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Table 4 Estimates from general linear models of cognitive functioning by background variables among older women 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

-2.36*** (-3.79 - -0.92)

-1.30** (-2.59 - -0.017)

-1.33** (-2.64 - -0.028)

-0.99 (-2.27–0.29)

Poor

-3.15** (-5.79 - -0.52)

-1.98* (-4.30–0.34)

-2.29* (-4.60–0.020)

-1.74 (-4.16–0.67)

Sleep duration

    

Normal

Ref.

Ref.

Ref.

Ref.

Short

-2.72*** (-4.64 - -0.81)

-1.42 (-3.21–0.36)

-1.43 (-3.31–0.44)

-1.27 (-3.16–0.63)

Long

1.04 (-0.42–2.50)

0.20 (-1.05–1.45)

0.16 (-1.11–1.42)

0.53 (-0.71–1.76)

Age (in years)

    

50–59

Ref.

Ref.

Ref.

Ref.

60–69

-3.01*** (-4.46 - -1.56)

-1.70** (-3.02 - -0.37)

-1.74*** (-3.06 - -0.42)

-1.32** (-2.58 - -0.065)

70–79

-7.42*** (-8.98 - -5.86)

-4.99*** (-6.64 - -3.34)

-5.13*** (-6.76 - -3.50)

-4.20*** (-5.82 - -2.57)

80+

-9.60*** (-12.8 - -6.37)

-5.94*** (-9.35 - -2.53)

-6.37*** (-9.79 - -2.94)

-3.34* (-6.89–0.22)

Level of education

    

No formal education

Ref.

Ref.

Ref.

Ref.

Less than primary

5.83*** (3.70–7.97)

4.89*** (2.70–7.08)

3.72*** (1.55–5.89)

3.32*** (1.19–5.46)

Primary

9.02*** (7.27–10.8)

8.36*** (6.55–10.2)

6.90*** (5.06–8.73)

6.49*** (4.61–8.38)

Secondary

11.7*** (9.34–14.0)

10.6*** (8.17–13.0)

8.64*** (6.07–11.2)

7.75*** (5.08–10.4)

High school

16.6*** (12.8–20.4)

15.8*** (12.0–19.6)

13.2*** (9.49–16.9)

12.3*** (8.76–15.9)

College

18.8*** (15.3–22.2)

18.3*** (14.7–21.9)

14.9*** (11.0–18.9)

13.2*** (9.31–17.1)

Current marital status

    

Married

Ref.

Ref.

Ref.

Ref.

Widowed

-4.92*** (-6.23 - -3.61)

-1.97*** (-3.30 - -0.63)

-1.89*** (-3.24 - -0.55)

-1.54** (-2.83 - -0.26)

Others

-0.94 (-5.48–3.59)

-1.73 (-6.06–2.60)

-1.02 (-5.11–3.07)

0.51 (-3.67–4.69)

Nutritional intake (> 4 times per day)

    

No

Ref.

  

Ref.

Yes

3.59*** (1.97–5.20)

  

2.83*** (1.27–4.40)

Body mass index

    

Underweight

Ref.

  

Ref.

Normal

4.41*** (3.03–5.78)

  

2.14*** (0.81–3.48)

Overweight

8.38*** (6.22–10.5)

  

3.25*** (1.13–5.38)

Obese

9.44*** (6.84–12.0)

  

4.04*** (1.34–6.73)

Physical activity

    

Vigorous

Ref.

  

Ref.

Moderate

3.66*** (1.31–6.01)

  

2.56** (0.32–4.81)

Light

1.69 (-1.26–4.64)

  

2.24 (-0.58–5.06)

None

0.11 (-2.14–2.37)

  

0.90 (-1.33–3.13)

Self-rated health

    

Very good

Ref.

  

Ref.

Good

-4.54** (-8.14 - -0.94)

  

-0.64 (-4.24–2.96)

Moderate

-7.23*** (-10.7 - -3.73)

  

-1.89 (-5.44–1.67)

Bad

-9.99*** (-13.7 - -6.32)

  

-2.93 (-6.72–0.86)

Very bad

-14.8*** (-21.6 - -7.97)

  

-2.62 (-10.5–5.27)

Chronic conditions

    

Zero

Ref.

  

Ref.

Single

0.34 (-1.15–1.83)

  

-0.62 (-1.97–0.73)

Two

2.28** (0.48–4.09)

  

0.37 (-1.33–2.07)

Three and more

2.36 (-1.46–6.19)

  

-1.62 (-5.05–1.80)

Smoking

    

Never

Ref.

  

Ref.

Currently not

-2.51** (-5.01 - -0.0070)

  

-1.09 (-3.20–1.01)

Currently smoking

-2.49*** (-4.35 - -0.64)

  

1.16 (-0.57–2.89)

Wealth quintile

    

Poorest

Ref.

 

Ref.

Ref.

Poor

0.96 (-0.67–2.58)

 

0.35 (-1.37–2.06)

0.28 (-1.40–1.96)

Middle

2.91*** (0.84–4.99)

 

1.07 (-0.98–3.12)

1.01 (-0.99–3.01)

Rich

3.88*** (2.14–5.62)

 

1.36 (-0.40–3.12)

0.68 (-1.10–2.45)

Richest

9.33*** (7.48–11.2)

 

3.60*** (1.74–5.47)

2.94*** (1.04–4.84)

Religion

    

Hindu

Ref.

 

Ref.

Ref.

Muslim

0.96 (-0.82–2.75)

 

1.78* (-0.052–3.61)

1.53 (-0.32–3.38)

Others

0.85 (-1.56–3.26)

 

1.52 (-0.67–3.70)

1.26 (-0.97–3.49)

Social group

    

Scheduled castes

Ref.

 

Ref.

Ref.

Scheduled tribes

-0.83 (-2.82–1.15)

 

-0.53 (-2.52–1.45)

-0.69 (-2.68–1.30)

Other backward classes

2.48** (0.58–4.37)

 

0.75 (-1.06–2.57)

0.54 (-1.28–2.37)

Others

4.42*** (2.49–6.34)

 

1.31 (-0.58–3.20)

1.21 (-0.71–3.12)

Place of residence

    

Urban

Ref.

 

Ref.

Ref.

Rural

-4.21*** (-6.09 - -2.33)

 

-1.06 (-2.92–0.80)

-0.63 (-2.43–1.17)

States

    

Assam

Ref.

 

Ref.

Ref.

Karnataka

1.92* (-0.16–4.01)

 

1.75* (-0.32–3.82)

0.86 (-1.25–2.97)

Maharashtra

1.73 (-0.54–4.00)

 

1.29 (-0.66–3.24)

0.90 (-1.07–2.86)

Rajasthan

-0.70 (-2.04–0.65)

 

0.69 (-0.89–2.28)

0.31 (-1.34–1.97)

Uttar Pradesh

-0.56 (-2.15–1.02)

 

0.30 (-1.43–2.02)

0.24 (-1.57–2.06)

West Bengal

3.04*** (1.51–4.58)

 

2.12*** (0.53–3.71)

2.41*** (0.64–4.17)

Constant

 

53.7*** (52.3–55.0)

51.8*** (48.8–54.7)

49.6*** (44.6–54.6)

Observations

 

3,364

3,364

3,249

R-squared

 

0.193

0.210

0.231

  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