Evidence map›Paper›PMID 40711672›Full record

ArticleGeroScience2026

A proper combination of movement and stillness: the interaction effect of sleep duration and physical activity on longitudinal cognitive performance in Chinese middle-aged and older adults.

Xiaolei Li, Chen Gao, Yiru Yang

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Observational
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.

Xiaolei LiSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, No.44 Wenhuaxi Road, Lixia District, Jinan, 250012, Shandong, China.
Chen GaoSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, No.44 Wenhuaxi Road, Lixia District, Jinan, 250012, Shandong, China.
Yiru YangSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, No.44 Wenhuaxi Road, Lixia District, Jinan, 250012, Shandong, China. yangyiru@email.sdu.edu.cn.ORCID 0000-0003-1190-7540

Funding

National Natural Science Foundation of China 32300924Shandong Provincial Natural Science Foundation ZR2024QC185
6 · The paper itself

Abstract

Previous studies have shown that both nighttime sleep duration (NSD) and physical activity (PA) are independently associated with geriatric cognition. However, most of these studies are cross-sectional and do not account for the interaction between NSD and PA, and the relationship between midday nap duration (MND) and cognition is unclear. Data collected between 2011 and 2018 were obtained from the China Health and Retirement Longitudinal Study (CHARLS). Generalized linear models and generalized estimating equations were used to analyze the impacts of NSD, MND, total sleep duration (TSD, NSD + MND), PA, and their interactions on both baseline and longitudinal cognitive performance. Combining the results of baseline and longitudinal univariable analyses, inverted U-shaped patterns were found, with the best choices being the 6-8 h of NSD and TSD (P < 0.05), the 0-90 min of MND (P < 0.05), and moderate PA (MPA, P < 0.05). The interaction analysis revealed that individuals with sleep duration of 6-8 h or < 6 h who engaged in MPA demonstrated significantly better cognitive performance and maintenance (P < 0.05), but for those with > 8 h of sleep, little significant differences in cognitive outcomes were observed across varying PA regimens. Considering both univariable and interaction effects, an optimal combination of movement and stillness for better cognitive function is to maintain 6-8 h of nighttime sleep, take a midday nap, and actively engage in MPA.

Indexed as

CognitionExerciseSleepAgedChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMiddle AgedSleep DurationTime FactorsCognitive functionLongitudinal studyModifiable lifestylePhysical activitySleep duration

Identifiers

PMID40711672
PMCPMC12972499

What OpenQuestion holds

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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.