Evidence map›Paper›PMID 42290997›Full record

SynthesisFrontiers in psychiatry2026

Association of sleep quality and sleep duration with anxiety symptoms in older adults: a systematic review and meta-analysis.

Junjie Zhang, Xiaochun Zhu, Lei Zhang, Yanmin Shen, Meili Shi, Haiying Min

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Junjie Zhang *Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Xiaochun Zhu *Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Lei ZhangClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Yanmin ShenClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Meili ShiClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Haiying MinClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sleep disturbances are highly prevalent among older adults, with prevalence ranging from 40-70%. While numerous meta-analyses have examined the association between sleep and depression, the relationship between sleep problems and anxiety-particularly in older adults-has received comparatively less attention. Direct meta-analytic comparisons between sleep quality and sleep duration in relation to anxiety among older adults remain limited. Methods: We searched PubMed, Web of Science, Embase, Cochrane Library, and CNKI from inception to January 2026 according to the PRISMA 2020 guidelines. The studies that provided the odds ratios (ORs) with 95% confidence intervals (CIs) for the associations between sleep quality/disturbance or sleep duration and anxiety in adults aged 60 years or older were included. The DerSimonian-Laird random-effects model was used to synthesize the pooled ORs. Subgroup analysis, meta-regression, sensitivity analyses, and publication bias assessment were performed. Results: A total of 19 studies with 70,716 participants were included in this meta-analysis and 21 effect-size records were available. Poor sleep quality (OR = 4.00, 95% CI: 2.96-5.41; Conclusion: Poor sleep quality and short sleep duration were both associated with anxiety in older adults, with a larger but more heterogeneous association for sleep quality. These findings support routine assessment of sleep quality in older adults with anxiety symptoms. Prospective studies are needed to clarify directionality. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420261348264.

Indexed as

anxietymeta-analysisolder adultssleep durationsleep qualitysystematic review

Identifiers

PMID42290997
PMCPMC13253953

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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.