Evidence map›Paper›PMID 40318496›Full record

Observational studyNeurobiology of aging2025

Influence of sleep and cardiovascular health on cognitive trajectories in older adults.

Hannah R Maybrier, Joshua J Jackson, Cristina D Toedebusch, Brendan P Lucey, Denise Head

Abstract readObservational Study
In one paragraph

Observational study in Neurobiology of aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hannah R MaybrierDepartment of Psychological and Brain Sciences, Washington University, St. Louis, MO, United States.
Joshua J JacksonDepartment of Psychological and Brain Sciences, Washington University, St. Louis, MO, United States.
Cristina D ToedebuschDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, United States.
Brendan P LuceyDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, United States; Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, MO, United States.
Denise HeadDepartment of Psychological and Brain Sciences, Washington University, St. Louis, MO, United States; Knight Alzheimer Disease Research Center, Washington University School of Medicine, St. Louis, MO, United States; Department of Radiology, Washington University School of Medicine, St. Louis, MO, United States. Electronic address: dhead@wustl.edu.

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 2023-2028U01HL096812 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, THOMAS H MOSLEY · 2010 to 2026
$65.7M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2020 to 2026
$28.7M
AGING AND DEVELOPMENTT32AG000030 · NIA · WASHINGTON UNIVERSITY · PI DENISE HEAD, Jeffrey M Zacks · 1985 to 2026
$9.7M
Effect of Suvorexant on Alzheimer's Disease BiomarkersR01AG080551 · NIA · WASHINGTON UNIVERSITY · PI Barbara Joy Snider · 2023 to 2026
$4.6M
Metabolic Effects of Sleep Extension in People with ObesityR01DK115502 · NIDDK · WASHINGTON UNIVERSITY · PI KLEIN, SAMUEL · 2018 to 2022
$2.9M
Slow Wave Induction by Propofol to Eliminate Depression (SWIPED) TrialU01MH128483 · NIMH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J, PALANCA, BEN JULIAN · 2022 to 2025
$2.8M
Effects of Acute Stress Exposure on Plasma beta-amyloid LevelsR21AG080414 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MATHER, MARA · 2023 to 2024
$468k
Characterization of Orexin/Hypocretin Kinetics in Alzheimer's DiseaseR21AG074151 · NIA · WASHINGTON UNIVERSITY · PI LUCEY, BRENDAN PATRICK · 2021 to 2022
$433k
NHLBI NIH HHS U01 HL096812NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS R01 AG080551NIA NIH HHS R21 AG074151NIA NIH HHS R21 AG080414NIA NIH HHS T32 AG000030NIDDK NIH HHS R01 DK115502NIMH NIH HHS U01 MH128483
6 · The paper itself

Abstract

Age-related changes in sleep have been associated with cognitive decline, yet causal pathways have not been identified. Evidence suggests reduced cardiovascular health may be a consequence of poor sleep and a precursor to cognitive decline. This observational cohort study used path analyses to determine whether cardiovascular disease risk mediated or moderated effects of sleep on yearly longitudinal change in cognition, estimated with linear growth models. Total sleep time (TST), sleep efficiency (SE), and relative spectral power of slow wave activity (SWA; 1-4 Hz) and slow oscillations (SO; 0.5-1 Hz), were measured with single-channel home EEG. Cardiovascular disease risk (CVR) was estimated as 10-year Framingham Risk Score 1-year post-sleep. Outcomes were yearly change in executive function (EF), episodic memory (EM), and processing speed (PS) over 2-5 years post-sleep. 342 participants (mean age 73.5 +/- 5.6 years, 51 % female) were included. Shorter TST was linearly associated with increased CVR across all models (βs = -0.18(0.058) - -0.19(0.059), ps< 0.002). TST was indirectly associated with EF and PS decline through CVR, such that associations between short TST and cognitive decline were partially due to higher CVR. All other mediating and moderating effects were nonsignificant after multiple comparisons. Indirect associations between short sleep duration and greater decline in executive function and processing speed were found through higher CVR, suggesting a potential mechanism by which sleep leads to cognitive decline. Findings support the prioritization of adequate sleep duration to preserve both cardiovascular and cognitive health in later life.

Indexed as

AgingCardiovascular DiseasesCognitionCognitive DysfunctionSleepAgedAged, 80 and overCohort StudiesElectroencephalographyExecutive FunctionFemaleHumansLongitudinal StudiesMaleMemory, EpisodicAgingCardiovascular healthCognitive declineElectroencephalographySleep durationSleep quality

Identifiers

PMID40318496
PMCPMC12536885

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.