ArticleBMC public health2021
Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Sleep quality assessment in hospitalized postoperative surgical patients: a COSMIN-based systematic review.Frontiers in sleep · 2025Pooled it
- Perceived Sleep Quality as a Mediator Between Occupational Stress and Depression: The Moderating Role of Work Engagement.Journal of Korean medical science · 2026Article
- The cumulative bridge: how long-term physical activity and social engagement gradually enhance sleep health in aging adults.BMC public health · 2026Article
- Article
- Multivariate associations of motor performance, sleep quality, depressive symptoms, and grey matter volume in younger and mid-to-older adults.Scientific reports · 2026Article
- Association of dietary phytochemical index with sleep quality in older adults of Amirkola city.Caspian journal of internal medicine · 2026Article
- Age-Specific Associations Between eHealth Literacy and Sleep Quality Among Adults: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Predictors of sleep quality subscales among medical university employees in Iran: a Bayesian analysis of cross-sectional data.BMC public health · 2025Article
- Smart home-assisted anomaly detection system for older adults: a deep learning approach with a comprehensive set of daily activities.Medical & biological engineering & computing · 2025Article
- Subjective assessment of sleep quality in adult patients with hereditary angioedema.Frontiers in neurology · 2025Article
- Association of sleep quality with physical and psychological health indicators in overweight and obese rural Indians.Sleep medicine: X · 2024Article
- Social determinants of sleep quality: association between sleep quality and living environment among older individuals.Sleep and biological rhythms · 2024Article
- Association between sleep quality and living environment among Chinese older persons: a cross-sectional study.Sleep and biological rhythms · 2024Article
- Lower motor performance is linked with poor sleep quality, depressive symptoms, and grey matter volume alterations.bioRxiv : the preprint server for biology · 2024Article
- Bidirectional associations between sleep quality/duration and multimorbidity in middle-aged and older people Chinese adults: a longitudinal study.BMC public health · 2024Article
- Analysis of the relationship between sleep-related disorders and cadmium in the US population.Frontiers in public health · 2024Article
- The Relationship Between Depressive Symptoms and Functional Gastrointestinal Disorders (FGIDs): The Chain Mediating Effect of Sleep Disorders and Somatic Symptom.Depression and anxiety · 2024Article
- Poor Sleep Quality and Its Influencing Factors Among Iranian Patients with Esophageal and Gastric Cancer.Middle East journal of digestive diseases · 2024Article
- Race and sex differences in the longitudinal changes in multidimensional self-reported sleep health characteristics in aging older adults.Sleep health · 2023Article
- Relationship between mental health and climacteric adjustment in middle aged women: a confirmatory analysis.BMC women's health · 2023Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAs a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly.
methodsWe enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses.
resultsOverall, 27.9% of participants in this study demonstrated bad sleepers (with a PSQI score of > 5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items.
conclusionsOur study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.
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