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Updated: Jan 9, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Back pain precedes sleep problems in older men.
Soomi Lee1, T Muhammad1, Eric J Roseen2
1Department of Human Development and Family Studies, Center for Healthy Aging, The Pennsylvania State University, University Park, Pennsylvania, United States.
In older men, back pain predicts future sleep problems over six years, but sleep problems do not predict back pain. Targeting back pain may improve sleep health in this demographic.
Area of Science:
- Gerontology
- Sleep Medicine
- Pain Research
Background:
- Longitudinal data on back pain and multidimensional sleep health in older adults is limited.
- Previous studies established cross-sectional links between pain and sleep issues.
Purpose of the Study:
- To investigate the bidirectional temporal relationship between back pain and sleep problems in men aged 65 and older.
Main Methods:
- Utilized data from 1,055 older men in the Osteoporotic Fractures in Men Study over six years.
- Assessed multidimensional sleep health using a composite score from self-report and actigraphy.
- Measured back pain prevalence (any, frequent, severe, activity-limiting) via mail questionnaires.
- Employed cross-lagged panel models to analyze temporal associations.
Main Results:
- Back pain (any, frequent, severe, activity-limiting) significantly predicted increased sleep problems six years later (Exp(β) = 1.12-1.25).
- Sleep problems did not predict subsequent back pain in this cohort.
Conclusions:
- Back pain demonstrates a long-term, unidirectional association with increased sleep problems in older men.
- Interventions focused on alleviating back pain may be beneficial for improving sleep health in older men.
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