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Table 3 Estimates from general linear models of cognitive functioning by background variables among older men SAGE- 2015

From: Gender-specific associations between sleep quality, sleep duration and cognitive functioning among older Indians: findings from WHO-SAGE study

Variables

Unadjusted coefficients (95% CI)

Model 1

Model 2

Model 3

Adjusted coefficients (95% CI)

Adjusted coefficients (95% CI)

Adjusted coefficients (95% CI)

Sleep quality

    

Good

Ref.

Ref.

Ref.

Ref.

Moderate

-3.85*** (-5.69 - -2.02)

-2.56*** (-4.11 - -1.01)

-2.82*** (-4.24 - -1.39)

-2.39*** (-3.78 - -1.00)

Poor

-5.09*** (-8.66 - -1.51)

-3.24* (-6.48–0.0037)

-3.75** (-6.63 - -0.87)

-2.34 (-5.41–0.74)

Sleep duration

    

Normal

Ref.

Ref.

Ref.

Ref.

Short

-5.43*** (-7.77 - -3.10)

-3.92*** (-6.11 - -1.72)

-4.35*** (-6.39 - -2.32)

-4.39*** (-6.46 - -2.31)

Long

0.47 (-1.13–2.06)

-0.0016 (-1.38–1.38)

0.14 (-1.10–1.38)

0.10 (-1.11–1.31)

Age (in years)

    

50–59

Ref.

Ref.

Ref.

Ref.

60–69

-4.41*** (-6.11 - -2.71)

-3.97*** (-5.50 - -2.43)

-3.53*** (-4.88 - -2.17)

-3.09*** (-4.46 - -1.72)

70–79

-6.71*** (-8.81 - -4.61)

-5.16*** (-7.20 - -3.13)

-5.53*** (-7.30 - -3.76)

-4.49*** (-6.30 - -2.68)

80+

-12.7*** (-15.6 - -9.76)

-10.4*** (-13.7 - -7.04)

-10.5*** (-13.6 - -7.38)

-9.22*** (-12.2 - -6.19)

Level of education

    

No formal education

Ref.

Ref.

Ref.

Ref.

Less than primary

5.65*** (3.43–7.88)

5.50*** (3.26–7.74)

4.59*** (2.68–6.49)

4.50*** (2.56–6.45)

Primary

7.56*** (5.82–9.30)

6.88*** (5.10–8.65)

5.78*** (4.15–7.41)

5.67*** (4.03–7.30)

Secondary

12.2*** (9.89–14.5)

11.7*** (9.46–13.9)

9.75*** (7.87–11.6)

9.77*** (7.96–11.6)

High school

10.8*** (9.27–12.4)

10.0*** (8.34–11.7)

8.71*** (6.94–10.5)

8.26*** (6.51–10.0)

College

15.5*** (12.3–18.6)

14.6*** (11.5–17.7)

12.1*** (9.25–15.0)

11.5*** (8.49–14.4)

Current marital status

    

Married

Ref.

Ref.

Ref.

Ref.

Widowed

-6.22*** (-8.10 - -4.33)

-2.89*** (-4.74 - -1.03)

-2.56*** (-4.39 - -0.73)

-2.52*** (-4.34 - -0.69)

Others

-2.26 (-6.54–2.02)

-2.29 (-6.55–1.97)

-1.08 (-5.24–3.08)

-0.92 (-5.16–3.32)

Nutritional intake (> 4 times per day)

    

No

Ref.

  

Ref.

Yes

1.59** (0.046–3.14)

  

-0.0016 (-1.37–1.37)

Body mass index

    

Underweight

Ref.

  

Ref.

Normal

5.30*** (3.83–6.77)

  

1.80*** (0.56–3.03)

Overweight

8.39*** (6.04–10.7)

  

2.18** (0.23–4.12)

Obese

8.56*** (4.38–12.7)

  

3.67** (0.52–6.81)

Physical activity

    

Vigorous

Ref.

  

Ref.

Moderate

0.23 (-2.10–2.56)

  

-0.20 (-1.89–1.50)

Light

1.20 (-0.81–3.20)

  

0.39 (-1.29–2.07)

None

-2.05** (-3.79 - -0.31)

  

-1.34* (-2.77–0.088)

Self-rated health

    

Very good

Ref.

  

Ref.

Good

-4.63** (-9.11 - -0.15)

  

-2.63 (-5.90–0.64)

Moderate

-8.64*** (-12.9 - -4.33)

  

-3.93** (-6.98 - -0.87)

Bad

-12.0*** (-16.5 - -7.49)

  

-4.44** (-7.83 - -1.04)

Very bad

-9.98*** (-15.9 - -4.09)

  

-3.84 (-9.57–1.89)

Chronic conditions

    

Zero

Ref.

  

Ref.

Single

-0.81 (-2.39–0.78)

  

-0.48 (-1.67–0.71)

Two

-0.88 (-3.09–1.32)

  

-1.06 (-3.03–0.90)

Three and more

-2.93 (-6.64–0.78)

  

-2.56 (-5.66–0.54)

Smoking

    

Never

Ref.

  

Ref.

Currently not

-1.37 (-3.24–0.50)

  

-0.91 (-2.42–0.60)

Currently smoking

-1.08 (-2.81–0.65)

  

0.35 (-0.98–1.68)

Wealth quintile

    

Poorest

Ref.

 

Ref.

Ref.

Poor

3.90*** (1.72–6.08)

 

1.33 (-0.35–3.00)

1.21 (-0.50–2.92)

Middle

4.90*** (2.86–6.94)

 

2.16** (0.40–3.92)

1.95** (0.20–3.70)

Rich

5.81*** (3.88–7.75)

 

2.14** (0.31–3.98)

1.85** (0.020–3.68)

Richest

10.2*** (8.09–12.4)

 

3.76*** (1.75–5.77)

3.47*** (1.45–5.49)

Religion

    

Hindu

Ref.

 

Ref.

Ref.

Muslim

-0.85 (-2.75–1.04)

 

2.18** (0.50–3.85)

2.37*** (0.69–4.06)

Others

-4.13* (-8.44–0.19)

 

-3.49 (-8.06–1.08)

-3.89* (-8.39–0.60)

Social group

    

Scheduled castes

Ref.

 

Ref.

Ref.

Scheduled tribes

1.28 (-1.03–3.60)

 

1.57 (-0.50–3.64)

1.33 (-0.77–3.43)

Other backward classes

4.50*** (2.23–6.76)

 

1.89* (-0.011–3.79)

1.75* (-0.20–3.70)

Others

6.19*** (3.84–8.54)

 

2.27** (0.21–4.32)

2.20** (0.086–4.30)

Place of residence

    

Urban

Ref.

 

Ref.

Ref.

Rural

-6.10*** (-8.32 - -3.88)

 

-2.25** (-4.07 - -0.43)

-2.24** (-4.03 - -0.46)

States

    

Assam

Ref.

 

Ref.

Ref.

Karnataka

-0.78 (-2.79–1.22)

 

-3.53*** (-5.73 - -1.33)

-4.30*** (-6.50 - -2.10)

Maharashtra

6.38*** (3.77–8.98)

 

4.02*** (1.99–6.05)

2.77*** (0.79–4.76)

Rajasthan

2.67*** (1.26–4.07)

 

1.67* (-0.0037–3.35)

1.12 (-0.61–2.85)

Uttar Pradesh

1.96** (0.42–3.51)

 

-0.59 (-2.37–1.19)

-1.13 (-3.02–0.76)

West Bengal

2.43*** (0.68–4.19)

 

-0.20 (-2.17–1.77)

-0.49 (-2.57–1.59)

Constant

 

56.7*** (55.1–58.3)

54.8*** (51.7–57.8)

58.2*** (53.6–62.8)

Observations

 

3,000

3,000

2,909

R-squared

 

0.224

0.273

0.296

  1. Notes: Model 1 is adjusted for age, education and marital status; Model 2 is additionally adjusted for other socio-demographics such as household wealth quintile, religion, social group, place of residence and states; Model 3 is fully adjusted model, i.e., additionally adjusted for the health variables such as nutritional intake, body mass index, physical activity, self-rated health, chronic conditions and smoking status; CI: Confidence interval; *** p < 0.001, ** p < 0.01, * p < 0.05