ArticleFrontiers in public health2025
The impact of sleep quality on asthma incidence in middle-aged and older adults: evidence from a prospective cohort study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Multi-Trajectories of Sleep Disturbance and Depressive Symptoms and Incident Osteoarthritis: Evidence From the English Longitudinal Study of Ageing.Brain and behavior · 2026Article
- Identifying predictor factors for asthma using machine learning: evidence from the English Longitudinal Study of Ageing.BMC public health · 2026Article
- Article
- Association between asthma and juvenile idiopathic arthritis in children in the United States: a propensity score weighted cross-sectional study.Pediatric rheumatology online journal · 2026Article
- Remnant cholesterol inflammatory index and its association with new-onset chronic diseases: evidence from two nationwide studies.Journal of health, population, and nutrition · 2026Article
- Sleep duration, sleep quality, and daytime napping in relation to incident cardiometabolic multimorbidity across three national aging cohorts: a prospective, interpretable machine learning study.Frontiers in nutrition · 2026Article
- Relationship between sleep disorders and non-suicidal self-injury in adolescents with allergic rhinitis: a dual perspective analysis of person-centered and variable-centered on the role of social isolation.Frontiers in public health · 2026Article
- Metabolic-BMI phenotypes as nutritional risk indicators for osteoarthritis: evidence from a prospective cohort of UK adults.Frontiers in nutrition · 2025Article
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3 authors.
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Abstract
Background: Sleep disorders represent a growing public health burden, while asthma persists as a predominant chronic respiratory condition globally. Although suboptimal sleep quality correlates with diverse adverse health outcomes, its prospective association with asthma incidence in middle-aged and older adults remains inadequately characterized. Methods: Utilizing data from the English Longitudinal Study of Ageing (ELSA), this cohort study included 4,578 asthma-free participants aged ≥50 years at baseline. Baseline sleep quality was quantified via a validated questionnaire, classifying participants into high, moderate, and low quality strata; nocturnal sleep duration was concurrently assessed. Incident asthma diagnoses over a 10-year follow-up period constituted the primary endpoint. Multivariable Cox proportional hazards regression models estimated hazard ratios (HRs) for asthma risk, adjusting for demographic, lifestyle, and comorbidity covariates. Results: Among 4,578 participants, 156 incident asthma cases (3.41%) emerged during follow-up. Following comprehensive adjustment, baseline sleep quality demonstrated a significant dose-response relationship with asthma risk (P for trend < 0.001). Relative to the high-quality reference group, moderate- and low-quality groups exhibited 63% (HR = 1.63; 95% CI: 1.09-2.42) and 84% (HR = 1.84; 95% CI: 1.16-2.92) elevations in asthma risk, respectively. No statistically significant association emerged between sleep duration and asthma incidence. Conclusion: This large-scale prospective cohort study demonstrates that poor sleep quality is an independent risk factor for the development of asthma in middle-aged and older adults, independent of sleep duration. The findings highlight the potential importance of optimizing sleep quality (rather than simply extending sleep duration) in asthma primary prevention. Improving sleep quality may represent a novel intervention target to reduce asthma incidence in this population and provide evidence for public health strategies.
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