Evidence map›Paper›PMID 42755049›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2026

Wife-husband differences in the associations between sleep durations and global cognition among middle-aged and older married couples in China: a longitudinal dyadic analysis.

Jie Zhong, Ying Dai, Xiang Qi, Wei Liang

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Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Jie ZhongSchool of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.ORCID 0000-0003-1025-7785
Ying DaiSchool of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Xiang QiRory Meyers College of Nursing, New York University, New York, New York, United States.ORCID 0000-0003-3958-8609
Wei LiangSchool of Nursing, Nanjing Medical University, Nanjing, China.

Funding

Seed Fund for Basic Research for New Staff 2024/25
6 · The paper itself

Abstract

backgroundSleep duration has well-established U-shaped associations with cognitive health, but research has largely ignored spousal interdependence. This study examined actor and partner effects of sleep duration on global cognition in middle-aged and older Chinese couples, testing whether associations differed by sex.

methodsData were drawn from CHARLS waves 1-4 (2011-2018). The analytical sample comprised 4260 couples (8520 individuals) aged ≥45 years living in a married, 2-person, mixed-sex household. Global cognition was assessed with a composite battery adapted from the Telephone Interview for Cognitive Status and Chinese Mini-Mental State Examination; nocturnal sleep and napping durations were self-reported. Actor-Partner Interdependence Models with quadratic terms examined actor effects (own sleep predicting own cognition) and partner effects (own sleep predicting spouse's cognition), with false discovery rate (FDR)-adjusted q-values and sex-equality tests.

resultsSignificant inverted U-shaped actor effects were found for wives (β = -0.010, 95% CI: -0.014, -0.005, p < .001) and husbands (β = -0.011, 95% CI: -0.016, -0.006, p < .001); both survived FDR correction (q = 0.002, q < 0.001). Husbands' sleep was nominally associated with wives' cognition similarly (β = -0.005, p = .025), while wives' sleep was not associated with husbands' cognition (p = .618). The husband-to-wife association did not survive FDR correction (q = 0.239), and sex-equality tests were non-significant (χ²(9) = 9.35, p = .406). Napping showed limited, largely non-significant associations with cognition.

conclusionsOwn nocturnal sleep duration shows a robust, symmetric inverted U-shaped association with cognitive function in both spouses. The possible husband-to-wife partner effect did not survive correction for multiple testing and warrants adequately powered investigation before informing couple-based clinical recommendations.

Indexed as

CognitionSleepSleep DurationSpousesAgedChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedActor-Partner Interdependence ModelCHARLSCognitive functionDyadic analysisSleep duration

Identifiers

PMID42755049
PMCPMC13658276

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