{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:13:10Z","timestamp":1787163190668,"version":"build-2736575974"},"reference-count":62,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,29]],"date-time":"2025-06-29T00:00:00Z","timestamp":1751155200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["82201708"],"award-info":[{"award-number":["82201708"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Striving for the First-Class, Improving Weak Links and Highlighting Features"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    This study investigates the impact of sleep disorders on biological aging, examining the mediating role of depressive symptoms and the moderating effect of a healthy lifestyle. Data were drawn from the National Health and Nutrition Examination Survey (NHANES) for the years 2005\u20132014, with a sample of 18,862 participants aged 20\u201379. Biological aging was assessed using the Klemera-Doubal method (KDM-BA), depressive symptoms were measured with the PHQ-9 scale, and lifestyle factors were evaluated based on smoking, alcohol consumption, and physical activity. Results indicate that sleep disorders significantly accelerate biological aging (\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u20094.347,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001), with depressive symptoms acting as a mediator (indirect effect\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u20091.127,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). A healthy lifestyle moderates these effects, reducing both depressive symptoms and biological aging (\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.205,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). These findings highlight the importance of addressing sleep disorders and promoting a healthy lifestyle to mitigate their adverse effects on biological aging and promote better health and longevity.\n                  <\/jats:p>","DOI":"10.1177\/13591053251346366","type":"journal-article","created":{"date-parts":[[2025,6,29]],"date-time":"2025-06-29T08:36:37Z","timestamp":1751186197000},"page":"332-349","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Sleep disorders accelerate biological aging through depressive symptoms: Evidence from NHANES"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0389-1844","authenticated-orcid":false,"given":"Zheng","family":"Zhang","sequence":"first","affiliation":[{"name":"Key Laboratory of Brain, Cognition and Education Sciences, South China Normal University, Ministry of Education, Guangzhou, China"},{"name":"School of Psychology, South China Normal University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9002-748X","authenticated-orcid":false,"given":"Huijie","family":"Xu","sequence":"additional","affiliation":[{"name":"Huazhong University of Science and Technology, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Cui","sequence":"additional","affiliation":[{"name":"Hebei Vocational University of Technology and Engineering, Xingtai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7188-2898","authenticated-orcid":false,"given":"Yun","family":"Meng","sequence":"additional","affiliation":[{"name":"Key Laboratory of Brain, Cognition and Education Sciences, South China Normal University, Ministry of Education, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Brain, Cognition and Education Sciences, South China Normal University, Ministry of Education, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,29]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42269-024-01174-6"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3216"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-020-0741-x"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S471324"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coemr.2021.03.021"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare7010001"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-022-02403-3"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0030-0"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-17960-w"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10571-024-01487-0"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/function\/zqae005"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcmm.14170"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300167"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/acel.13610"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2009.07.003"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12035-023-03602-6"},{"issue":"1","key":"e_1_3_2_18_1","article-title":"Sleep restfulness in patients with obstructive sleep apnea undergoing continuous positive airway pressure therapy","volume":"17","author":"Hamada S","year":"2024","unstructured":"Hamada S, Togawa J, Sunadome H, et al. 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