Evidence map›Paper›PMID 36472580›Full record

SynthesisThe journals of gerontology. Series A, Biological sciences and medical sciences2023

Daytime Napping and Cognitive Health in Older Adults: A Systematic Review.

Junxin Li, Miranda V McPhillips, Zhongyue Deng, Fangfang Fan, Adam Spira

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The journals of gerontology. Series A, Biological sciences and medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. 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
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Sleep Across the Lifespan: A Neurobehavioral Perspective.Current sleep medicine reports · 2025
    Review
  12. Article
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

5 authors at 2 institutions in 1 country.

Junxin LiJohns Hopkins School of Nursing, Baltimore, Maryland, USA.ORCID 0000-0001-9798-5456
Miranda V McPhillipsUniversity of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Zhongyue DengDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Fangfang FanUniversity of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
Adam SpiraDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-1507-0995
Johns Hopkins University · USUniversity of Pennsylvania · US

Funding

Poor Sleep Altered Circadian Rhythms and Alzheimers DiseaseR01AG050507 · NIA · JOHNS HOPKINS UNIVERSITY · PI SPIRA, ADAM PETER · 2015 to 2019
$2.5M
A Personalized Behavioral Intervention to Improve Physical Activity, Sleep and Cognition in Sedentary Older AdultsR00NR016484 · NINR · JOHNS HOPKINS UNIVERSITY · PI LI, JUNXIN · 2019 to 2021
$996k
Multicomponent Behavioral Sleep Intervention for Insomnia in Older Adults with Mild Cognitive ImpairmentK23NR018487 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MCPHILLIPS, MIRANDA VARRASSE · 2019 to 2021
$496k
NIA NIH HHS R01 AG050507NINR NIH HHS K23 NR018487NINR NIH HHS R00 NR016484
6 · The paper itself

Abstract

backgroundDaytime napping may improve cognitive function in older adults. However, the association can be complicated by specific features of napping and the older adult's health. This systematic review aims to synthesize the current literature on napping and cognition in older adults and provide recommendations for future research and daytime sleep practice in older adults.

methodsSystematic searches for relative research published between January 1995 and October 2022 were conducted at PubMed, MEDLINE, PsycINFO, and Google Scholar using keywords individually and in multiple combinations. Manual searches were performed to identify additional studies. All included studies were critically appraised by 2 authors.

resultsThirty-five studies, including 23 observational and 12 intervention studies, were reviewed. Findings from observational studies suggest a possible inverted U-shaped association between napping duration and cognitive function: short and moderate duration of naps benefited cognitive health in older adults compared with both non-napping and long or extended napping. Findings from intervention studies suggest one session of afternoon napping might improve psychomotor function and working memory, although with some inconsistency. The effect of multiple nap sessions on cognition was inconclusive due to a limited number of studies.

conclusionMore rigorous research studies are needed to investigate what causes different patterns of daytime napping, the associations between these distinct patterns and cognitive function, and to determine whether interventions targeting napping patterns can improve cognition in older adults. In addition, future research needs to comprehensively assess daytime napping using a combination of measures such as sleep diary and actigraphy.

Indexed as

CognitionSleepCognitionDaytime sleepMemory

Identifiers

PMID36472580
PMCPMC10562891
OpenAlexW4310776656

What OpenQuestion holds

Textmetadata
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.