ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2023
Self-reported sleep disturbances among people who have had a stroke: a cross-sectional analysis.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06696911 (Combined Effects of Motor Imagery and Core Stability Exercises on Trunk Control, Balance and Quality of Sleep in Stroke Patients), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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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.
Combined Effects of Motor Imagery and Core Stability Exercises on Trunk Control, Balance and Quality of Sleep in Stroke Patients
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Prevalence of post-stroke poor sleep quality: a meta-analysis of Pittsburgh Sleep Quality Index results.Frontiers in neurology · 2025Pooled it
- The prevalence and associations of stroke history with self-reported sleep disturbances in China: a nationwide cross-sectional study.BMC public health · 2026Article
- Self-reported sleep disturbances and its determinants in people 1 year or more after stroke: A cross-sectional study.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Sleep as a mediator between chronic diseases and depression: a NHANES study (2005-2018).Frontiers in psychology · 2025Article
- Professional reintegration of stroke survivors and their mental health, quality of life and community integration.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Sleep patterns and their associations with psychiatric symptoms among Chinese healthcare workers: a latent profile analysis.Frontiers in psychology · 2024Article
- The case for improving the detection and treatment of obstructive sleep apnea following stroke.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep disturbances and their potential association with stroke remains understudied at a population level. We sought to determine the prevalence of sleep disturbances among people who have effects of stroke compared with the general population.
methodsWe used data from people aged 18 years or older who responded to the sleep and chronic disease modules of the 2017-2018 cycle of the Canadian Community Health Survey (CCHS). We measured sleep disturbances by self-reports of having trouble staying awake most or all of the time; either short (< 5 h) or long (> 9 h) nightly sleep duration; having trouble going to or staying asleep most or all of the time; and never, rarely or sometimes having refreshing sleep. We used log-binomial and multinomial regression to investigate prevalence of sleep disturbances among respondents who reported effects of stroke compared with others, adjusting for confounding factors.
resultsWe included 46 404 CCHS respondents, 682 of whom reported effects of stroke. The prevalence of sleep disturbances for those with effects of stroke was higher than among others in the sample with regard to trouble staying awake (13.0% v. 6.1%; adjusted relative risk [RR] 2.16, 95% confidence interval [CI] 1.59-2.94), short or long duration sleep (28.9% v. 10.0%; adjusted RR 1.93, 95% CI 1.57-2.38), trouble going to or staying asleep, (28.1% v. 17.6%; adjusted RR 1.53, 95% CI 1.28-1.83) and lack of refreshing sleep (41.1% v. 37.1%; adjusted RR 1.30, 95% CI 1.14-1.49). The prevalence of at least 1 reported measure of sleep disturbance was 61.6% among those with effects of stroke, compared with 48.2% among others (adjusted RR 1.28, 95% CI 1.18-1.40).
interpretationSelf-report of having effects of stroke was associated with increased prevalence of sleep disturbances compared with the general population. Sleep disturbances were reported by a high proportion of respondents with effects of stroke, indicating the importance of screening for related disorders.
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