ArticleEuropean geriatric medicine2018
Association between insomnia symptoms and cognitive impairment in the Cretan Aging Cohort.
Article in European geriatric medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Sleep and cognition in Hispanic/Latin American adults: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Pooled it
- Comparative efficacy of hypnotics in young and middle-aged adults with insomnia: a systematic review and network meta-analysis.Sleep & breathing = Schlaf & Atmung · 2023Pooled it
- Global Prevalence of Young-Onset Dementia: A Systematic Review and Meta-analysis.JAMA neurology · 2021Pooled it
- Long Objective Sleep Duration is a Marker of Cognitive Impairment in Older Adults: Findings from the Cretan Aging Cohort.Journal of Alzheimer's disease reports · 2024Article
- Detection of Insomnia and Its Relationship with Cognitive Impairment, Depression, and Quality of Life in Older Community-Dwelling Mexicans.Diagnostics (Basel, Switzerland) · 2023Article
- Long-term associations between objective sleep quality and quantity and verbal memory performance in normal cognition and mild cognitive impairment.Frontiers in neuroscience · 2023Article
- Gait Speed and Sleep Duration Is Associated with Increased Risk of MCI in Older Community-Dwelling Adults.International journal of environmental research and public health · 2022Article
- Sleepless nights mean worse metabolism: a link to cardiovascular risk in older women.European geriatric medicine · 2022Article
- The associations of BMI, chronic conditions and lifestyle factors with insomnia symptoms among older adults in India.PloS one · 2022Article
- The Evolutionarily Mismatched Impact of Urbanization on Insomnia Symptoms: a Short Review of the Recent Literature.Current psychiatry reports · 2021Review
- Cognitive impairment in a primary healthcare population: a cross-sectional study on the island of Crete, Greece.BMJ open · 2020Article
- Cognitive Impairment and Dementia in Primary Care: Current Knowledge and Future Directions Based on Findings From a Large Cross-Sectional Study in Crete, Greece.Frontiers in medicine · 2020Article
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
Abstract
purposePopulation aging, characteristic of modern Western societies, is associated with various forms of cognitive decline. Insomnia/insomnia-type symptoms have been reported as modifiable risk factors for cognitive decline. The objective of this study was to examine, in a comprehensive way (a) the prevalence and the risk factors associated with insomnia-type symptoms and (b) the association of insomnia-type symptoms with cognitive impairment in a large, homogeneous, community-dwelling population in the island of Crete, Greece.
methodsOur sample consisted of 3066 community-dwelling elders aged 60-100 years participating in the Cretan Aging Cohort. All participants were interviewed with a structured questionnaire assessing demographics, physical and mental health, sleep, lifestyle habits and cognitive function using the Mini Mental State Examination (MMSE). Furthermore, insomnia-type symptom prevalence was estimated in the presence of one or more sleep complaints. Linear and logistic regression analyses examined (a) the association between insomnia-type symptoms and demographics, physical/mental health and lifestyle and (b) the association between cognition and insomnia-type symptoms.
resultsPrevalence of one or more insomnia-type symptoms was 64.6%. Multivariate analyses showed that female gender, widowhood, benzodiazepine use and physical ailments were significantly associated with insomnia-type symptoms. Multivariate models also showed that insomnia-type symptoms were associated with increased odds of cognitive impairment (p < 0.0001).
conclusionsIn a large population of older people in Crete, Greece, insomnia-type symptoms are very prevalent and associated with increased risk for cognitive impairment. Future studies should assess whether treatment of sleep problems improves or delays the deterioration of cognitive function in older adults.
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