Evidence map›Paper›PMID 34454431›Full record

ArticleBMC geriatrics2021

Short daytime napping reduces the risk of cognitive decline in community-dwelling older adults: a 5-year longitudinal study.

Kaori Kitamura, Yumi Watanabe, Kazutoshi Nakamura, Chikako Takano, Naomi Hayashi, Hisami Sato, Toshiyuki Someya

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Daytime Napping and Cognitive Health in Older Adults: A Systematic Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Pooled it
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  4. Associations of sleep behaviors with white matter hyperintensity volume in middle-aged to older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  9. Alpha rhythm and Alzheimer's disease: Has Hans Berger's dream come true?Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
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  18. Sleep-Related Changes Prior to Cognitive Dysfunction.Current neurology and neuroscience reports · 2023
    Review
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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

7 authors at 2 institutions in 1 country.

Kaori KitamuraDivision of Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, 951-8510, Japan. kitam@med.niigata-u.ac.jp.ORCID 0000-0003-1480-5777
Yumi WatanabeDivision of Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, 951-8510, Japan.
Kazutoshi NakamuraDivision of Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, 951-8510, Japan.
Chikako TakanoOjiya City Government, Ojiya, Niigata, 947-0028, Japan.
Naomi HayashiOjiya City Government, Ojiya, Niigata, 947-0028, Japan.
Hisami SatoOjiya City Government, Ojiya, Niigata, 947-0028, Japan.
Toshiyuki SomeyaDepartment of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, 951-8510, Japan.
Niigata University · JPNiigata Prefectural Ojiya Nishi High School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBeneficial effects of napping on cognition have been suggested in cross-sectional studies. This study aimed to clarify longitudinal associations between cognitive decline and sleep characteristics, particularly daytime napping, over a 5-year period in older adults.

methodsStudy participants were 389 community-dwelling individuals aged ≥65 years living in Ojiya City, Niigata, Japan. Baseline and follow-up examinations were conducted in 2011-2013 and 2016-2018, respectively. Trained nurses visited and interviewed participants to collect the following information at baseline and follow-up: demographic characteristics, disease history, lifestyle habits including bedtime, sleeping hours, and daytime nap duration, and cognitive function. The assessment of cognitive function was performed using the revised Hasegawa's dementia scale (HDS-R), with cognitive decline defined as a change in the HDS-R of ≤ - 3 over 5 years. Odds ratios (ORs) for cognitive decline were calculated using multiple logistic regression analysis.

resultsMean age of participants was 74.6 years (SD 6.4), and the cumulative incidence of cognitive decline was 106/389 (27.3%). The adjusted OR for 1-29 min daytime napping was significantly lower compared to that for no napping (OR = 0.47, 95%CI: 0.23-0.96). Earlier bedtime was associated with cognitive decline (adjusted P for trend = 0.0480).

conclusionShort daytime napping (< 30 min) reduces the risk of cognitive decline over 5 years for community-dwelling older people. A future study will be necessary to confirm the effect of short napping on the reduction of risk for clinically diagnosed dementia.

Indexed as

Cognitive DysfunctionIndependent LivingAgedCross-Sectional StudiesHumansLongitudinal StudiesSleepCognitive declineCohort studiesDementiaEpidemiologyNappingPreventive medicineSleep

Identifiers

PMID34454431
PMCPMC8401113
OpenAlexW3131131766

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.