Mahjoobeh Betyar - Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Farzan Kheirkhah - Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Seyed Reza Hosseini - Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Ali Bijani - Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Sussan Moudi - Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

Introduction: Given the high prevalence of poor sleep quality in late adulthood, older adults might be involved with different physical, mental and social consequences of this disorder. Current research was conducted to examine the association between sleep quality and cognitive function in community-dwelling older adults. Methods: This cross-sectional study was carried out on ۸۰۰ community-dwelling people aged ≥ ۶۰ years living in Amirkola, North of Iran. The participants were selected by simple random sampling method. Mini-Mental State Examination, and the Pittsburgh Sleep Quality Index (PSQI) were used for data collection. Seven components of the sleep quality were categorized into the four groups (very good, relatively good, relatively poor, and very poor condition). The participants were divided into the two groups based on their cognitive function, and sleep quality was compared between these two groups. Mann-Whitney, Spearman's correlation analysis, Chi-square, Pearson's correlation test and Logistic regression analysis were used to analyze the collected data. Results: Mean PSQI score among the older adults with normal and abnormal cognitive function was ۵.۵ ± ۳.۲ and ۵.۸ ± ۳.۳, respectively (p = ۰.۵۰۸). Poor sleep quality was slightly more prevalent in the elderly with cognitive dysfunction (p = ۰.۷۷۵). Logistic regression analysis revealed age (adjusted OR = ۱.۰۶; ۹۵% CI: ۱.۰۳-۱.۰۸; p < ۰.۰۰۱) and level of education (adjusted OR = ۰.۱۴; ۹۵% CI: ۰.۰۹-۰.۲۰; p < ۰.۰۰۱) had a significant impact on cognitive function; PSQI score (p = ۰.۲۵۴), gender (p = ۰.۶۶۱), and administration of sleeping drugs  showed no significant effect (p = ۰.۰۸۱). Conclusion: Among different components of sleep quality, a significant positive association was observed between the frequency of sleep disturbances with cognitive function in older adults; furthermore, older age and lower level of education showed a significant negative effect on cognitive function.

Sleep, Cognition, Aged, Health