ArticleInternational journal of general medicine2021
Association Between Sleep Quality and Falls: A Nationwide Population-Based Study from South Korea.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 36 citations in OpenAlex.
- Effects of motivational music on sleep quality for caregivers of patients with advanced cancer: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- Sleep Quality and Falls Risk in the ELSA Study: A Cross-Sectional and Prospective Cohort Study.Brain and behavior · 2026Article
- Differential associations of sleep duration, sleep disturbance and falls among middle-aged and older adults with and without cardiovascular disease status: results from the China Health and Retirement Longitudinal Study (CHARLS).BMC cardiovascular disorders · 2026Article
- Association between nighttime sleep duration and falls among community-dwelling older adults aged 65 and over: findings from a nationwide population-based study.BMC geriatrics · 2026Article
- Insomnia symptoms, sleep duration, and risk of falls in older adult women: findings from the Study of Women's Health Across the Nation.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Utilizing machine learning to identify fall predictors in India's aging population: findings from the LASI.BMC geriatrics · 2025Article
- Melatonin: A Review of the Evidence for Use in Hospital Settings.Pharmacology research & perspectives · 2025Review
- Utilization, user evaluation, and associated factors of Traditional Chinese Medicine techniques for insomnia symptoms among Chinese community-dwelling older adults: a cross-sectional study.Frontiers in public health · 2025Article
- Demographic, socioconomic, and health correlates of sleep quality and sleep duration among community-dwelling older adults in India.BMC psychiatry · 2024Article
- The Associations Between Depression, Regular Exercises, and Falls Among the CommunityDwelling Older People.Florence Nightingale journal of nursing · 2024Article
- Sleep quality and falls in middle-aged and older adults: ELSI-Brazil study.Revista da Escola de Enfermagem da U S P · 2024Article
- Associations of sleep quality and fall risk among older adult outpatients at Thai Binh Medical University Hospital, Northern Vietnam.Frontiers in sleep · 2024Article
- Fall risk in older adults hospitalized with tumours: Contributing factors and prediction model.Nursing open · 2023Article
- Visual impairment and falls among older adults and elderly: evidence from longitudinal study of ageing in India.BMC public health · 2022Article
- Prevalence of sleep-related problems and risks in a community-dwelling older adult population: a cross-sectional survey-based study.BMC public health · 2022Article
- Falls Among Older Adults During the COVID-19 Pandemic: A Multicenter Cross-Sectional Study in Vietnam.Clinical interventions in aging · 2022Article
- Association between cognitive frailty and falls among older community dwellers in China: A Chinese longitudinal healthy longevity survey-based study.Frontiers in aging neuroscience · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere are few large studies evaluating the association between sleep quality and the risk of falls. We aimed to determine the independent effect of poor sleep quality on an increased risk of falls using a large-sample dataset.
methodsWe conducted a retrospective, cross-sectional study using population-based data from the 2018 Korean Community Health Survey on 201,700 participants. Sociodemographic, mental health-related, and physical health-related variables as well as sleep quality evaluated by the Pittsburgh Sleep Quality Index (PSQI) were compared between 2499 fallers who have experienced at least one fall during the past 12 months and 199,201 non-fallers. Multivariable logistic regression was performed to identify sleep quality variables significantly associated with an increased risk of falls.
resultsFallers had poorer sleep quality (PSQI score >5) and higher scores for global PSQI and individual PSQI components than did non-fallers (all p < 0.001). Multivariable logistic regression adjusted for potential confounders including socioeconomic, physical health-related, and mental health-related variables showed that an increased risk of falls was associated with poor sleep quality (odds ratio [OR] 1.30, 95% confidence interval [CI] 1.19-1.42). Subgroup analyses by age revealed that poor sleep quality was significantly associated with an increased risk of falls in all three adult age groups. Multivariable logistic regression using the seven PSQI components revealed that an increased risk of falls was associated with short sleep duration (OR 1.14, CI 1.09-1.20), increased sleep disturbances (OR 1.30, CI 1.16-1.46), and increased daytime dysfunctions (OR 1.21, CI 1.08-1.13).
conclusionPoor sleep quality caused by short sleep duration may be a principal risk factor of falls in adult populations. Increased sleep disturbances and daytime dysfunctions may also contribute to an increased risk of falls. Our results have clinical and public health perspectives that increasing sleep duration and reducing daytime dysfunctions and sleep disturbances could mitigate unintentional falls.
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