Association between sleep quality and MCI in older adult patients with multimorbidity

ObjectiveTo explore the relationship between sleep quality and mild cognitive impairment in older adult patients with multimorbidity.MethodsThe general data of older adult patients with chronic diseases were collected, and the sleep quality and mild cognitive impairment (MCI) of older adult patients...

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Main Authors: Ting Yang, Guoyan Zheng, Shuzhi Peng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1547425/full
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author Ting Yang
Guoyan Zheng
Shuzhi Peng
author_facet Ting Yang
Guoyan Zheng
Shuzhi Peng
author_sort Ting Yang
collection DOAJ
description ObjectiveTo explore the relationship between sleep quality and mild cognitive impairment in older adult patients with multimorbidity.MethodsThe 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.ResultsThere 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.ConclusionSleep 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.
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spelling doaj-art-f6c5d25e834d4292a794cbc4c9891e5c2025-08-20T02:56:36ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.15474251547425Association between sleep quality and MCI in older adult patients with multimorbidityTing Yang0Guoyan Zheng1Shuzhi Peng2School of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, ChinaSchool of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, ChinaCollege of Health Management, Shanghai Jian Qiao University, Shanghai, ChinaObjectiveTo explore the relationship between sleep quality and mild cognitive impairment in older adult patients with multimorbidity.MethodsThe 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.ResultsThere 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.ConclusionSleep 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.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1547425/fullmultimorbidityRCSsleep qualityMCIPSQI
spellingShingle Ting Yang
Guoyan Zheng
Shuzhi Peng
Association between sleep quality and MCI in older adult patients with multimorbidity
Frontiers in Public Health
multimorbidity
RCS
sleep quality
MCI
PSQI
title Association between sleep quality and MCI in older adult patients with multimorbidity
title_full Association between sleep quality and MCI in older adult patients with multimorbidity
title_fullStr Association between sleep quality and MCI in older adult patients with multimorbidity
title_full_unstemmed Association between sleep quality and MCI in older adult patients with multimorbidity
title_short Association between sleep quality and MCI in older adult patients with multimorbidity
title_sort association between sleep quality and mci in older adult patients with multimorbidity
topic multimorbidity
RCS
sleep quality
MCI
PSQI
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1547425/full
work_keys_str_mv AT tingyang associationbetweensleepqualityandmciinolderadultpatientswithmultimorbidity
AT guoyanzheng associationbetweensleepqualityandmciinolderadultpatientswithmultimorbidity
AT shuzhipeng associationbetweensleepqualityandmciinolderadultpatientswithmultimorbidity