ArticleSleep & breathing = Schlaf & Atmung2025
Lifestyle and health mediators of the relationship between religious attendance and sleep quality and disorders in adults.
Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Religion and Spirituality as Social Determinants of Sleep Health Across the Globe: A Narrative Review.Current sleep medicine reports · 2026Review
- Sex Differences in the Association between Sleep Quality and Excess Weight: Exploring Lifestyle and Health-Related Mediators.Sleep science (Sao Paulo, Brazil) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
purposeTo determine the association of religious service attendance with sleep quality and disorders, and test whether lifestyle and health-related factors mediate this association.
methodsThis cross-sectional study included 5,520 adults surveyed through a virtual, exploratory, population-based survey (Sonar-Brazil, 2023-2024). Multivariate regression models were used to assess the association among religious service attendance, hypothesized mediators (depression, smoking, alcohol use, drug use, diet quality, body mass index, and screen time) and sleep outcomes. We computed estimates for the total effect, average direct effect, average causal mediation effect, and the percentage of the effect mediated by the mediators using the quasi-Bayesian Monte Carlo method, employing a normal approximation with 5000 simulations.
resultsDecreasing frequency of religious attendance was associated with poorer sleep quality and higher probabilities of sleep disorders, depression, smoking, drug use, increased alcohol consumption frequency, and longer screen time (p < 0.01). Depression had the greatest influence on sleep outcomes in the multivariate analyses and was identified as the primary mediator in the relationship between religious attendance and sleep quality (24%), followed by smoking (3%) and screen time (7%). Similarly, the effect on sleep disorders was mediated by depression, alcohol consumption, and screen time at 12%, 10%, and 3%, respectively.
conclusionOur findings offer unprecedented insights into the relationship between religious attendance and sleep quality among Brazilian adults and contribute to previous research by showing that religious attendance may protect against sleep disturbance through enhancements in mental health, reduced substance use, and a more active lifestyle, illuminating pathways through which religious involvement may impact sleep outcomes.
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Registered trials
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