Evidence map›Paper›PMID 40604444›Full record

ArticleBMC geriatrics2025

Exploring the impact of sleep duration and sleep disorders on metabolic dysfunction-associated steatotic liver disease in older adults.

Fan Zhang, Yuan Xue, Wenjian Li

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

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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

5 citing papers in PubMed.

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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

3 authors.

Fan ZhangDepartment of Endocrinology, Changzhou Third People's Hospital, Changzhou, 213001, China.ORCID http://orcid.org/0000-0001-9028-6185
Yuan XueDepartment of Infectious Diseases, Changzhou Third People's Hospital, Changzhou, 213001, China.
Wenjian LiDepartment of Urology, Changzhou Third People's Hospital, Changzhou, 213001, China. bolite@163.com.ORCID http://orcid.org/0000-0002-7650-8842

Funding

Changzhou Third People's Hospital Key Talents ProjectKey Discipline Project of Changzhou Health Commission CZXK202218Science and Technology Project of Changzhou CJ20243023
6 · The paper itself

Abstract

objectiveThis study investigated the effects of sleep duration and sleep disorders on metabolic dysfunction-associated steatotic liver disease (MASLD) in older adults and provided a scientific basis for the development of targeted health management strategies.

methodsThe present study utilized data from the National Health and Nutrition Examination Survey database of older adults from 2005 to 2014 and included 4,731 participants. The assessment of sleep duration and sleep disorders was conducted using the “Sleep Disorders” questionnaire, while the diagnosis of MASLD was determined based on the fatty liver index and cardiometabolic criteria. The relationship between sleep duration, sleep disorders, and MASLD was analyzed using logistic regression modeling, and the dose-response relationship between sleep duration and MASLD was explored using the restricted cubic spline (RCS) model. Furthermore, subgroup analyses were conducted to investigate the association between sleep disorders and MASLD across diverse population characteristics.

resultsThe study indicated that individuals who slept less than six hours per night exhibited a 21% higher prevalence of MASLD than those who slept six to eight hours. Notably, the prevalence increased substantially, by 38%, in individuals who slept more than eight hours per night. The presence of sleep disorders in individuals was found to be associated with a 2.38-fold elevated prevalence of MASLD compared to those without sleep disorders. Furthermore, the RCS analysis revealed a non-linear relationship between sleep duration and MASLD, indicating an overall “U”-shaped trend with a turning point at 7 h. Subgroup analyses demonstrated that the association remained significant in all subgroups except those with low education levels and stroke patients.

conclusionThe present study found that short or long sleep duration and the presence of sleep disorders were significantly associated with MASLD in older adults. The result provides a rationale for the prevention of MASLD in the elderly population. The study suggests that clinical practice should focus on the potential value of sleep assessment in managing metabolic liver disease. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Fatty LiverMetabolic DiseasesSleep DurationSleep Wake DisordersAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleNutrition SurveysMetabolic dysfunction-associated steatotic liver diseaseNonlinear relationshipOlder adultsSleep disordersSleep duration

Identifiers

PMID40604444
PMCPMC12219953

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LicenceCC BY-NC-ND
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Registered trials

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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.