SYSTEMATIC REVIEW article
Front. Public Health
Sec. Aging and Public Health
This article is part of the Research TopicThe Costs of Caring for Older AdultsView all 11 articles
Prevalence of Sleep Disorders Among Older Adults in Chinese Elderly Care Institutions: A Systematic Review and Meta-analysis
Provisionally accepted
- 1Chengdu University of Chinese Medicine, Cheng Du, China
- 2Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Objective :To systematically evaluate the prevalence characteristics of sleep disorders among elderly residents in Chinese nursing homes and the differences among various subpopulations, providing evidence for promoting healthy aging. Methods: Search formulas were developed to systematically retrieve literature from the CNKI, VIP, Wan fang Data, CBM, PubMed, Web of Science, and Cochrane Library databases. Cross-sectional studies published from the inception of each database until May 2025 on the incidence of sleep disorders among elderly individuals in Chinese nursing homes were collected. Meta-analysis was performed using Stata 15.1 and R language (version 4.3.2). Results: A total of 35 articles were finally included, involving 15,996 elderly individuals residing in nursing homes. Meta-analysis revealed a pooled detection rate of sleep disorders of 43% (95% CI: 38%-48%) among this population. Temporal trend analysis indicated significant fluctuations in the incidence of sleep disorders from 2008 to 2024, coupled with an overall downward trend. Subgroup analyses revealed statistically significant differences (P < 0.05) based on geographic region, sample size, gender, and the sleep disorder assessment tool used. Conclusion: The detection rate of sleep disorders among elderly residents in Chinese nursing homes is relatively high, with marked disparities across different groups. Significant attention should be directed towards the sleep health of this population. Comprehensive preventive and intervention measures tailored to the characteristics of different subpopulations should be developed and implemented to effectively improve sleep quality and reduce the risk of sleep disorders.
Keywords: China, Elderly care institutions, Aged, Sleep Disorders, Prevalence, Meta-analysis
Received: 12 Jul 2025; Accepted: 17 Nov 2025.
Copyright: © 2025 Bai, Liu, Lv, Luo and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: yunlan Jiang, jiangyunlan1234@163.com
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