{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:34:57Z","timestamp":1791635697423,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Prior studies evaluating sleep quality have found that women often have better polysomnography\u2010defined sleep quality than men, but women subjectively report a greater frequency of sleep disturbances. Although these studies can be partially attributed to study design, it is currently unclear what may be causing these discrepancies. In this study, we aim to identify potential differences in objectively assessed sleep quality between men and women with further emphasis on subgroup analysis based on age. We hypothesize that women's sleep worsens after menopause. Sleep quality was assessed by comparing the Sleep Quality Index, Arousal Index, sleep efficiency and apnea\u2013hypopnea index, as provided by the SleepImage Ring@ 2.3.0, between men and women, with a sub\u2010group analysis performed by age (18\u201340\u2009years, 41\u201350\u2009years, 51\u201360\u2009years, 61\u201370\u2009years, and\u2009&gt;\u200970\u2009years), run separately for women and men. In total, 1444 subjects (704 women and 740 men) with a mean age of 53.6\u2009\u00b1\u200914.71\u2009years were enrolled in this analysis. In women, a significant drop in Sleep Quality Index was noted after age 51\u2009years. Regression analysis demonstrated that age, Arousal Index, sleep efficiency and apnea\u2013hypopnea index correlated significantly with Sleep Quality Index \u2013 with age, Arousal Index and apnea\u2013hypopnea index negatively correlated, and sleep efficiency positively correlated. The highest correlation coefficient was obtained for Arousal Index in both women and men. In women, age older than 50\u2009years was associated with a more rapid decrease of sleep quality than men, as defined by an increase in Arousal Index and apnea\u2013hypopnea index with a concurrent decrease in Sleep Quality Index.<\/jats:p>","DOI":"10.1111\/jsr.14413","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T01:11:16Z","timestamp":1731633076000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Sex\u2010specific changes in sleep quality with aging: Insights from wearable device analysis"],"prefix":"10.1111","volume":"34","author":[{"given":"Jonathan","family":"Tam","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of California, San Francisco, Fresno Campus  Fresno California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6937-3065","authenticated-orcid":false,"given":"Raffaele","family":"Ferri","sequence":"additional","affiliation":[{"name":"Sleep Research Centre Oasi Research Institute\u2010IRCCS  Troina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6662-2281","authenticated-orcid":false,"given":"Maria P.","family":"Mogavero","sequence":"additional","affiliation":[{"name":"Vita\u2010Salute San Raffaele University  Milan Italy"},{"name":"Division of Neuroscience, Sleep Disorders Center San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Palomino","sequence":"additional","affiliation":[{"name":"Central California Faculty Medical Group  Fresno California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3349-8426","authenticated-orcid":false,"given":"Lourdes M.","family":"DelRosso","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Sleep Medicine University of California, San Francisco, Fresno Campus  Fresno California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12812"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2018.04.011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182412976"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsac107"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.1398"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcmm.14170"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55100668"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05616-0"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3244"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1258\/mi.2008.008013"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.028730"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.017016"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00506-2022"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2022.101689"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.06.004"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13534-023-00304-9"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000002553"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuron.2017.02.004"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1042\/ETLS20230111"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2015.0110"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2016.11.006"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.16540"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14091912"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.9.1151"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsx196"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-177"},{"key":"e_1_2_9_28_1","volume-title":"The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications. 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