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Healthy aging was defined as the absence of major chronic diseases, no physical functional limitations, and good subjective cognitive function and mental health. Logistic regression and restricted cubic spline curve analysis were employed to examine the potential association between sleep duration and healthy aging. Stratified analyses were conducted to examine the interactive effects of sleep duration with smoking, employment status, and other variables on healthy aging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      35,056 older adults (mean age 73.06\u2009\u00b1\u20095.31 years, 60.5% females) were included, among whom 5,782 (16.5%) achieved healthy aging. Sleep duration exhibited an inverted U-shaped relationship with healthy aging. Compared to those who slept for 7\u00a0h, the adjusted ORs (95% CI) of healthy aging for those who slept for \u2264\u20095\u00a0h, 6\u00a0h, 8\u00a0h, and \u2265\u20099\u00a0h were 0.51 (0.43, 0.59), 0.79 (0.72, 0.87), 0.96 (0.90, 1.03), and 0.65 (0.58, 0.73), respectively. Additionally, there was an interaction between sleep duration and employment &amp; smoking status on healthy aging (\n                      <jats:italic>P<\/jats:italic>\n                      interaction\u2009=\u20090.003 &amp; 0.009). Among the unemployed, the adjusted OR (95% CI) for healthy aging among those who slept\u2009\u2264\u20095\u00a0h was 0.41 (0.34, 0.49) [\n                      <jats:italic>VS<\/jats:italic>\n                      the employed: 0.75 (0.56, 1.01)]; among current and former smokers, the adjusted OR (95% CI) for healthy aging among those who slept\u2009\u2264\u20095\u00a0h was 0.37 (0.17, 0.82) and 0.39 (0.29, 0.51) [\n                      <jats:italic>VS<\/jats:italic>\n                      never smokers: 0.60 (0.49, 0.73)].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both short and prolonged sleep duration may adversely impact healthy aging, especially among the unemployed and smokers. Health professionals should advise older adults that 7\u20138\u00a0h of sleep per day may promote overall health. Future research should explore the longitudinal relationship between sleep duration and healthy aging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12877-026-07181-8","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T06:24:14Z","timestamp":1771655054000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between sleep duration and healthy aging among older adults: evidence from the Behavioral Risk Factor Surveillance System"],"prefix":"10.1186","volume":"26","author":[{"given":"Liuhong","family":"Tian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shulei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodan","family":"kuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaming","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengjia","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongying","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,21]]},"reference":[{"key":"7181_CR1","unstructured":"Census Bureau US. 2023 National PopulationProjections Tables: Main Series, 2023. 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