{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T02:39:42Z","timestamp":1764988782780,"version":"3.46.0"},"reference-count":41,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"crossref","award":["2019-02081"],"award-info":[{"award-number":["2019-02081"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,6,16]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate any association of the presence and severity of nine major symptoms (pain, tiredness, drowsiness, nausea, appetite, breathlessness, depression, anxiety, and perceived well-being) with sleep quality and duration in elderly men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>Cross-sectional analysis within the population-based VAScular and Chronic Obstructive Lung disease study (VASCOL) conducted in southern Sweden in 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 838 older men aged 73 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>Severity of the symptoms was self-reported between 0 and 10 on a numerical rating scale. Breathlessness was also assessed using the Multidimensional Dyspnoea Profile and Dyspnoea-12. Sleep quality was reported on a 5-point Likert scale from \u2018very well\u2019 to \u2018very bad\u2019and sleep duration on a 7-point scale from \u2018less than 4 hours\u2019 to \u2018more than 10 hours\u2019. Associations of each symptom score with having worse sleep quality (\u2018bad\u2019 or \u2018very bad\u2019) and\/or shorter sleep duration (&lt;6 hour\/night) were analysed using logistic regression, adjusted for common confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 838 men analysed, 11% had worse sleep quality, 8% had shorter sleep duration and 5% had both. Higher severity of each symptom was associated with worse sleep quality (adjusted odds ratios (aOR) ranging 1.12\u20131.61) and shorter sleep duration (aORs ranging 1.10\u20131.49).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      A wide range of symptoms is associated with worse sleep quality and shorter sleep duration in elderly men, suggesting that clinicians should assess sleep when these symptoms are present and\n                      <jats:italic>vice versa<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-094962","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T22:55:33Z","timestamp":1751410533000},"page":"e094962","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Association of multiple symptoms with sleep quality and duration: a cross-sectional population-based study of older men in Sweden"],"prefix":"10.1136","volume":"15","author":[{"given":"Maria","family":"Zeaiter","sequence":"first","affiliation":[{"name":"Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0437-3168","authenticated-orcid":false,"given":"Max","family":"Olsson","sequence":"additional","affiliation":[{"name":"Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slavica","family":"Kochovska","sequence":"additional","affiliation":[{"name":"Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia"},{"name":"Faculty of Health, University of Technology Sydney, IMPACCT, Ultimo, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C","family":"Currow","sequence":"additional","affiliation":[{"name":"Faculty of Health, University of Technology Sydney, IMPACCT, Ultimo, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[{"name":"Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"2025120518111774000_15.7.e094962.1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S134864"},{"key":"2025120518111774000_15.7.e094962.2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-046425","article-title":"Chronic breathlessness and sleep problems: a population-based survey","volume":"11","author":"Currow","year":"2021","journal-title":"BMJ Open"},{"key":"2025120518111774000_15.7.e094962.3","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.26929"},{"key":"2025120518111774000_15.7.e094962.4","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-009-9462-6"},{"key":"2025120518111774000_15.7.e094962.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.2002.00941.x"},{"key":"2025120518111774000_15.7.e094962.6","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.11.2762"},{"key":"2025120518111774000_15.7.e094962.7","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1002\/jgf2.27","article-title":"Sleep disorders in the elderly: Diagnosis and management","volume":"18","author":"Suzuki","year":"2017","journal-title":"J Gen Fam Med"},{"key":"2025120518111774000_15.7.e094962.8","unstructured":"Colten HR , Altevogt BM , eds. 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