Reciprocal links between nocturnal sleep and activities of daily living: A longitudinal study of midlife and older couples

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-09-05 DOI:10.1111/ggi.70159

Ziqiang Yu, Jinping Long, Weitao Lv, Jieyao Li, Dongliang Xu, Xiaoyan Shi, Yu Wang

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引用次数: 0

Abstract

Aim

This study aimed to explore the bidirectional temporal relationships between nocturnal sleep (duration and quality) and activities of daily living (ADL) in midlife and older couples, while analyzing cross-spousal effects to inform collaborative health interventions for aging populations.

Methods

The longitudinal study utilized three nationally representative waves of data (2015, 2018, 2020) from the China Health and Retirement Longitudinal Study (CHARLS). We included 2420 participants (1210 dyads). Generalized estimating equations (GEEs) and cross-lagged panel models were employed to examine temporal and cross-partner associations.

Results

The mean age of participants was 60.01 ± 6.95 years, with 9.01% exhibiting ADL limitations. GEE results revealed non-significant temporal effects on husbands' ADL changes (z = 1.741, P = 0.082), whereas wives demonstrated a significant decline in ADL function over time (z = 2.705, P = 0.007). In the sleep-duration model, wives' sleep duration directly predicted husbands' subsequent ADL (β = −0.058 and −0.044; P < 0.05), and several indirect partner pathways were observed. In the sleep-quality model, husbands' poorer sleep quality directly predicted wives' later ADL (β = 0.077 and 0.052; P < 0.05), while wives' poorer sleep quality influenced husbands' ADL indirectly via husbands' subsequent sleep. Eight hypothesized cross-spousal paths were supported at P < 0.05.

Conclusions

These findings highlight clinically significant bidirectional sleep–ADL dynamics in couples, emphasizing the need to treat spouses as interdependent health units. Incorporating brief partner sleep screening and dyadic sleep or caregiver supports into geriatric and rehabilitation pathways may help mitigate downstream functional decline. Geriatr Gerontol Int 2025; 25: 1379–1388.

Abstract Image

查看原文本刊更多论文

夜间睡眠和日常生活活动之间的相互联系：一项对中年和老年夫妇的纵向研究。

目的：本研究旨在探讨中老年夫妇夜间睡眠（持续时间和质量）与日常生活活动（ADL）之间的双向时间关系，并分析跨配偶效应，为老年人群的协同健康干预提供依据。方法：纵向研究利用了中国健康与退休纵向研究（CHARLS）中具有全国代表性的三波数据（2015年、2018年和2020年）。我们纳入了2420名参与者（1210对）。使用广义估计方程（GEEs）和交叉滞后面板模型来检验时间和交叉伙伴关联。结果：参与者的平均年龄为60.01±6.95岁，其中9.01%存在ADL限制。GEE结果显示，随着时间的推移，妻子的ADL功能显著下降（z = 2.705, P = 0.007），而丈夫的ADL功能变化的时间影响不显著（z = 1.741, P = 0.082）。在睡眠时间模型中，妻子的睡眠时间直接预测丈夫随后的ADL （β = -0.058和-0.044；P）。结论：这些发现突出了夫妻之间具有临床意义的双向睡眠-ADL动态，强调了将配偶视为相互依赖的健康单位的必要性。将短暂伴侣睡眠筛查和二元睡眠或护理人员支持纳入老年和康复途径可能有助于减轻下游功能衰退。Geriatr Gerontol 2025；••: ••-••.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.