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In the correlation analysis, unstable daily rest-activity rhythm was associated with lower ADL. In the multiple linear regression analysis, low intradaily variability, and long daytime sleep duration were associated with low ADL. Aberrant rest peak timing showed lower ADL compared with nonaberrant timing. Abnormal rest-activity rhythm and sleep duration in persons with moderate and severe dementia may affect ADL. Abnormal rest-activity rhythm and sleep duration in persons with moderate and severe dementia may affect ADL. The objective