Evidence map›Paper›PMID 40696147›Full record

ArticleCommunications medicine2025

Multidimensional sleep profiles via machine learning and risk of dementia and cardiovascular disease.

Clémence Cavaillès, Meredith Wallace, Yue Leng, Katie L Stone, Sonia Ancoli-Israel, Kristine Yaffe

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Clémence CavaillèsDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA. clemence.cavailles@inserm.fr.ORCID http://orcid.org/0000-0002-8443-2307
Meredith WallaceDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Yue LengDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-5826-4031
Katie L StoneResearch Institute, California Pacific Medical Center, San Francisco, CA, USA.
Sonia Ancoli-IsraelDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Kristine YaffeDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.

Funding

Sleep Quality and Mechanistic Links to Alzheimer Disease and Related Disorders among older Mexican Americans and Non-Hispanic WhitesR01AG066137 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI O'BRYANT, SID E, YAFFE, KRISTINE · 2019 to 2023
$4.3M
Population Based Research for Alzheimer's Innovation (POP BRAIN)R35AG071916 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YAFFE, KRISTINE · 2021 to 2024
$3.8M
Lifecourse sleep, cognitive decline and risk of Alzheimer's disease: a pooled cohort study.R01AG083836 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Yue Leng · 2024 to 2026
$2.1M
Sleep Health Profiles Predicting Impaired Cognition and Depressive Symptoms in Older Adults: Extending Novel Statistical Methods in Multi-Cohort ApplicationsRF1AG056331 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WALLACE, MEREDITH JOANNE LOTZ · 2021 to 2021
$2.0M
Development of novel polysomnography-based digital biomarkers to predict Alzheimer’s disease and Parkinson’s disease in real world settingsR21AG085495 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LENG, YUE · 2023 to 2023
$469k
NIA NIH HHS R01 AG066137NIA NIH HHS R35 AG071916NIA NIH HHS RF1 AG056331U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG066137U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG083836U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R21AG085495U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R35AG071916
6 · The paper itself

Abstract

backgroundSleep health comprises several dimensions such as sleep duration and fragmentation, circadian activity, and daytime behavior. Yet, most research has focused on individual sleep characteristics. Studies are needed to identify sleep/circadian profiles incorporating multiple dimensions and to assess their associations with adverse health outcomes.

methodsThis multicenter population-based cohort study identified 24 h actigraphy-based sleep/circadian profiles in 2667 men aged ≥65 years using an unsupervised machine learning approach and investigated their associations with dementia and cardiovascular disease (CVD) incidence over 12 years.

resultsWe identify three distinct profiles: active healthy sleepers (AHS; 64.0%), fragmented poor sleepers (FPS; 14.1%), and long and frequent nappers (LFN; 21.9%). Over the follow-up, compared to AHS, FPS exhibit increased risks of dementia and CVD events (HR = 1.35, 95% CI = 1.02-1.78 and HR = 1.32, 95% CI = 1.08-1.60, respectively) after multivariable adjustment, whereas LFN show a marginal association with increased CVD events risk (HR = 1.16, 95% CI = 0.98-1.37) but not with dementia (HR = 1.09, 95%CI = 0.86-1.38).

conclusionsThese results highlight potential targets for sleep interventions and the need for more comprehensive screening of poor sleepers for adverse outcomes.

Identifiers

PMID40696147
PMCPMC12283935

What Socratic holds

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LicenceCC BY
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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.