ArticleBMC public health2024
Bidirectional associations between sleep quality/duration and multimorbidity in middle-aged and older people Chinese adults: a longitudinal study.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- The effect of Ba Duan Jin exercise intervention on cardiovascular disease: a meta-analysis of randomized controlled trials.Frontiers in public health · 2024Pooled it
- Behavioral and Clinical Correlates of Poor Sleep and Anxiety Symptoms in Adults Aged 50 Years and Older: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Diurnal temperature range and daily mean temperature in relation to multimorbidity among middle-aged or older Chinese adults: insights from the CHARLS.BMC public health · 2026Article
- Dose-Related Associations Between Physical Activity and Multimorbidity Among Middle-Aged and Older Adults.Journal of prevention (2022) · 2026Article
- Body roundness index modified the association between sleep changes and multimorbidity in middle-aged and older adults: a nationwide cohort study.Journal of health, population, and nutrition · 2026Article
- Association Between Personal, Behavioral, Psychological, Biochemical and Molecular Biomarkers with Illness Count in a Sample of Mexican Individuals.International journal of molecular sciences · 2026Article
- Association between sleep, sunlight exposure, and multimorbidity in older adults with and without mental illness.Frontiers in public health · 2026Article
- Beyond patient education: fall prevention knowledge, health literacy, and implementation gaps in Chinese hospitals-a patient-caregiver study.Frontiers in public health · 2026Article
- The chain mediating effects of somatic pain and depression between chronic diseases and sleep in the older patients.Sleep & breathing = Schlaf & Atmung · 2025Article
- Beyond illness: how chronic conditions and unhealthy behaviors impact health-related quality of life among Iranian women.BMC public health · 2025Article
- The relationship between multiple chronic diseases and sleep quality among the older people ≥ 60 years in China.Sleep & breathing = Schlaf & Atmung · 2025Article
- Association between nap time, nighttime sleep, and multimorbidity in Chinese older adults: a cross-sectional study.BMC geriatrics · 2025Article
- Relationship Between Sleep Time and Depressive Symptoms in Middle-Aged and Elderly Chinese: Mediating Role of Body Pain.Psychology research and behavior management · 2025Article
- The impact of sleep quality on asthma incidence in middle-aged and older adults: evidence from a prospective cohort study.Frontiers in public health · 2025Article
- Seasonal Variations in Sleep Quality and Stability Among Patients with Chronic Insomnia: Real-World Evidence Across the 24 Solar Terms.Nature and science of sleep · 2025Article
- Association between psychological depression and physical health in Chinese empty-nesters during the COVID-19 pandemic.Frontiers in psychiatry · 2025Article
- Article
- The Impact of Social Participation on Frailty among Older Adults: The Mediating Role of Loneliness and Sleep Quality.Healthcare (Basel, Switzerland) · 2024Article
- The Cross-Sectional Association Between Multimorbidity and Sleep Quality and Duration Among the Elderly Community Dwellers in Northwest China.Nature and science of sleep · 2024Article
- Association between diverse obesity indicators and sleep quality in elderly Chinese people: a National Study.Frontiers in nutrition · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMultimorbidity and sleep disorder possess high incidence rates in the middle-aged and older people populations, posing a significant threat to quality of life and physical and mental health. However, investigators have previously only analysed the unidirectional association between sleep status and multimorbidity. We aimed to investigate bidirectional associations between sleep quality or duration and multimorbidity in middle-aged and older Chinese adults from a longitudinal perspective.
methodWe enrolled a total of 9823 participants 45 years and older from the China Health and Retirement Longitudinal Study from 2015 to 2018 in our study. Multimorbidity was defined as two or more coexisting chronic diseases in the same individual based on 14 self-reported disease questions. Sleep quality was classified as "good" (restless < 1 day per week) and "poor" (restless ≥ 1 days per week); and sleep duration was divided into short (< 6 h), medium (6-9 h), and long (> 9 h). The bidirectional association between multimorbidity and sleep condition was examined using multivariate logistic regression models with adjustments for covariates.
resultsIndividuals with poor sleep quality showed a significantly higher prevalence of multimorbidity in the future. The adjusted OR (95% CI) values of individuals with poor sleep quality with respect to developing two diseases, three diseases, and ≥ 4 diseases were 1.39 (1.19, 1.63), 1.56 (1.23, 2.03), and 2.36 (1.68, 3.33), respectively. In addition, individuals with multimorbidity exhibited a significantly higher risk of poor sleep quality in the future. Short sleep duration led to multimorbidity in the future (OR = 1.49; 95 CI%, 1.37-1.63), while multimorbidity contributed to short sleep duration (< 6 h) in the future (OR = 1.39; 95% CI, 1.27-1.51) after full adjustment.
conclusionsThere was a bidirectional association between sleep quality or short sleep duration and multimorbidity in middle-aged and older Chinese adults. We recommend that greater attention be given to clinical management among adults with sleep disorders or physical multimorbidities.
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