History Of Disability Research Articles

Epilepsy genetics in the paediatric population of the Eastern Anatolia region of Turkey

This study investigates the genetic causes of epilepsy in 166 paediatric patients under the age of 16 from the East Anatolian region of Turkey, who were treated at Erzurum City Hospital between 2018 and 2023. Patients with early-onset seizures, a family history of epilepsy or intellectual disability was selected for genetic analysis using a next-generation sequencing (NGS) gene panel targeting 449 genes associated with epilepsy and epileptic encephalopathy. The analysis revealed that pathogenic or probable pathogenic mutations were present in 14.8% (32 patients), highlighting the significant role of genetic factors in the aetiology of epilepsy in this population. In addition, 30.6% (66 patients) carried variants of uncertain significance (VUS), which, although not classified as pathogenic, have potential clinical relevance. Many epilepsy-related genes follow an autosomal dominant inheritance pattern, meaning that VUSs may gain pathogenic significance as more data and global studies accumulate, emphasising the evolving nature of genetic research. In addition to genetic factors, other aetiological causes such as perinatal insults (15.3%) and infections (7.9%) were identified, highlighting the multifactorial origin of epilepsy. While pathogenic mutations currently serve as important diagnostic and therapeutic markers, the role of VUS should not be underestimated. Genetic testing has proven to be essential for understanding the complex causes of epilepsy, providing opportunities for personalised treatment and genetic counselling. This study highlights the importance of genetic testing in regions such as Eastern Anatolia, where both environmental and genetic factors may influence the prevalence of epilepsy. As genetic databases expand, it is likely that the understanding of VUS will evolve, improving the clinical management of epilepsy through more targeted therapies and improved outcomes.

Social Demographic and Clinical Predictors of Time to Clinic Presentation After a Sport-Related Concussion.

To investigate the associations between clinical risk factors, social demographic and time to concussion clinic presentation after sports-related concussion in young athletes. Retrospective cohort study. Multidisciplinary regional concussion center. Athletes ages 12 to 18 years who sustained a SRC from November 2017 to April 2022. Independent variables included social demographic factors (ie, race, ethnicity, public vs private school, public vs private insurance), patient medical history, family medical history, acute concussion characteristics, and initial presentation elsewhere. Descriptive statistics were employed to assess for group differences. Mann-Whitney U tests, Spearman rank order correlations, and linear regressions were performed to explore associations between each independent variable and the main outcome, days to concussion clinic presentation. A total of 945 athletes we included (age 15.8 ± 1.61, 33.7% female). Hispanic/Latino background, (P = 0.009), public insurance status (U = 47 377.0, P = 0.002), amnesia (U = 57 738.0, P = 0.002) at time of injury, family psychiatric (U = 35 091.0, P < 0.001) or migraine (U = 59 594.5, P < 0.001) histories, and personal psychiatric (U = 30 798.0, P = 0.004) or migraine (U = 34 133.5, P = 0.011) histories were associated with longer time to concussion clinic presentation. A multivariable linear regression found that initial presentation elsewhere (β = 0.37, P < 0.001), family migraine history (β = 0.18, P < 0.001), public insurance status (β = 0.09, P = 0.024), and history of learning disability (β = 0.09, P = 0.032) were the only predictors of longer time to concussion clinic presentation. Variables that predicted longer time to concussion clinic presentation included initial presentation elsewhere, public insurance status, positive family migraine history, and history of learning disability. Further research is needed to elucidate these findings and determine how they impact concussion seeking behavior.

Book Review on Richard III's Bodies from Medieval England to Modernity: Shakespeare and Disability History by Jeffrey R. Wilson

Book Review on Richard III's Bodies from Medieval England to Modernity: Shakespeare and Disability History by Jeffrey R. Wilson

Dyke-Davidoff-Masson Syndrome in a Tanzanian patient: a case report

BackgroundDyke-Davidoff-Masson Syndrome (DDMS) is a rare neurological disorder resulting from an insult to the developing brain in utero or during early life which is characterized by refractory seizures and a wide variety of deficits. Due to its rarity, the condition is often overlooked although a detailed history and imaging can help distinguish it from other similar conditions and provide early diagnosis.Case presentationA 30-year-old African female presented with a history of recurrent seizures and intellectual disability. She was born via vaginal delivery, and her post-natal history was unremarkable. Her developmental milestones were normal until the age of three, when she was hospitalized for two weeks due to a febrile illness accompanied by generalized seizures, from which she fully recovered. On cognitive assessment, she scored 14 out of 60 on the Ravens Standard Progressive Matrices (RSPM), indicating an intellectual disability. Neurological examination revealed constructional apraxia, an upper motor neuron lesion (UMNL) affecting the facial nerve, and left-sided spastic paresis. Additionally, a slow, sinuous writhing movement involving all the fingers of her left hand was observed. A computed tomography (CT) scan of her head confirmed a diagnosis of Dyke-Davidoff-Masson syndrome (DDMS). The scan showed significant volume loss in the right cerebral hemisphere, gross dilation of the right lateral ventricle with ex-vacuo dilatation, right calvarial thickening, and hyperpneumatization of the right frontal sinus. She was managed conservatively with anticonvulsants, which effectively controlled her seizures.ConclusionIn the setting of recurrent seizures, intellectual disability, hemiparesis, or facial asymmetry, a clinician should have a high index of suspicion for DDMS. Late diagnosis is often related to intractable seizures to anticonvulsants, necessitating hemispherectomy, which is not a readily available option in limited resource settings.

Something about us with us: a reflection of disability studies within psychology in South Africa

Despite the fact that disability makes up the largest minority in the world, training in psychology in South Africa today does not give viable mention to the challenges associated to living with disability. Indeed, disability studies and psychology have had an awkward relationship for various reasons, resulting in lack of engagement with disability rights issues in the field of South African psychology. The article discusses what we see as the hiddenness of disability in and from South African psychology, despite disability’s argued centrality to South Africa’s history and present. After presenting key issues in the history of disability rights both globally and locally, the article moves to discuss the tendency of silencing disabled academics and of disability studies within psychology in the country. The stories of two disabled psychologists and academics are shared to illustrate how society is controlled along biopolitical lines, namely that of compulsory able-bodiedness, resulting in the continued silencing of disabled psychology academics; and the continued binary of ‘us vs them’, the able-bodied versus disabled, remains. Arguably, focusing on disability oppression and exclusion provides a way into understanding other forms of exclusion and oppression, including racial and gender oppression. We need to continue to integrate psychology and disability studies by celebrating disabled psychologists and encouraging psychological reflections on disabled experiences. Psychology cannot continue to allow disabled people to be silenced.

Predictive validity of the Questionnaire for Medical Checkup of Old-Old for all-cause mortality and disability incidence.

The Questionnaire for Medical Checkup of Old-Old (QMCOO) has been used nationwide in Japan as part of the health checkup for latter-stage older adults since the financial year 2020. Although the QMCOO is useful in screening for frailty, its cutoff values for predicting adverse health outcomes have rarely been assessed. Therefore, this study aimed to calculate the cutoff values for predicting all-cause mortality and disability incidence and to evaluate their predictive validity. This study included 3837 health checkup recipients aged ≥75 years residing in Higashiura Town, Aichi Prefecture, Japan. The health checkup was conducted from June 1, 2020, to January 31, 2021. Mortality and disability incidence were analyzed separately. For the latter, participants with a disability history were excluded, leaving 3040 available for analysis. During the follow-up of 11 191 and 8550 person-years, 276 died and 438 developed a disability, respectively. The areas under the receiver operating characteristic curve (95% confidence intervals) for all-cause mortality and disability incidence were 0.68 (0.65-0.71) and 0.66 (0.63-0.68), respectively, with QMCOO cutoff values at 3/4 and 2/3 points. Cox proportional hazard models adjusted for age, sex, body mass index, self-reported diseases, and frequency of alcohol consumption demonstrated the predictive validity of those cutoff values. The optimal cutoff value of the QMCOO for predicting all-cause mortality was 3/4, while the optimal cutoff value for predicting disability incidence was 2/3 among an older Japanese population. Geriatr Gerontol Int 2024; 24: 1203-1209.

From Compensation to Accommodation: The History of Learning Disabilities in American Higher Education

From Compensation to Accommodation: The History of Learning Disabilities in American Higher Education

Discovery of a TRMT10A mutation in a case of atypical diabetes: Case report

It is notable that monogenic forms of diabetes are exceedingly uncommon, with only 28 genes thus far identified. Such conditions frequently result in the dysfunction of pancreatic cells responsible for insulin production. Mutation in the TRMT10A gene leads to a rare genetic disease that is associated with endocrine and metabolic disorders, including diabetes and short stature. This article presents a review of the existing literature on the subject, describing the association between TRMT10A gene mutation and diabetes. It also presents the clinical case of a young girl with type 1 diabetes and facial dysmorphia. TRMT10A gene mutation has been linked to syndromic juvenile diabetes in a manner analogous to Wolfram's syndrome. This form of diabetes, which manifests in early childhood and is associated with microcephaly, epilepsy and intellectual disability, is caused by mutations in the gene for homolog A of tRNA methyltransferase 10 (TRMT10A). This emphasizes the importance of using a targeted panel to recognize previously unidentified monogenic diabetes among early-onset non-insulin-dependent diabetes in the absence of obesity and autoimmunity. In view of the aforementioned data, it is recommended that TRMT10A sequencing be considered in children or adults with early-onset diabetes and a history of intellectual disability, microcephaly and epilepsy.

Pre-term Familial Exudative Vitreoretinopathy: A Novel Nonsense LRP5 Mutation.

This case report details the diagnosis and management of a pre-term infant with aggressive bilateral retinal pathology. A 4-week-old preterm baby girl, born at 28 weeks and 6 days to consanguineous parents, was referred for suspected aggressive posterior retinopathy of prematurity (ROP). She had a family history of bilateral retinal detachments and intellectual disability in an older sister. Clinical assessment included retinal examination, fluorescein angiography, optical coherence tomography, dual-energy X-ray absorptiometry (DEXA), and genetic testing. The genetic testing involved sequence analysis and copy number variation analysis of 25 genes related to vitreoretinopathy. Retinal examination and fluorescein angiography revealed extensive non-perfusion and telangiectatic vessels in both eyes, and a macula-involving tractional retinal detachment in the left eye. Despite treatment with intravitreal bevacizumab and laser photocoagulation, they progressed to total retinal detachment and no light perception in both eyes. Genetic testing revealed a pathogenic homozygous nonsense mutation in the LRP5 gene (c.3259C>T, p.(Gln1087*)), a mutation not previously reported in association with familial exudative vitreoretinopathy (FEVR). At 10 months of age, DEXA demonstrated normal bone density, diverging from the typical presentation of osteoporosis pseudoglioma syndrome associated with LRP5 mutations. This case describes a novel mutation in a complex retinal disease and underscores the necessity of considering pre-term FEVR in the differential diagnosis of atypical or aggressive ROP in preterm infants. The overlap in clinical features between ROP and FEVR highlights the complexity of diagnosis and management and the importance of genetic testing in preterm infants with retinal vascular abnormalities.

Roles of Family Functioning and Cognitive Failure in Predicting High-risk Behaviors Among Students with a History of Learning Disability

Background: Students with learning disabilities may face challenges associated with their condition, which could contribute to engaging in risky behaviors. Objectives: This study aimed to investigate the effects of family functioning and cognitive failure in predicting high-risk behaviors among students with a history of learning disabilities. Methods: The statistical population of this descriptive-correlational study included all high school students with a history of learning disabilities in Ahvaz, Iran, in 2023. Convenience sampling with informed consent was employed to select 158 high school students with a history of learning disabilities as the research sample. Data were collected using the High-Risk Behavior Scale, Family Functioning Questionnaire, and Cognitive Failure Questionnaire. Pearson’s correlation coefficient and stepwise regression were used for data analysis. Results: The results indicated a significant negative relationship between family functioning and high-risk behaviors (r = -0.41, P &lt; 0.001). Conversely, there was a significant positive relationship between cognitive failure and high-risk behaviors (r = 0.49, P &lt; 0.001). Family functioning and cognitive failure together predicted 29.4% of the variance in students' high-risk behaviors. Conclusions: These findings suggest that family functioning and cognitive abilities are important factors to consider in understanding high-risk behaviors. Further research using longitudinal or experimental designs is needed to explore the causal relationships between these variables.

Paedagogica Historica themed issue: gaining momentum – new cultural histories of education and disability

ABSTRACT In this themed issue of Paedagogica Historica, editors Pieter Verstraete, Maria Romeiras, and Carlos Manique aim to merge the flourishing fields of disability history and the history of education. Despite past initiatives like the 2005 special issue on disability and education and the 34th ISCHE conference in 2012, these fields have largely remained separate. This issue presents three articles that intersect these domains, capitalising on recent historiographical evolutions. Both fields share activist origins, with the history of education emerging in the 19th century and disability history in the late 20th century. Recent trends in disability history, such as non-Western perspectives and renewed interest in institutional histories, align with the new cultural history of education. The included articles exemplify this synergy by exploring the architecture of French deaf institutions, tactile reading systems in East Asia, and the Perkins Institute for the Blind. This collection underscores the potential of integrating these research fields.

Examining for gender differences in return to learn following sport-related concussion in high school student athletes.

Prior studies have investigated associations between gender, symptom resolution, and time to return to play following sport-related concussion (SRC). However, there is a notable gap in research regarding the association between gender and return to learn (RTL) in adolescents. Therefore, this study 1) compared the patterns of RTL between boys and girls who are high school student athletes, and 2) evaluated the possible association between gender and time to RTL after adjusting for covariates. A retrospective cohort study of a prospective surveillance program that monitored concussion recovery of athletes in high schools throughout the state of Maine between February 2015 and January 2023 was performed. The primary independent variable was gender, dichotomized as boys and girls. The primary outcome was time to RTL, defined by the number of days for an athlete to return to school without accommodations. Mann-Whitney U-tests were used to compare RTL between the boys and girls. Each athlete's RTL status was dichotomized (i.e., returned vs had not returned) at several time points following injury (i.e., 1, 2, 3, and 4 weeks), and chi-square tests were performed to compare the proportions who achieved RTL between groups. Multivariable linear regression analyses were performed to evaluate the predictive value of gender on RTL. Covariates included age, number of previous concussions, history of learning disability or attention-deficit disorder or attention-deficit/hyperactivity disorder, history of a psychological condition, history of headaches or migraines, initial Sport Concussion Assessment Tool (SCAT3/SCAT5) score, and days to evaluation. Of 895 high school athletes, 488 (54.5%) were boys and 407 (45.5%) were girls. There was no statistically significant difference in median [IQR] days to RTL between genders (6.0 [3.0-11.0] vs 6.0 [3.0-12.0] days; U = 84,365.00, p < 0.375). A greater proportion of boys successfully returned to learn without accommodations by 3 weeks following concussion (93.5% vs 89.4%; χ2 = 4.68, p = 0.030), but no differences were found at 1, 2, or 4 weeks. A multivariable model predicting days to RTL showed that gender was not a significant predictor of RTL (p > 0.05). Longer days to evaluation (β = 0.10, p = 0.021) and higher initial SCAT3/SCAT5 scores (β = 0.15, p < 0.001) predicted longer RTL. In a cohort of high school athletes, RTL did not differ between boys and girls following SRC. Gender was not a significant predictor of RTL. Longer days to evaluation and higher initial symptom scores were associated with longer RTL.

Laes, C., Goodey, C.F., Rose, M.L. (2013). Disabilities in Roman Antiquity: Disparate Bodies a Capite ad Calcem. Review by Nina Van der Sype

The volume Disabilities in Roman Antiquity brings together twelve contributions that are solely dedicated to the topic of physical and mental disability in the antique world. As there is already a wealth of research available on various aspects concerning the field of (critical) disability studies in contemporary culture, the editors actively contribute to expanding the area of investigation to pre-modern culture. Such explorations can shed light on particular aspects of disability, its individual experience and broader socio-cultural meanings which remain paramount within our modern culture, while at the same time developing the establishment of the subfield of ‘disability history’ within the period of Antiquity. The editors’ recognition of the – to a certain extent – universalist nature of both bodily and mental characteristics, leads to the rejection of a constructivist approach, a choice which they describe as being a ‘theoretical and practical disapproval based on the belief that we are all human beings, sharing certain corporal realities over different cultures and times’ (Laes et al., 2013, p. 6).

Family history of psychiatric conditions and development of siblings of children with autism.

Younger siblings (SIBS) of children with autism exhibit a wide range of clinical and subclinical symptoms including social, cognitive, language, and adaptive functioning delays. Identifying factors linked with this phenotypic heterogeneity is essential for improving understanding of the underlying biology of the heterogenous outcomes and for early identification of the most vulnerable SIBS. Prevalence of neurodevelopmental (NDD) and neuropsychiatric disorders (NPD) is significantly elevated in families of children with autism. It remains unknown, however, if the family history associates with the developmental outcomes among the SIBS. We quantified history of the NDDs and NPDs commonly reported in families of children with autism using a parent interview and assessed autism symptoms, verbal, nonverbal, and adaptive skills in a sample of 229 SIBS. Multiple regression analyses were used to examine links between family history and phenotypic outcomes, whereas controlling for birth year, age, sex, demographics, and parental education. Results suggest that family history of schizophrenia, depression, anxiety, bipolar disorder, and intellectual disability associate robustly with dimensional measures of social affect, verbal and nonverbal IQ, and adaptive functioning in the SIBS. Considering family history of these disorders may improve efforts to predict long-term outcomes in younger siblings of children with autism and inform about familial factors contributing to high phenotypic heterogenetity in this cohort.

What is disability history the history of?

This article has two connected aims. First, to contour the boundaries of modern disability history through outlining its development and second, to provide a new methodological agenda for disability history. The design model of disability has outlined an important new programme to integrate the social and medical models of disability by foregrounding materials. Yet 'disability things' (to use Ott's memorable term) have been part of disability history's genesis since the material turn, which started the process of social historians recovering the lives of those not recorded in textual sources through objects, including prosthetics. From considering objects as things, the influence of Science and Technology Studies scholars pushed disability historians to further consider objects as agents and objects in use. These approaches have highlighted the differential levels of autonomy and power that objects and their users have in making history. However, this focus on materials has highlighted visible and recorded disability over 'invisible' disability, which has perpetuated its opacity and created definitional difficulties around disability demarcation. Medical history methodologies aimed at revealing the 'patient view' can help bring people back into focus but uphold the categories of patients and biomedicine in a way that impedes the aims of disability scholars. Focusing on exactly what is hidden is less useful than focusing on how it is hidden, and science and technology study methodologies can illuminate these processes.

From the “backburner” to the forefront: Qualitative analysis of medical and physician assistant students’ reflections on Crip Camp

BackgroundDisability-focused health professions education must evolve to portray the lives of disabled patients, lived experiences of ableism, and disability history more accurately and authentically. Methods of education that utilize first-person perspectives of disabled people to deliver authentic representations are limited in the current literature. ObjectiveTo explore first-year medical and physician assistant students' reflections on healthcare access, healthcare providers’ roles, and barriers to health equity for patients with disabilities after watching an exemplar, first-person perspective documentary titled Crip Camp: A Disability Revolution. MethodsA three-part, student-created disability curriculum “Introduction to Disability and Anti-Ableist Healthcare” was offered as an elective for first-year medical students during the 2021–2022 and 2022–2023 academic years. The disability curriculum was required for first-year physician assistant students during the 2023–2024 academic year. One curricular component was watching Crip Camp: A Disability Revolution and completing a 500-750-word reflective essay. Qualitative thematic analysis was used to organize essay responses. ResultsSeven major themes emerged in the students’ essays highlighting the importance of disability-focused education, the necessity of understanding the historical context and mistreatment of people with disabilities, limitations of health policies and health systems, the role of trainees and providers, and intersectionality. Themes were aligned with the socioecological model and disability consciousness to reflect healthcare delivery and education benefit, respectively. ConclusionCrip Camp: A Disability Revolution was an effective educational intervention to provide and apply knowledge in reflecting on healthcare experiences of people with disabilities. The themes have implications for health professions education and health care delivery.

Studying War in a Time of War: Russian Imperialism in the Seventeenth and Twenty-First Centuries

Abstract In the first two weeks of August, 535 Russian soldiers were seriously wounded in Eastern Ukraine. The year was 1678. 1678 saw some of the heaviest fighting in the Russo-Turkish of 1676–81, as the Ottoman and Russian Empires, alongside their local allies, struggled to gain control of the strategic location of Chyhyryn. In summer 2023, that town on the Dnipro was only around 300km from the front in the Russo-Ukraine war. To read about soldiers being injured and killed in service of imperial expansion three centuries ago as we watch the same empire engage in the same activities in the same location today brings home how history and the present are inescapably connected. Indeed, historians of violence have faced this problem before, as with a group at the University of Pittsburgh working on Gun Violence and Its Histories, who explicitly seek to use histories of violence to think about gun violence in the modern USA. Military histories have long been an established part of the study of Russian history, highlighting the technological, imperial, bureaucratic, and diplomatic aspects of organized state violence. The present moment demands a re-evaluation of histories of Russia at war, one that considers such issues as histories of disability and pain, and also engages with recent calls to decolonize Russian studies. Putting into dialogue these different perspectives on war and violence we can consider if, why, and how we can study the history of war during a time of war.

Repeated pregnancy losses with multiple aneuploidies and major genomic imbalance: A case report

Rationale: If one of the partners is having balanced autosomal translocation, it is usually observed that the offspring inherit either normal chromosomes, balanced translocation identical to one of the parent or unbalanced chromosomal rearrangements of the same parental chromosome having translocation. Concern: A unique case presented with history of 8 miscarriages for genetic counseling. The last abortus material evaluation showed monosomy of chromosome X (Turner syndrome) in all the analyzed cells. There was a history of infertility and also repeated second trimester abortions on the paternal side. On the maternal side, there was a history of intellectual disability. Diagnose: History of repeated abnormal pregnancy outcomes. Wife’s karyotype is normal; however, husband shows translocation between chromosome 4 and 22. Intervention: Peripheral blood sample around 3 mL was collected for karyotype. Embryo biopsy was done and DNA was extracted and processed for whole exome sequencing. Outcomes: Wife’s karyotype is normal and husband has translocation between chromosome 4 and 22. Surprisingly, the entire pregnancy outcome including embryo screening has different, complete or partial aneuploidies of chromosomes other than chromosome 4 and 22. Main lesson: Though the translocation in one of the parent is balanced, we have to think beyond traditional ways for evaluating a couple with repeated pregnancy loss as we cannot predict the errors at cell division. Option of in vitro fertilization and preimplantation genetic diagnosis in couples having balanced translocations should be discussed so that early intervention can prevent the agony of pregnancy loss.

The effect of movies on listening comprehension for Saudi EFL students

This study investigated the effectiveness of using movies to improve the listening skills of Saudi EFL students and their attitudes towards movie-based activities. A questionnaire was administered to 147 participants, 113 of whom were female and 34 of whom were male. The participants were divided into four age groups: 18-20 years, 21-25 years, 26-30 years, and above 30 years. Participants were required to have no history of hearing impairment or learning disabilities that may affect listening skills. Descriptive and inferential statistics were used to analyze the data. The results showed that movies had a positive impact on students' listening skills, and most participants had a positive attitude towards using movies as a learning tool. However, some challenges were also identified, such as finding appropriate movies and lacking guidance on effective movie use. The findings of this study have implications for English language teachers, providing insights into the benefits and challenges of using movies, and suggesting the need for training programs on incorporating movies into language teaching. Overall, this study contributes to understanding how technology-based tools like movies can enhance language learning outcomes.

The associations of daytime napping and motoric cognitive risk syndrome: Findings from the China Health and Retirement Longitudinal Study

IntroductionMotoric cognitive risk syndrome (MCR), characterized by subjective cognitive complaints and slow gait in older populations, is associated with sleep duration. However, the association between MCR and daytime nap duration has not been thoroughly explored. MethodsBaseline data from the China Health and Retirement Longitudinal Study (CHARLS) were used in this study. MCR was defined as the coexistence of subjective cognitive complaints and objective slow gait speed without a history of dementia or mobility disability. Daytime nap duration was categorized into four groups: no napping, short napping (<30 min), moderate napping (30–89 min) and extended napping (≥90 min). Multivariable logistic regression models were used to explore the association of daytime napping duration and MCR. ResultsA total of 4230 individuals aged ≥60 were included in the current analysis, of which 463 were diagnosed with MCR. Moderate napping of 30–89 min per day was found to be significantly associated with lower odds of MCR compared with the reference group of no napping. In subgroup analysis, individuals with sleep durations of <7 h per night had lower odds of MCR in the model that adjusted for all potential confounders with ≥30 min daytime nap duration compared with no napping. Interestingly, for people with a night sleep duration of 7–8 h, only those with a moderate nap of 30–89 min had lower odds of MCR than non–nappers after adjustment for potential confounders. ConclusionA moderate nap of 30–89 min could lower the odds of MCR, especially for older adults with a night sleep duration of ≤8 h.