NEUROLOGY / RESEARCH PAPER
Effects of nocturnal-diurnal sleep patterns and social participation factors on memory-related disorders in middle-aged and older adults
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1
Zhaoqing University, China
2
Department of Sports, Exercise and Health Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
3
College of Sports Science, Dankook University, Korea (South)
4
Department of Sport and Exercise Sciences, Kunsan National University, Korea (South)
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Faculty of Education, City University of Macau, China
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Department of Rehabilitation Medicine, Shenzhen Hospital, Southern Medical University, China
Submission date: 2025-12-08
Final revision date: 2026-02-10
Acceptance date: 2026-03-03
Online publication date: 2026-06-04
Corresponding author
Hai Li
Department of Rehabilitation Medicine, Shenzhen Hospital, Southern Medical University, Shenzhen, China
KEYWORDS
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ABSTRACT
Introduction:
To investigate whether there is an association between nocturnal-daytime sleep patterns as well as social participation and memory-related categories of diseases in the middle-aged and elderly population in China.
Material and methods:
This study was based on data from the Peking University China Health and Aging Tracking Survey (CHARLS), and a total of 19,023 study participants were analyzed in the year 2018 according to the inclusion and exclusion criteria. Logistic regression models were used to explore the relationship between different night-time-daytime sleep patterns, social participation, and memory-related categories of disorders step by step with adjustments for different covariates, and the odds ratios (ORs) and 95% confidence intervals (95% Cl) were obtained.
Results:
Logistic regression models gradually adjusted for confounding with nighttime sleep duration >5 h and daytime sleep duration ≤30 min group, Going to a sport, social, or other club activity and social participation as the protective factors of memory-related class of diseases. Stratified analyses found that among males, people living in rural areas, and married people, the group with >5 h of nighttime sleep and ≤30 min of daytime sleep was a protective factor for memory-related classes of diseases. Among women, people living in urban areas, and married people, social participation was a protective factor for memory-related diseases.
Conclusions:
Nighttime sleep time >5 h, daytime sleep time ≤30 min group, and social participation are independent protective factors for memory-related class disorders in older adults.
Keywords: sleep patterns, social participation, memory-related disorders, CHARLS, middle‐aged and older adults