Excessive sleep increased the risk of incidence of cognitive impairment among older Chinese adults: a cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS)
Based on a cohort from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we aimed to evaluate the relationship between sleep duration and the incidence of cognitive impairment among older Chinese adults. We conducted a prospective analysis based on 3692 participants from the CLHLS at baseli...
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| Veröffentlicht in: | International psychogeriatrics 2022-08, Vol.34 (8), p.725-734 |
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| container_title | International psychogeriatrics |
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| creator | Zhang, Ming Lv, Xiaozhen Chen, Yulu Tu, Lihui Fan, Zili Yao, Yao Yu, Xin Guan, Nianhong Wang, Huali |
| description | Based on a cohort from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we aimed to evaluate the relationship between sleep duration and the incidence of cognitive impairment among older Chinese adults.
We conducted a prospective analysis based on 3692 participants from the CLHLS at baseline (in 2011), and as a 3-year follow-up (till 2014), 531 participants (14.4%) had cognitive impairment, which was defined as a Mini-Mental State Examination score 5 but |
| doi_str_mv | 10.1017/S1041610221000168 |
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We conducted a prospective analysis based on 3692 participants from the CLHLS at baseline (in 2011), and as a 3-year follow-up (till 2014), 531 participants (14.4%) had cognitive impairment, which was defined as a Mini-Mental State Examination score <24. Sleep duration was classified into three groups: short (≤5 hours/day), normal (>5 but <10 hours), and long (≥10 hours/day). A logistic regression model was used to examine the association between baseline sleep duration and cognitive impairment after adjusting for sociodemographic data, living habits, and health conditions.
Five hundred sixty-two participants (15.2%) were in the short-duration group, and 608 participants (16.5%) were in the long-duration group. After adjusting for multiple potential confounders, compared with normal sleep duration, long sleep duration was associated with the incidence of cognitive impairment (OR = 1.309, 95% CI: 1.019-1.683), especially among men (OR = 1.527, 95% CI: 1.041-2.240) and those having a primary and above education level (OR = 1.559, 95% CI: 1.029-2.361). No significant association was observed between short sleep duration and cognitive impairment (OR = 0.860, 95% CI: 0.646-1.145).
Excessive sleep may increase the risk of cognitive impairment in older individuals. It may be a suggestive sign of early neurodegeneration and may be a useful clinical tool to identify those at a higher risk of progressing to cognitive impairment.</description><identifier>ISSN: 1041-6102</identifier><identifier>EISSN: 1741-203X</identifier><identifier>DOI: 10.1017/S1041610221000168</identifier><identifier>PMID: 33658084</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Age ; Cardiovascular disease ; Cognitive ability ; Cognitive impairment ; Cohort analysis ; Dementia ; Diabetes ; Education ; Habits ; Mini-Mental State Examination ; Older people ; Original Research Article ; Polls & surveys ; Self report ; Sleep ; Sociodemographics</subject><ispartof>International psychogeriatrics, 2022-08, Vol.34 (8), p.725-734</ispartof><rights>International Psychogeriatric Association 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-b1c5718cf796b00291a9b835f30861301e61c5ea568e1539dd3943ca6fdfb0d3</citedby><cites>FETCH-LOGICAL-c421t-b1c5718cf796b00291a9b835f30861301e61c5ea568e1539dd3943ca6fdfb0d3</cites><orcidid>0000-0002-3213-6493</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1041610221000168/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,12846,27924,27925,30999,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33658084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Ming</creatorcontrib><creatorcontrib>Lv, Xiaozhen</creatorcontrib><creatorcontrib>Chen, Yulu</creatorcontrib><creatorcontrib>Tu, Lihui</creatorcontrib><creatorcontrib>Fan, Zili</creatorcontrib><creatorcontrib>Yao, Yao</creatorcontrib><creatorcontrib>Yu, Xin</creatorcontrib><creatorcontrib>Guan, Nianhong</creatorcontrib><creatorcontrib>Wang, Huali</creatorcontrib><title>Excessive sleep increased the risk of incidence of cognitive impairment among older Chinese adults: a cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS)</title><title>International psychogeriatrics</title><addtitle>Int. Psychogeriatr</addtitle><description>Based on a cohort from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we aimed to evaluate the relationship between sleep duration and the incidence of cognitive impairment among older Chinese adults.
We conducted a prospective analysis based on 3692 participants from the CLHLS at baseline (in 2011), and as a 3-year follow-up (till 2014), 531 participants (14.4%) had cognitive impairment, which was defined as a Mini-Mental State Examination score <24. Sleep duration was classified into three groups: short (≤5 hours/day), normal (>5 but <10 hours), and long (≥10 hours/day). A logistic regression model was used to examine the association between baseline sleep duration and cognitive impairment after adjusting for sociodemographic data, living habits, and health conditions.
Five hundred sixty-two participants (15.2%) were in the short-duration group, and 608 participants (16.5%) were in the long-duration group. After adjusting for multiple potential confounders, compared with normal sleep duration, long sleep duration was associated with the incidence of cognitive impairment (OR = 1.309, 95% CI: 1.019-1.683), especially among men (OR = 1.527, 95% CI: 1.041-2.240) and those having a primary and above education level (OR = 1.559, 95% CI: 1.029-2.361). No significant association was observed between short sleep duration and cognitive impairment (OR = 0.860, 95% CI: 0.646-1.145).
Excessive sleep may increase the risk of cognitive impairment in older individuals. It may be a suggestive sign of early neurodegeneration and may be a useful clinical tool to identify those at a higher risk of progressing to cognitive impairment.</description><subject>Age</subject><subject>Cardiovascular disease</subject><subject>Cognitive ability</subject><subject>Cognitive impairment</subject><subject>Cohort analysis</subject><subject>Dementia</subject><subject>Diabetes</subject><subject>Education</subject><subject>Habits</subject><subject>Mini-Mental State Examination</subject><subject>Older people</subject><subject>Original Research Article</subject><subject>Polls & surveys</subject><subject>Self report</subject><subject>Sleep</subject><subject>Sociodemographics</subject><issn>1041-6102</issn><issn>1741-203X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kcFu1DAQhiNERUvhAbggS1zKIdQTJ47DDa0KixSph-2ht8ixJ7suSbzYzoo8GO-Hs92CBOLk8fzf_49GkyRvgH4ACuX1BmgOHGiWAaUUuHiWXECZQ5pRdv881lFOF_08een9A6VZwSB_kZwzxgtBRX6R_Lz5odB7c0Die8Q9MaNyKD1qEnZInPHfiO2WrtE4Klw-ym5HExaLGfbSuAHHQORgxy2xvUZHVjszokci9dQH_5HIaNlZF4gPk55Je4y343HCE1tHu4myGWVP1ij7sJuPTTyYMJPN5A44k6tVva43718lZ53sPb4-vZfJ3eebu9U6rW-_fF19qlOVZxDSFlRRglBdWfE2bl-BrFrBio5RwYFRQB4JlAUXCAWrtGZVzpTkne5aqtllcvUYu3f2-4Q-NIPxCvtejmgn32R5VdJSZKyI6Lu_0Ac7ubhLpHhVQilyUUUKHinlrPcOu2bvzCDd3ABtlpM2_5w0et6ekqd2QP3b8XTDCLBTqBxaZ_QW_8z-f-wvBHWsiA</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Zhang, Ming</creator><creator>Lv, Xiaozhen</creator><creator>Chen, Yulu</creator><creator>Tu, Lihui</creator><creator>Fan, Zili</creator><creator>Yao, Yao</creator><creator>Yu, Xin</creator><creator>Guan, Nianhong</creator><creator>Wang, Huali</creator><general>Cambridge University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3213-6493</orcidid></search><sort><creationdate>20220801</creationdate><title>Excessive sleep increased the risk of incidence of cognitive impairment among older Chinese adults: a cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS)</title><author>Zhang, Ming ; Lv, Xiaozhen ; Chen, Yulu ; Tu, Lihui ; Fan, Zili ; Yao, Yao ; Yu, Xin ; Guan, Nianhong ; Wang, Huali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-b1c5718cf796b00291a9b835f30861301e61c5ea568e1539dd3943ca6fdfb0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Cardiovascular disease</topic><topic>Cognitive ability</topic><topic>Cognitive impairment</topic><topic>Cohort analysis</topic><topic>Dementia</topic><topic>Diabetes</topic><topic>Education</topic><topic>Habits</topic><topic>Mini-Mental State Examination</topic><topic>Older people</topic><topic>Original Research Article</topic><topic>Polls & surveys</topic><topic>Self report</topic><topic>Sleep</topic><topic>Sociodemographics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Ming</creatorcontrib><creatorcontrib>Lv, Xiaozhen</creatorcontrib><creatorcontrib>Chen, Yulu</creatorcontrib><creatorcontrib>Tu, Lihui</creatorcontrib><creatorcontrib>Fan, Zili</creatorcontrib><creatorcontrib>Yao, Yao</creatorcontrib><creatorcontrib>Yu, Xin</creatorcontrib><creatorcontrib>Guan, Nianhong</creatorcontrib><creatorcontrib>Wang, Huali</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International psychogeriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Ming</au><au>Lv, Xiaozhen</au><au>Chen, Yulu</au><au>Tu, Lihui</au><au>Fan, Zili</au><au>Yao, Yao</au><au>Yu, Xin</au><au>Guan, Nianhong</au><au>Wang, Huali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Excessive sleep increased the risk of incidence of cognitive impairment among older Chinese adults: a cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS)</atitle><jtitle>International psychogeriatrics</jtitle><addtitle>Int. Psychogeriatr</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>34</volume><issue>8</issue><spage>725</spage><epage>734</epage><pages>725-734</pages><issn>1041-6102</issn><eissn>1741-203X</eissn><abstract>Based on a cohort from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we aimed to evaluate the relationship between sleep duration and the incidence of cognitive impairment among older Chinese adults.
We conducted a prospective analysis based on 3692 participants from the CLHLS at baseline (in 2011), and as a 3-year follow-up (till 2014), 531 participants (14.4%) had cognitive impairment, which was defined as a Mini-Mental State Examination score <24. Sleep duration was classified into three groups: short (≤5 hours/day), normal (>5 but <10 hours), and long (≥10 hours/day). A logistic regression model was used to examine the association between baseline sleep duration and cognitive impairment after adjusting for sociodemographic data, living habits, and health conditions.
Five hundred sixty-two participants (15.2%) were in the short-duration group, and 608 participants (16.5%) were in the long-duration group. After adjusting for multiple potential confounders, compared with normal sleep duration, long sleep duration was associated with the incidence of cognitive impairment (OR = 1.309, 95% CI: 1.019-1.683), especially among men (OR = 1.527, 95% CI: 1.041-2.240) and those having a primary and above education level (OR = 1.559, 95% CI: 1.029-2.361). No significant association was observed between short sleep duration and cognitive impairment (OR = 0.860, 95% CI: 0.646-1.145).
Excessive sleep may increase the risk of cognitive impairment in older individuals. It may be a suggestive sign of early neurodegeneration and may be a useful clinical tool to identify those at a higher risk of progressing to cognitive impairment.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>33658084</pmid><doi>10.1017/S1041610221000168</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3213-6493</orcidid></addata></record> |
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| ispartof | International psychogeriatrics, 2022-08, Vol.34 (8), p.725-734 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete |
| subjects | Age Cardiovascular disease Cognitive ability Cognitive impairment Cohort analysis Dementia Diabetes Education Habits Mini-Mental State Examination Older people Original Research Article Polls & surveys Self report Sleep Sociodemographics |
| title | Excessive sleep increased the risk of incidence of cognitive impairment among older Chinese adults: a cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) |
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