{"title":"Association between sleep quality and MCI in older adult patients with multimorbidity.","authors":"Ting Yang, Guoyan Zheng, Shuzhi Peng","doi":"10.3389/fpubh.2025.1547425","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the relationship between sleep quality and mild cognitive impairment in older adult patients with multimorbidity.</p><p><strong>Methods: </strong>The general data of older adult patients with chronic diseases were collected, and the sleep quality and mild cognitive impairment (MCI) of older adult patients with multimorbidity were investigated by questionnaire. Logistic regression model and restricted cubic spline (RCS) model were used to analyze the correlation between sleep quality and MCI in older adult patients with multimorbidity.</p><p><strong>Results: </strong>There are 902 valid samples in this study, of which 333 (36.9%) have MCI. The number of chronic diseases ranges from 2 to 6, and the number of types of medication ranges from 0 to 7. The score of PSQI is 2-18, with an average score of 11.13. MoCA score range is 7-30. The MoCA score of MCI patients is lower than that of Non-MCI patients. In all three models, PSQI score is significantly correlated with MCI. The results of the segmented regression analysis show that: the inflection point of MCI's PSQI scoring relationship is 12. RCS result display: with the increase of PSQI score, the OR increases between PSQI score and MCI, when PSQI score reaches 12, OR is significantly higher than 1.</p><p><strong>Conclusion: </strong>Sleep quality is an important influencing factor of MCI, and there is a threshold effect in the above association. According to this correlation, health professionals can take measures to improve the sleep quality of older adult patients with multimorbidity to reduce the occurrence of MCI.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1547425"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958228/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fpubh.2025.1547425","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To explore the relationship between sleep quality and mild cognitive impairment in older adult patients with multimorbidity.
Methods: The general data of older adult patients with chronic diseases were collected, and the sleep quality and mild cognitive impairment (MCI) of older adult patients with multimorbidity were investigated by questionnaire. Logistic regression model and restricted cubic spline (RCS) model were used to analyze the correlation between sleep quality and MCI in older adult patients with multimorbidity.
Results: There are 902 valid samples in this study, of which 333 (36.9%) have MCI. The number of chronic diseases ranges from 2 to 6, and the number of types of medication ranges from 0 to 7. The score of PSQI is 2-18, with an average score of 11.13. MoCA score range is 7-30. The MoCA score of MCI patients is lower than that of Non-MCI patients. In all three models, PSQI score is significantly correlated with MCI. The results of the segmented regression analysis show that: the inflection point of MCI's PSQI scoring relationship is 12. RCS result display: with the increase of PSQI score, the OR increases between PSQI score and MCI, when PSQI score reaches 12, OR is significantly higher than 1.
Conclusion: Sleep quality is an important influencing factor of MCI, and there is a threshold effect in the above association. According to this correlation, health professionals can take measures to improve the sleep quality of older adult patients with multimorbidity to reduce the occurrence of MCI.
期刊介绍:
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.