# Sleep duration and cognitive function among rural older adults in China: A population-based study

## TL;DR

This study finds that both short and long sleep durations are linked to worse cognitive function in older adults living in rural China.

## Contribution

The study provides novel evidence on the relationship between sleep duration and cognitive function in rural elderly populations in China.

## Key findings

- Short sleep (≤5 h) was associated with a higher odds of cognitive impairment before adjusting for covariates.
- Both short (≤5 h) and long (≥8 h) sleep durations were linked to lower MMSE scores compared to 6 h of sleep.
- The negative association between abnormal sleep and cognitive function was consistent across cognitive subdomains.

## Abstract

Appropriate sleep duration is essential for maintaining normal cognitive function, but evidence is scarce in rural elderly population. This study aims to determine the associations between sleep duration and cognitive function among older adults in rural China.

This population-based cross-sectional study used data from the Confucius Hometown Aging Project in Shandong, China. Data on demographics, lifestyles, and chronic health conditions were collected through questionnaire surveys, clinical examinations, and laboratory tests. Sleep duration per day was classified into four groups (≤5 h, 6 h, 7 h, and ≥8 h). The Mini-Mental State Examination (MMSE) was used to assess the global and domain-specific cognitive function. Linear and logistic regressions were performed to determine the associations between sleep duration and cognitive function.

Compared with 6 h sleep per day, sleep ≤5 h per day was associated with a higher odd of cognitive impairment with odds ratio (95% confident interval) being 1.70 (1.05, 2.74), but the association was attenuated and insignificant after the adjustment of covariates. Compared to those with 6 h sleep, individuals reporting short (≤5 h) or long (≥ 8 h) sleep duration per day had a lower MMSE score, and the adjusted β coefficient (95% confidence interval) was −0.36 (−0.71, −0.02) for sleep ≤5 h and −0.68 (−1.06, −0.30) for sleep ≥8 h. The patterns were similar for cognitive subdomains in orientation, attention and calculation.

Our study showed that abnormal sleep duration was associated with poor cognitive function in older adults in China. Specifically, longer or shorter sleep duration was associated with lower cognitive function.