Evidence map›Paper›PMID 42156936›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Non-linear associations between sleep duration and plasma p-tau181 in the Framingham Heart Study.

Vanessa M Young, Crystal Wiedner, Andrée-Ann Baril, Matthew P Pase, Agustin Ruiz, Arash Salardini, Christopher R Frei, Tiffany Kautz, Rebecca Bernal, Stephanie Yiallourou and 5 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 8. Guard against statistical fallacies in medical research.Journal of postgraduate medicine · 2026
    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

15 authors.

Vanessa M YoungGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.ORCID https://orcid.org/0000-0003-4633-5052
Crystal WiednerGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Andrée-Ann BarilFramingham Heart Study, Framingham, Massachusetts, USA.
Matthew P PaseFramingham Heart Study, Framingham, Massachusetts, USA.
Agustin RuizGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Arash SalardiniGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Christopher R FreiJoe R. and Teresa Lozano Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Tiffany KautzGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Rebecca BernalGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Stephanie YiallourouTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Lachlan CribbTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Alexa BeiserFramingham Heart Study, Framingham, Massachusetts, USA.
Antonio L TeixeiraGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Jayandra Jung HimaliGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Sudha SeshadriGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

Funding

FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · 2019 to 2024
$29.8M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Agustin Ruiz Laza · 2021 to 2026
$24.0M
PRECURSORS OF STROKE INCIDENCE AND PROGNOSISR01NS017950 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Hugo Javier Aparicio, Jose Rafael Romero · 1985 to 2026
$22.9M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUM1TR004538 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ROBERT A CLARK, Kenneth M Hargreaves · 2023 to 2026
$22.3M
Temporal Trends, Novel Imaging and Molecular Characterization of Preclinical and Clinical Alzheimer's Disease in the Framingham CohortsR01AG054076 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DECARLI, CHARLES, SESHADRI, SUDHA · 2016 to 2020
$12.3M
Therapeutic target discovery in ADSP data via comprehensive whole-genome analysis incorporating ethnic diversity and systems approachesU01AG058589 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BOERWINKLE, ERIC A., DE JAGER, PHILIP L · 2018 to 2022
$11.1M
Multidimensional Assessment of Brain Health as A Marker of Dementia Risk and ResilienceR01AG066524 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI KASHANI, AMIR H, RAMACHANDRAN, VASAN S · 2020 to 2024
$9.7M
Cognitively Healthy Nonagenarians in the Cross Cohort Collaboration (CCC)R01AG059421 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Stephanie Anne-Carine Debette, Carole Dufouil · 2026 to 2026
$4.7M
Plasma Proteome and Risk of Alzheimer Dementia and Related Endophenotypes in the Framingham StudyRF1AG063507 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GERSZTEN, ROBERT E, RAMACHANDRAN, VASAN S · 2019 to 2019
$4.2M
Preclinical AD: Correlates of Amyloid, Tau PET and fcMRI in Framingham Gen 3 Young AdultsR01AG049607 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI SESHADRI, SUDHA · 2015 to 2019
$3.1M
Microglial, Inflammatory and Omics Markers of Cerebral Small Vessel Disease in the CHARGE ConsortiumUH2NS100605 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FORNAGE, MYRIAM, SESHADRI, SUDHA · 2016 to 2017
$2.0M
ADSP Follow-up in Multi-Ethnic Cohorts via Endophenotypes, Omics & Model SystemsU01AG052409 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FORNAGE, MYRIAM, SESHADRI, SUDHA · 2016 to 2020
$1.6M
Alzheimer's AssociationAlzheimer Society of B.C.Alzheimer Society of CanadaCIHRFonds de recherche du Québec en SantéNational Health and Medical Research Council of Australia Investigator GTN2009264NCATS NIH HHS UM1 TR004538NHLBI NIH HHS 75N92019D00031NHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS HHSN268201500001INHLBI NIH HHS N01-HC-25195NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG049607NIA NIH HHS R01 AG054076NIA NIH HHS R01 AG059421NIA NIH HHS R01 AG066524NIA NIH HHS RF1 AG063507NIA NIH HHS RF1 AG066524NIA NIH HHS U01 AG052409NIA NIH HHS U01 AG058589NIH HHS P30 AG066546NINDS NIH HHS R01 NS017950NINDS NIH HHS UH2 NS100605Sleep Research Society Foundation
6 · The paper itself

Abstract

introductionBoth short and long sleep duration have been associated with Alzheimer's disease (AD) risk, yet the nature of the non-linear associations between sleep quantity and blood-based biomarkers of AD and neurodegeneration remains understudied.

methodsAmong 2410 Framingham Heart Study participants (mean age: 70.0 ± 8.45 years; 55.2% female), we examined associations between self-reported sleep duration and plasma phosphorylated tau (p-tau)181, total tau, neurofilament light chain, and glial fibrillary acidic protein using restricted cubic splines (RCS) and categorical comparisons (≤ 6, > 6-< 9 reference; ≥ 9 hours).

resultsRCS revealed non-linear associations between sleep duration and p-tau181 (overall p = 0.005; non-linearity p = 0.002), with higher levels at ≥ 8.5 hours, after adjusting for age, sex, apolipoprotein E ε4 genotype, sleep apnea, depression, and kidney function. Categorical comparisons showed no association in adjusted models. DISCUSSION: Sleep duration exhibits robust non-linear associations with p-tau181. Findings underscore the importance of non-linear modeling in relating sleep to blood-based biomarkers. Longitudinal studies are needed to clarify temporal relationships and mechanistic pathways.

Indexed as

Sleep Durationtau ProteinsAgedAlzheimer DiseaseApolipoprotein E4BiomarkersFemaleGlial Fibrillary Acidic ProteinHumansMaleMiddle AgedNeurofilament ProteinsNonlinear DynamicsPhosphorylationApolipoprotein E4BiomarkersGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament Proteinstau Proteinskidney functionnon‐linear modelingphosphorylated tau181plasma biomarkerssleep duration

Identifiers

PMID42156936
PMCPMC13580869

What Socratic holds

Textmetadata
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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.