bias for short sleep duration (P = .392). The probability of publication bias was high for long sleep duration (P = .020), yet the trim-and-fill method strengthened its significance in predicting all-cause mortality. In subgroup analyses, the association of long sleep duration with all-cause mortality was statistically significant in both women (HR = 1.48; 95% CI: 1.18-1.86; P = .001) and men (HR = 1.31; 95% CI: 1.10-1.58; P = .003). By contrast, with regard to short sleep duration, statistical significance was observed in men (HR = 1.13; 95% CI: 1.04-1.24; P = .007), but not in women (HR = 1.00; 95% CI: 0.85-1.18; P = .999) (Two-sample Z test P = .099). Besides gender, geographic region, sleep survey method, baseline age and follow-up interval were identified as possible causes of between-study heterogeneity in subgroup analyses. Further dose-response regression analyses revealed that trend estimation was more obvious for long sleep duration (regression coefficient: 0.13; P < .001) than for short sleep duration (regression coefficient: 0.02; P = .046).
conclusionsOur findings indicate a significantly increased risk of all-cause mortality associated with long sleep duration, especially in women, as well as with short sleep duration in men only.
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