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Sleep Quality as a Critical Pathway Between Adverse Childhood Experiences and Multimorbidity and the Impact of Lifestyle

Bibliographic Data

ID6432432
AuthorsJulia Sheffler (0000-0002-9784-1134, Florida State University College of Medicine, corresponding author), Zhuo Meng (0009-0007-4926-2270, Florida State University), Natalie Sachs‐ericsson (0000-0002-2852-1401, Florida State University), Natalie Sachs-Ericsson (Florida State University), Viviana G Caimary (Florida State University College of Medicine), Juhi Patel (0000-0002-7907-1738, Florida State University College of Medicine), Scott M Pickett (0000-0003-3713-2210, Florida State University), Scott Pickett (Florida State University College of Medicine)
Year2024
Volume37
Issue3-4
Pages167-181
Publication date2024-03-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/08982643241237832
PMID38447525
OpenAlexW4392500967
LanguageEN
References cited71

Objectives This study aims to establish the effects of ACEs on multimorbidity through sleep quality and investigate whether lifestyle factors (e.g., eating habits and exercise) may influence this relationship among middle-aged and older adults. Methods Participants were drawn from a cross-sectional sample of community dwelling older adults ( N = 276, 55+) and three waves of data from the Midlife in the United States study (MIDUS, N = 843). We examined the direct and indirect effects of ACEs, sleep quality, and health conditions, as well as the conditional effects of physical activity and eating habits. Results Across both samples, sleep quality mediated the relationship between ACEs and chronic health conditions. Moderating effects of unhealthy eating and physical activity differed between samples. Discussion Sleep quality is an important pathway connecting ACEs and adult multimorbidity, and health behaviors may provide targets for intervention particularly in older adults

Adverse Childhood Experiences · Comorbidity · Cross-sectional study · Environmental health · Intervention (counseling · Mental health · Multimorbidity · Physical activity · Physical therapy · Psychiatry · Sleep (system call · Sleep quality · Young adult · Chronic Disease Management Strategies · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Psychology · Gerontology

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