Unclean cooking fuel use and sleep problems among adults aged 65 years and older from six countries.
Por:
Smith L, López Sánchez GF, Rahmati M, Soysal P, Tully MA, Barnett Y, Butler L, Yon DK, Kim S, Keyes H, Veronese N, Hans Oh, Kostev K, Jacob L., Shin JI and Koyanagi A
Publicada:
5 feb 2026
Ahead of Print:
5 feb 2025
Resumen:
We investigated the association between unclean cooking fuel use and sleep problems in a nationally representative sample of adults aged =65 years from six low- and middle-income countries (China, Ghana, India, Mexico, Russia, South Africa). Cross-sectional, community-based data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Unclean cooking fuel referred to kerosene/paraffin, coal/charcoal, wood, agriculture/crop, animal dung, and shrubs/grass. Outcomes related to sleep included self-reported nocturnal sleep problems, lethargy, poor sleep quality, and sleep duration. Multivariable logistic regression analysis was conducted. Data on 14585 individuals aged =65 years were analyzed [mean (SD) age 72.6 (11.5) years; 55.0% females]. After adjustment for potential confounders, unclean cooking fuel use was associated with a significant 1.51 (95%CI=1.03-2.22) times higher odds for nocturnal sleep problems, while it was also associated with 1.64 (95%CI=1.20-2.26) times higher odds for long sleep duration (i.e., >9 h vs. >6 to 9 h) but not with other sleep-related outcomes. These findings suggest that the implementation of the United Nations Sustainable Development Goal 7, which advocates affordable, reliable, sustainable, and modern energy for all, may also have a positive impact on sleep problems, as well as a plethora of other health and environmental impacts.
Filiaciones:
Smith L:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
Rahmati M:
CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France
Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran
Soysal P:
Department of geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Tully MA:
School of Medicine, Ulster University, Londonderry, UK
Barnett Y:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Butler L:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Yon DK:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Kim S:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Keyes H:
School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK
Veronese N:
Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy
Hans Oh:
Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA, USA
Kostev K:
University Clinic of Marburg, Marburg, Germany
Jacob L.:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain
AP-HP, Université Paris Cité, Lariboisière-Fernand Widal Hospital, Department of Physical Medicine and Rehabilitation, Paris, France
Université Paris Cité, INSERM U1153, Epidemiology of Ageing and Neurodegenerative Diseases (EpiAgeing), Paris, France
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
Severance Underwood Meta-Research Center, Institute of Convergence Science, Yonsei University, Seoul, Republic of Korea
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain
Open Access
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