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Articles

The relationship between sleep quality and quality of life in aging: a systematic review and meta-analysis

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 169-191 | Received 12 Jun 2020, Accepted 25 Aug 2021, Published online: 20 Oct 2021
 

ABSTRACT

This study examined the available literature concerning the association between sleep quality and quality of life (QoL) in autonomous older people with no sleep disorders. A systematic review and meta-analysis were conducted on studies identified in the PsycInfo, PubMed and Scopus databases that examined the associations between QoL and sleep quality in older adults. Our systematic literature search identified 23 studies concerning a total of 21,092 participants (range of mean ages: 58–79 years). The results showed that self-reported sleep quality, but not objective sleep quality, correlated positively with QoL with a moderate effect size (for self-reported sleep quality, the overall estimate of the average effect size was a Pearson’s r = .28 [95% CI: .34, .23]; for objective sleep quality, it was r = .01 [.12, −.09]). This also applied to the main domains of QoL concerning physical and psychological health, social relationships and environmental aspects (the estimated average effect sizes ranged from Pearson’s r = .13 to r = .35). These findings highlight the influence of sleep quality, and particularly of self-reported sleep quality, on QoL (as a whole and in its specific domains) in older adults with normal aging and no insomnia. This influence should therefore be investigated systematically when examining QoL.

Acknowledgements

This work was carried out within the scope of the project ‘Use-inspired basic research’, for which the Department of General Psychology of the University of Padova has been recognized as ‘Dipartimento di Eccellenza’ by the Ministry of University and Research.

Conflicts of interest

The authors have no conflicts of interest to disclose.

Notes

1 References marked with an asterisk indicate studies included in the meta-analysis

Additional information

Funding

The authors received no funding from any external sources.

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