Junxin Li1,2, Pamela Z Cacchione2, Nancy Hodgson2, Barbara Riegel2, Brendan T Keenan1, Mathew T Scharf1, Kathy C Richards3, Nalaka S Gooneratne1,4. 1. Center for Sleep and Circadian Neurobiology, Johns Hopkins University, Baltimore, Maryland. 2. School of Nursing, Johns Hopkins University, Baltimore, Maryland. 3. School of Nursing, College of Health and Human Services, George Mason University, Fairfax, Virginia. 4. Division of Geriatric Medicine, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Abstract
OBJECTIVES: To examine the cross-sectional associations between self-reported postlunch napping and structured cognitive assessments in Chinese older adults. DESIGN: Cross-sectional cohort study. SETTING: China. PARTICIPANTS: Individuals aged 65 and older from the baseline national wave of the China Health and Retirement Longitudinal Study (CHARLS) (N = 2,974). MEASUREMENTS: Interview-based cognitive assessments of orientation and attention, episodic memory, visuospatial abilities, and a combined global cognition score incorporating these assessments. Other self-reported or interview-based assessments included postlunch napping duration, nighttime sleep duration, demographic characteristics, health habits, comorbidities, functional status and social activities. According to reported napping duration, older adults were categorized as non-nappers (0 minutes), short nappers (<30 minutes), moderate nappers (30-90 minutes), and extended nappers (>90 minutes). RESULTS: Postlunch napping was reporting in 57.7% of participants for a mean of 63 minutes. Cognitive function was significantly associated with napping (P < .001). Between-group comparisons showed that moderate nappers had better overall cognition than nonnappers (P < .001) or extended nappers (P = .01). Nonnappers also had significantly poorer cognition than short nappers (P = .03). In multiple regression analysis, moderate napping was significantly associated with better cognition than non- (P = .004), short (P = .04), and extended napping (P = .002), after controlling for demographic characteristics, body mass index, depression, instrumental activities of daily living, social activities, and nighttime sleep duration. CONCLUSION: A cross-sectional association was found between moderate postlunch napping and better cognition in Chinese older adults. The cross-sectional design and self-reported measures of sleep limited the findings. Longitudinal studies with objective napping measures are needed to further test this hypothesis.
OBJECTIVES: To examine the cross-sectional associations between self-reported postlunch napping and structured cognitive assessments in Chinese older adults. DESIGN: Cross-sectional cohort study. SETTING: China. PARTICIPANTS: Individuals aged 65 and older from the baseline national wave of the China Health and Retirement Longitudinal Study (CHARLS) (N = 2,974). MEASUREMENTS: Interview-based cognitive assessments of orientation and attention, episodic memory, visuospatial abilities, and a combined global cognition score incorporating these assessments. Other self-reported or interview-based assessments included postlunch napping duration, nighttime sleep duration, demographic characteristics, health habits, comorbidities, functional status and social activities. According to reported napping duration, older adults were categorized as non-nappers (0 minutes), short nappers (<30 minutes), moderate nappers (30-90 minutes), and extended nappers (>90 minutes). RESULTS: Postlunch napping was reporting in 57.7% of participants for a mean of 63 minutes. Cognitive function was significantly associated with napping (P < .001). Between-group comparisons showed that moderate nappers had better overall cognition than nonnappers (P < .001) or extended nappers (P = .01). Nonnappers also had significantly poorer cognition than short nappers (P = .03). In multiple regression analysis, moderate napping was significantly associated with better cognition than non- (P = .004), short (P = .04), and extended napping (P = .002), after controlling for demographic characteristics, body mass index, depression, instrumental activities of daily living, social activities, and nighttime sleep duration. CONCLUSION: A cross-sectional association was found between moderate postlunch napping and better cognition in Chinese older adults. The cross-sectional design and self-reported measures of sleep limited the findings. Longitudinal studies with objective napping measures are needed to further test this hypothesis.
Authors: Adam P Spira; Yang An; Mark N Wu; Jocelynn T Owusu; Eleanor M Simonsick; Murat Bilgel; Luigi Ferrucci; Dean F Wong; Susan M Resnick Journal: Sleep Date: 2018-10-01 Impact factor: 5.849
Authors: Junxin Li; Yu-Ping Chang; Barbara Riegel; Brendan T Keenan; Miranda Varrasse; Allan I Pack; Nalaka S Gooneratne Journal: J Gerontol A Biol Sci Med Sci Date: 2018-03-02 Impact factor: 6.053
Authors: Jocelynn T Owusu; Alexandra M V Wennberg; Calliope B Holingue; Marian Tzuang; Kylie D Abeson; Adam P Spira Journal: Int J Geriatr Psychiatry Date: 2018-10-12 Impact factor: 3.485