{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T23:15:35Z","timestamp":1768000535978,"version":"3.49.0"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. esc. enferm. USP"],"abstract":"<jats:p>ABSTRACT  Objective: To verify the association between low self-reported sleep quality (LSQ) and fall in middle-aged and older adults every half-decade of life.  Method: A cross-sectional study was conducted using data from the first wave (2015\u20132016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is nationally representative. The sample consisted of 8,950 participants who were allocated into eight age groups: 50\u201354, 55\u201359, 60\u201364, 65\u201369, 70\u201374, 75\u201379, 80\u201384, and \u2265 85 years. The questionnaires used included self-reported sleep quality and the International Physical Activity Questionnaire short version. Fisher\u2019s exact test followed by binary logistic regression analysis was performed to identify the odds ratio of sleep quality for fall occurrence, controlled for confounding variables.  Results: Individuals aged 50\u2013105 years (63.6 \u00b1 10.2 years), 57.0% females and 43.0% males, participated in this study. Overall, 21.5% of participants experienced at least one fall. The relative frequency of participants classified as having high or LSQ remained constant across each half-decade of life. The LSQ exhibited a statistically significant OR (p &lt; 0.05) for falls across age groups up to 84, even after accounting for confounding variables.  Conclusion: LSQ is significantly associated with an increased occurrence of fall in adults aged &gt;50 years, but not for \u2265 85 years regardless of sex and physical activity level.<\/jats:p>","DOI":"10.1590\/1980-220x-reeusp-2024-0027en","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T10:29:10Z","timestamp":1720175350000},"source":"Crossref","is-referenced-by-count":2,"title":["Sleep quality and falls in middle-aged and older adults: ELSI-Brazil study"],"prefix":"10.1590","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0055-4682","authenticated-orcid":false,"given":"Andr\u00e9 Pereira dos","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade do Porto,  Portugal; Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8212-9032","authenticated-orcid":false,"given":"J\u00e9ssica Fernanda Correa","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7490-9466","authenticated-orcid":false,"given":"Pedro Pugliesi","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7988-968X","authenticated-orcid":false,"given":"Lucimere","family":"Bohn","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal; Universidade Lus\u00f3fona,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6320-7784","authenticated-orcid":false,"given":"Emerson","family":"Sebasti\u00e3o","sequence":"additional","affiliation":[{"name":"University of Illinois Urbana-Champaign,  United States"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7028-1352","authenticated-orcid":false,"given":"Leonardo Santos Lopes da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6111-1199","authenticated-orcid":false,"given":"M\u00e1rcio Fernando","family":"Tasinafo J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5087-5997","authenticated-orcid":false,"given":"Ana Cl\u00e1udia Rossini","family":"Venturini","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6486-2326","authenticated-orcid":false,"given":"Alynne Christian Ribeiro","family":"Andaki","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal; Universidade Federal do Tri\u00e2ngulo Mineiro,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8182-8296","authenticated-orcid":false,"given":"Edmar Lacerda","family":"Mendes","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal; Universidade Federal do Tri\u00e2ngulo Mineiro,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1624-5013","authenticated-orcid":false,"given":"Pablo Jorge","family":"Marcos-Pardo","sequence":"additional","affiliation":[{"name":"Universidad de Almer\u00eda,  Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":false,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7327-0800","authenticated-orcid":false,"given":"Dalmo Roberto Lopes","family":"Machado","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal; Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil; Universidade de S\u00e3o Paulo,  Brasil; Universidade do Porto,  Portugal; Universidade do Algarve,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1038\/s41392-022-01251-0","article-title":"Aging and aging-related diseases: from molecular mechanisms to interventions and treatments","volume":"7","author":"Guo J","year":"2022","journal-title":"Signal Transduct Target Ther"},{"key":"ref2","series-title":"Aging and health [Internet].","year":"2022"},{"key":"ref3","series-title":"Censo of 2022 [Internet].","year":"2022"},{"key":"ref4","first-page":"69","article-title":"Prevalence of multimorbidity in older adults in S\u00e3o Paulo, Brazil: a study with ISA-Capital","volume":"56","author":"Keomma K","year":"2022","journal-title":"Rev Saude Publica"},{"key":"ref5","series-title":"2020 profile of older Americans [Internet].","year":"2021"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1186\/s13018-022-03222-1","article-title":"Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis","volume":"17","author":"Salari N","year":"2022","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1186\/s13018-022-03222-1","article-title":"Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis","volume":"17","author":"Salari N","year":"2022","journal-title":"J Orthop Surg Res"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"e907","DOI":"10.1016\/S2468-2667(21)00231-0","article-title":"Burden of falls among people aged 60 years and older in mainland China, 1990-2019: findings from the Global Burden of Disease Study 2019","volume":"6","author":"Ye P","year":"2021","journal-title":"Lancet Public Health"},{"key":"ref9","series-title":"World report on ageing and health [Internet].","year":"2022"},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1001\/jama.2009.2024","article-title":"The patient who falls: \u201cit\u2019s always a trade-off","volume":"303","author":"Tinetti ME","year":"2010","journal-title":"JAMA"},{"issue":"9","key":"ref11","first-page":"CD009233","article-title":"Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment","volume":"9","author":"E JY","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"e907","DOI":"10.1016\/S2468-2667(21)00231-0","article-title":"Burden of falls among people aged 60 years and older in mainland China, 1990-2019: findings from the Global Burden of Disease Study 2019","volume":"6","author":"Ye P","year":"2021","journal-title":"Lancet Public Health"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"1823","DOI":"10.1111\/ggi.12973","article-title":"Impact of poor sleep quality and physical inactivity on cognitive function in community-dwelling older adults","volume":"17","author":"Nakakubo S","year":"2017","journal-title":"Geriatr Gerontol Int"},{"issue":"4","key":"ref14","doi-asserted-by":"crossref","first-page":"e13607","DOI":"10.1111\/jsr.13607","article-title":"Recent advances in memory consolidation and information processing during sleep","volume":"31","author":"Hoedlmoser K","year":"2022","journal-title":"J Sleep Res"},{"issue":"8","key":"ref15","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.3390\/nu14081549","article-title":"Sleep deprivation: effects on weight loss and weight loss maintenance","volume":"14","author":"Papatriantafyllou E","year":"2022","journal-title":"Nutrients"},{"issue":"7","key":"ref16","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1093\/aje\/kwx387","article-title":"The Brazilian Longitudinal Study of Aging (ELSI-Brazil): objectives and design","volume":"187","author":"Lima-Costa MF","year":"2018","journal-title":"Am J Epidemiol"},{"key":"ref17","series-title":"Geriatria pr\u00e1tica [Internet].","first-page":"193","volume-title":"Instabilidade e quedas. 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