ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
Construction and validation of a predictive model for sleep disorders among rural older adults with mild cognitive impairment.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 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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Abstract
objectiveto construct and validate a risk assessment model for sleep disturbance among rural older adults with mild cognitive impairment (MCI), to support early screening and targeted intervention.
designa cross-sectional study using data from the 2024 baseline survey of the Active Aging Cohort in Rural Areas, Shandong Province, China. SUBJECTS: 1,049 rural older adults aged ≥ 60 years with MCI.
methodsdemographic, lifestyle, disease history, and psychological factors were collected through face-to-face survey questionnaires and health examinations. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression identified independent predictors, which were used to build a nomogram. Model performance was evaluated with ROC curve, calibration curve, decision curve analysis, and bootstrap validation.
resultsthe prevalence of sleep disturbance was 54.2%. Sex, hypertension, self-rated health, and depression were identified as independent predictors. The nomogram demonstrated good discrimination (AUC = 0.759, 95%CI: 0.731-0.778) and calibration, with internal validation confirming robustness.
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