Evidence map›Paper›PMID 38645453›Full record

ArticleFrontiers in public health2024

Association of depression and sleep quality with frailty: a cross-sectional study in China.

Yue Zhang, Ge Yu, Wei Bai, Songyu Wu, Xiaohan Geng, Wangyi Zhang, Yihang Liu, Yujiao Meng, Junling Gao, Wenjun Li and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
7.6field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  15. The relationship between frailty and depression in Chinese elderly prostate cancer patients following radical surgery: the mediating effect of sleep disturbances.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

11 authors at 2 institutions in 1 country.

Yue Zhang *Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Ge Yu *Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Wei BaiDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Songyu WuDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Xiaohan GengDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Wangyi ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Yihang LiuDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Yujiao MengDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Junling GaoSchool of Public Health, Fudan University, Shanghai, China.
Wenjun LiDepartment of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin, China.
Changgui KouDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Jilin University · CNFudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the rapid growth of global aging, frailty has become a serious public health burden, affecting the life quality of older adults. Depressive symptoms (depression hereafter) and sleep quality are associated with frailty, but the pathways in which sleep quality and depression affect frailty remain unclear. Method: This cross-sectional study included 1866 community-dwelling older adults. Demographic characteristics and health-related data of them was collected, and we also assessed frailty, depression, and sleep quality. Descriptive statistics were carried out and ordinal logistic regression analysis was used to identify the factors correlated with frailty. Spearman correlation analysis and mediation analysis were employed to assess associations between sleep quality, depression and frailty. Two-sided Results: The results showed that 4.1% older adults were frail and 31.0% were pre-frail. Ordinal logistic regression showed that age, consumptions of vegetables, exercise, sleep quality, depression, number of chronic diseases, chronic pain, and self-rated health were correlated with frailty. Spearman correlation analysis revealed that frailty was associated with depression and sleep quality. There was a mediation effect that sleep quality was a significant and positive predictor of frailty (total effect = 0.0545, 95% boot CI = 0.0449-0.0641), and depression was a mediator between sleep quality and frailty (mediation effect = 60.4%). Conclusion: Depression and poor sleep quality may be early indicators of frailty in older adults. Improving the sleep quality and psychological state of older adults can improve frailty, which is beneficial for healthy aging.

Indexed as

DepressionFrailtySleep QualityAgedAged, 80 and overChinaCross-Sectional StudiesFemaleFrail ElderlyHumansIndependent LivingMaleMiddle AgedSurveys and Questionnairescommunitydepressionfrailtymediation effectolder adultssleep quality

Identifiers

PMID38645453
PMCPMC11026860
OpenAlexW4393986915

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.