ArticleBMC public health2023
Associations of sleep duration, daytime napping, and snoring with depression in rural China: a cross-sectional study.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Joint associations of physical activity and sleep duration with major depressive disorder.Chinese medical journal · 2026Article
- Sleep duration, depression, and cognitive function among older adults in China: A longitudinal cohort study.Preventive medicine reports · 2026Article
- Association between sleep duration and depressive symptoms among older adults in China: a national cross-sectional study.Frontiers in psychiatry · 2026Article
- Nonlinear associations of nighttime sleep and protective napping with depressive symptoms: a cross-sectional analysis from the China Family Panel Studies.Frontiers in psychiatry · 2025Article
- Associations between daytime napping, sleep duration, and depression and 15 cardiovascular diseases: a Mendelian randomization study.Cardiovascular diagnosis and therapy · 2024Article
- Prevalence and associated factors of napping among older adults in the Philippines.Sleep & breathing = Schlaf & Atmung · 2024Article
- Depressive symptoms and their influencing factors among older adults in China: a cross-sectional study.Frontiers in public health · 2024Article
- Depression and hepatobiliary diseases: a bidirectional Mendelian randomization study.Frontiers in psychiatry · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMost adult patients with depression complain about sleep symptoms, including insufficient and excessive sleep. However, previous studies investigating the impact of sleep duration on depression have yielded conflicting results. Therefore, this study aimed to analyse the link between depression and sleep duration, daytime napping, and snoring among rural Chinese adults.
methodsA cross-sectional study was conducted with 9104 individuals. Interviews were conducted with the participants regarding their sleep patterns and their daytime napping routines. The individuals were then assessed for depression using the Patient Health Questionnaire-9. The risk of depression was assessed using a multifactor binary logistic regression analysis. A generalized additive model was used to evaluate the nonlinear relationship between depression and sleep duration/nap time. Additionally, subgroup analysis was conducted to investigate the correlation between sleep duration, daytime napping, snoring, and depression.
resultsLess than 6 h or more than 8 h of nighttime sleep, daytime napping for more than 1 h, and snoring were all significantly associated with an increased risk of depression. A U-shaped relationship was found between the duration of nighttime sleep and depression. In addition, we found that the nighttime duration of sleep, daytime naps, and snoring had a significant combined effect on the risk of depression. The subgroup analysis further revealed that lack of sleep at night significantly increased the risk of depression in all subgroups. However, snoring and excessive nighttime sleep and napping were only associated with the risk of depression in some subgroups.
conclusionsLack of nighttime sleep (short sleep duration), excessive sleep, and napping for more than one hour during the day were associated with a high risk of depression and had a combined effect with snoring.
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