Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study

Abstract Background Poor sleep quality has been linked to depression in older adults, but results of the association between daytime napping and depression remains limited and conflicting. Moreover, whether the association of daytime napping with depression varies by nighttime sleep quality is uncle...

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Main Authors: Weisen Zhang, Baijing Zhou, Chaoqiang Jiang, Yali Jin, Tong Zhu, Feng Zhu, Kar Keung Cheng, Tai Hing Lam, Lin Xu
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-023-04579-6
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author Weisen Zhang
Baijing Zhou
Chaoqiang Jiang
Yali Jin
Tong Zhu
Feng Zhu
Kar Keung Cheng
Tai Hing Lam
Lin Xu
author_facet Weisen Zhang
Baijing Zhou
Chaoqiang Jiang
Yali Jin
Tong Zhu
Feng Zhu
Kar Keung Cheng
Tai Hing Lam
Lin Xu
author_sort Weisen Zhang
collection DOAJ
description Abstract Background Poor sleep quality has been linked to depression in older adults, but results of the association between daytime napping and depression remains limited and conflicting. Moreover, whether the association of daytime napping with depression varies by nighttime sleep quality is unclear. Hence, we examined the associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese. Methods A total of 16,786 participants aged ≥50 from the Guangzhou Biobank Cohort Study second-round examination (2008–2012) were included in this cross-sectional study. Geriatric Depression Scale (GDS-15), Pittsburgh Sleep Quality Index (PSQI), napping and demographic data were collected by face-to-face interview using a computerized questionnaire. Logistic regression was used to calculate odds ratio (OR) of depressive symptoms for napping and sleep quality. Results The prevalence of depressive symptoms (GDS score > 5) and poor global sleep quality (PSQI score ≥ 6) was 5.3 and 31.9%, respectively. Compared to non-nappers, nappers showed significantly higher odds of depressive symptoms, with OR (95% confidence interval (CI)) being 1.28 (1.11–1.49). The odds of depressive symptoms for daytime napping varied by nighttime sleep quality (P for interaction = 0.04). In good-quality sleepers, compared to non-nappers, nappers had significantly higher odds of depressive symptoms, with OR (95% CI) being 1.57 (1.23–2.01), whereas no association was found in poor-quality sleepers (OR = 1.13, 0.94–1.36). Conclusion Napping was associated with higher odds of depressive symptoms in older people, and the association was stronger in good-quality sleepers.
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spelling doaj.art-8f472641cf9a4ed0b0d8c1966d76f4762023-12-24T12:28:40ZengBMCBMC Geriatrics1471-23182023-12-0123111110.1186/s12877-023-04579-6Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort studyWeisen Zhang0Baijing Zhou1Chaoqiang Jiang2Yali Jin3Tong Zhu4Feng Zhu5Kar Keung Cheng6Tai Hing Lam7Lin Xu8Molecular Epidemiology Research Center, Guangzhou Twelfth People’s HospitalSchool of Public Health, Sun Yat-sen UniversityMolecular Epidemiology Research Center, Guangzhou Twelfth People’s HospitalMolecular Epidemiology Research Center, Guangzhou Twelfth People’s HospitalMolecular Epidemiology Research Center, Guangzhou Twelfth People’s HospitalMolecular Epidemiology Research Center, Guangzhou Twelfth People’s HospitalInstitute of Applied Health Research, University of BirminghamSchool of Public Health, The University of Hong KongSchool of Public Health, Sun Yat-sen UniversityAbstract Background Poor sleep quality has been linked to depression in older adults, but results of the association between daytime napping and depression remains limited and conflicting. Moreover, whether the association of daytime napping with depression varies by nighttime sleep quality is unclear. Hence, we examined the associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese. Methods A total of 16,786 participants aged ≥50 from the Guangzhou Biobank Cohort Study second-round examination (2008–2012) were included in this cross-sectional study. Geriatric Depression Scale (GDS-15), Pittsburgh Sleep Quality Index (PSQI), napping and demographic data were collected by face-to-face interview using a computerized questionnaire. Logistic regression was used to calculate odds ratio (OR) of depressive symptoms for napping and sleep quality. Results The prevalence of depressive symptoms (GDS score > 5) and poor global sleep quality (PSQI score ≥ 6) was 5.3 and 31.9%, respectively. Compared to non-nappers, nappers showed significantly higher odds of depressive symptoms, with OR (95% confidence interval (CI)) being 1.28 (1.11–1.49). The odds of depressive symptoms for daytime napping varied by nighttime sleep quality (P for interaction = 0.04). In good-quality sleepers, compared to non-nappers, nappers had significantly higher odds of depressive symptoms, with OR (95% CI) being 1.57 (1.23–2.01), whereas no association was found in poor-quality sleepers (OR = 1.13, 0.94–1.36). Conclusion Napping was associated with higher odds of depressive symptoms in older people, and the association was stronger in good-quality sleepers.https://doi.org/10.1186/s12877-023-04579-6Depressive symptomsDaytime nappingNighttime sleep qualityOlder peopleGuangzhou biobank cohort study
spellingShingle Weisen Zhang
Baijing Zhou
Chaoqiang Jiang
Yali Jin
Tong Zhu
Feng Zhu
Kar Keung Cheng
Tai Hing Lam
Lin Xu
Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
BMC Geriatrics
Depressive symptoms
Daytime napping
Nighttime sleep quality
Older people
Guangzhou biobank cohort study
title Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
title_full Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
title_fullStr Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
title_full_unstemmed Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
title_short Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study
title_sort associations of daytime napping and nighttime sleep quality with depressive symptoms in older chinese the guangzhou biobank cohort study
topic Depressive symptoms
Daytime napping
Nighttime sleep quality
Older people
Guangzhou biobank cohort study
url https://doi.org/10.1186/s12877-023-04579-6
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