Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study

Background: Both napping and nighttime sleep duration have been reported to be associated with cognitive function in older adults, whereas little is known about the association between daytime napping and cognitive impairment in different nighttime sleep duration subgroups. This study aimed to explo...

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Main Authors: Hong Zhang, Lijuan Zhang, Chen Chen, Xiaoni Zhong
Format: Article
Language:English
Published: Komiyama Printing Co. Ltd 2023-11-01
Series:Environmental Health and Preventive Medicine
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/ehpm/28/0/28_23-00031/_html/-char/en
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author Hong Zhang
Lijuan Zhang
Chen Chen
Xiaoni Zhong
author_facet Hong Zhang
Lijuan Zhang
Chen Chen
Xiaoni Zhong
author_sort Hong Zhang
collection DOAJ
description Background: Both napping and nighttime sleep duration have been reported to be associated with cognitive function in older adults, whereas little is known about the association between daytime napping and cognitive impairment in different nighttime sleep duration subgroups. This study aimed to explore the correlation between daytime napping and cognitive impairment across nighttime sleep duration subgroups. Methods: A cross-sectional study was conducted by using the fourth survey of China Health and Retirement Longitudinal Study (CHARLS). We utilized the Mini-Mental State Examination (MMSE) scale to define cognitive impairment, and the daytime napping and nighttime sleep duration was self-reported by individuals. We applied the Restricted Cubic Spline (RCS) to analysis the dose-response relationships between daytime napping and cognitive impairment. And the multivariate Logistic Regression Model (LRM) was performed to evaluate the association of daytime napping and cognitive impairment. Results: A total of 3,052 individuals were included, of which 769 were cognitive impairment. The RCS showed there were non-linear association between daytime napping and cognitive impairment in all participants group and longer nighttime sleep duration subgroup (PNon-linear < 0.05, PDaytime napping < 0.05). The LRM revealed no napping (OR = 1.62, 95%CI 1.14–2.30) and excessive napping (1.64 95%CI 1.09–2.48) were related to cognitive impairment in longer nighttime sleep duration subgroup. Conclusions: Daytime napping had nonlinear association with cognitive impairment in Chinese elderly population. No napping and excessive daytime napping (>90 minutes) were related to cognitive impairment in participants with 7 and more hours nighttime sleep duration.
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spelling doaj.art-cf6a3d6e3f7d445c912c82b9608ada482023-11-30T06:07:57ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152023-11-0128727210.1265/ehpm.23-00031ehpmAssociation between daytime napping and cognitive impairment among Chinese older population: a cross-sectional studyHong Zhang0Lijuan Zhang1Chen Chen2Xiaoni Zhong3https://orcid.org/0000-0002-8035-1841Department of Health Statistics, School of Public Health, Chongqing Medical UniversityDepartment of Health Statistics, School of Public Health, Chongqing Medical UniversityDepartment of Health Statistics, School of Public Health, Chongqing Medical UniversityDepartment of Health Statistics, School of Public Health, Chongqing Medical UniversityBackground: Both napping and nighttime sleep duration have been reported to be associated with cognitive function in older adults, whereas little is known about the association between daytime napping and cognitive impairment in different nighttime sleep duration subgroups. This study aimed to explore the correlation between daytime napping and cognitive impairment across nighttime sleep duration subgroups. Methods: A cross-sectional study was conducted by using the fourth survey of China Health and Retirement Longitudinal Study (CHARLS). We utilized the Mini-Mental State Examination (MMSE) scale to define cognitive impairment, and the daytime napping and nighttime sleep duration was self-reported by individuals. We applied the Restricted Cubic Spline (RCS) to analysis the dose-response relationships between daytime napping and cognitive impairment. And the multivariate Logistic Regression Model (LRM) was performed to evaluate the association of daytime napping and cognitive impairment. Results: A total of 3,052 individuals were included, of which 769 were cognitive impairment. The RCS showed there were non-linear association between daytime napping and cognitive impairment in all participants group and longer nighttime sleep duration subgroup (PNon-linear < 0.05, PDaytime napping < 0.05). The LRM revealed no napping (OR = 1.62, 95%CI 1.14–2.30) and excessive napping (1.64 95%CI 1.09–2.48) were related to cognitive impairment in longer nighttime sleep duration subgroup. Conclusions: Daytime napping had nonlinear association with cognitive impairment in Chinese elderly population. No napping and excessive daytime napping (>90 minutes) were related to cognitive impairment in participants with 7 and more hours nighttime sleep duration.https://www.jstage.jst.go.jp/article/ehpm/28/0/28_23-00031/_html/-char/encognitive impairmentdaytime nappingcross-sectional studythe restricted cubic spline
spellingShingle Hong Zhang
Lijuan Zhang
Chen Chen
Xiaoni Zhong
Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study
Environmental Health and Preventive Medicine
cognitive impairment
daytime napping
cross-sectional study
the restricted cubic spline
title Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study
title_full Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study
title_fullStr Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study
title_full_unstemmed Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study
title_short Association between daytime napping and cognitive impairment among Chinese older population: a cross-sectional study
title_sort association between daytime napping and cognitive impairment among chinese older population a cross sectional study
topic cognitive impairment
daytime napping
cross-sectional study
the restricted cubic spline
url https://www.jstage.jst.go.jp/article/ehpm/28/0/28_23-00031/_html/-char/en
work_keys_str_mv AT hongzhang associationbetweendaytimenappingandcognitiveimpairmentamongchineseolderpopulationacrosssectionalstudy
AT lijuanzhang associationbetweendaytimenappingandcognitiveimpairmentamongchineseolderpopulationacrosssectionalstudy
AT chenchen associationbetweendaytimenappingandcognitiveimpairmentamongchineseolderpopulationacrosssectionalstudy
AT xiaonizhong associationbetweendaytimenappingandcognitiveimpairmentamongchineseolderpopulationacrosssectionalstudy