Evidence map›Paper›PMID 41199183›Full record

ArticleBMC geriatrics2025

Association between sleep duration, sleep apnea risk, and osteoporosis in older adults: a cross-sectional study in elder care institutions in Taiwan.

Hong-Jhe Chen, Hsun Ou, Ru-Yih Chen, Yu-En Kuo, Bo-Yu Wong, Terry B J Kuo, Cheryl C H Yang, Tien-Yu Chen

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

8 authors.

Hong-Jhe ChenDepartment of Family Medicine, Pingtung Veterans General Hospital, Pingtung, Taiwan.
Hsun OuDepartment of Psychiatry, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan.
Ru-Yih ChenDepartment of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Yu-En KuoInstitute of Brain Science, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan.
Bo-Yu WongInstitute of Brain Science, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan.
Terry B J KuoInstitute of Brain Science, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan.
Cheryl C H YangInstitute of Brain Science, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan.
Tien-Yu ChenDepartment of Psychiatry, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan. verducci@mail.ndmctsgh.edu.tw.

Funding

Kaohsiung Veterans General Hospital VGHKS109-D01-1Tri-Service General Hospital TSGH-D-114144
6 · The paper itself

Abstract

backgroundThis study investigated the relationship between sleep disturbance, obstructive sleep apnea (OSA), and osteoporosis in older adults.

methodsThis cross-sectional study involved 326 older adults (mean age: 83.46 years) in elder care institutions in Taiwan. The presence of osteoporosis was assessed using dual-energy X-ray absorptiometry, while sleep quality and OSA risk were evaluated using the Pittsburgh Sleep Quality Index and STOP-Bang questionnaire, respectively. Heart rate variability (HRV) was measured to assess autonomic function. Logistic regression models, adjusted for age, body mass index (BMI), and comorbidities, were used to examine the associations among sleep duration, OSA risk, and osteoporosis.

resultsOsteoporosis was more prevalent in females and those with lower BMI and neck circumference, and less common in individuals with knee osteoarthritis. Intermediate-to-high OSA risk was associated with the male sex, higher BMI, higher neck circumference, and cardiovascular comorbidities. Short sleep duration (< 4 h) was initially correlated with a higher osteoporosis risk, but this association disappeared after adjusting for covariates. However, after adjusting for covariates, intermediate-to-high OSA risk was significantly associated with osteoporosis. HRV showed no significant difference in assessing osteoporosis or OSA risk in this study.

conclusionShort sleep duration (< 4 h) and intermediate-to-high OSA risk were associated with a higher prevalence of osteoporosis among older adult participants, compared to those with 6-7 h of sleep or low OSA risk. Further research is required to explore the relationship between sleep and osteoporosis in older adults.

Indexed as

OsteoporosisSleepSleep Apnea, ObstructiveSleep Apnea SyndromesAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleRisk FactorsSleep DurationTaiwanTime FactorsHeart rate variabilityOlder adultsOsteoporosisSleep apneaSleep duration

Identifiers

PMID41199183
PMCPMC12590583

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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.