Few studies have investigated the association between bedroom environment and sleep quality, especially in older adults during the winter months. In the present study, a field measurement was conducted in the bedrooms of 104 older adults, each for one week in Shanghai during the winter season. Their sleep quality was recorded with a wrist-worn sleep tracker and assessed with a questionnaire. Measurements from 507 person-nights were analyzed using the generalized linear mixed model after excluding unreliable data. The overnight means of bedroom temperature, relative humidity, and CO2 concentrations, which were continuously measured, ranged from 8 to 22 °C, 32 to 93%, and 430ppm to 3900ppm, respectively. The results indicated that relative humidity and CO2 concentration were pivotal factors significantly influencing sleep quality. Both low and high humidity were not conducive to sleep. Higher CO2 concentrations were associated with decreased sleep quality, particularly when combined with the low humidity. The sleep quality was less sensitive to bedroom temperature, probably because the older adults commonly used bed heating to maintain comfortable sleep microclimate. The present study indicates that increasing ventilation rate and avoidance of low/high humidity in the bedroom are important for maintaining sleep quality of older adults during winter.
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