Evidence map›Paper›PMID 26086180›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2016

Sleep duration, cognitive decline, and dementia risk in older women.

Jiu-Chiuan Chen, Mark A Espeland, Robert L Brunner, Laura C Lovato, Robert B Wallace, Xiaoyan Leng, Lawrence S Phillips, Jennifer G Robinson, Jane M Kotchen, Karen C Johnson and 4 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 8 pooled it
13.9field-weighted citation impact, top 1% of its field
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

130 citing papers in PubMed, 8 syntheses or guidelines pooled it, 235 citations in OpenAlex.

  1. Sleep and cognition in Hispanic/Latin American adults: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Pooled it
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  4. Effect of Excessive Daytime Sleepiness and Long Sleep Duration on All Cause Dementia: A Systematic Review and Meta-analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Pooled it
  5. Sleep duration and health outcomes: an umbrella review.Sleep & breathing = Schlaf & Atmung · 2022
    Pooled it
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70 more citing papers are in PubMed but not listed here.

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

14 authors at 11 institutions in 1 country.

Jiu-Chiuan ChenDepartment of Preventive Medicine, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA. Electronic address: jcchen@usc.edu.
Mark A EspelandDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Robert L BrunnerDepartment of Family and Community Medicine, University of Nevada School of Medicine, Reno, NV, USA.
Laura C LovatoDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Robert B WallaceDepartments of Epidemiology & Medicine, University of Iowa, Iowa City, IA, USA.
Xiaoyan LengDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Lawrence S PhillipsAtlanta VA Medical Center and Division of Endocrinology, Emory University School of Medicine, Atlanta, GA, USA.
Jennifer G RobinsonDepartments of Epidemiology & Medicine, University of Iowa, Iowa City, IA, USA.
Jane M KotchenDepartment of Population Health, Medical College of Wisconsin, Milwaukee, WI, USA.
Karen C JohnsonDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
JoAnn E MansonDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Marcia L StefanickDepartment of Medicine, Stanford University, Stanford, CA, USA.
Gloria E SartoUniversity of Wisconsin Center for Women's Health Research, Madison, WI, USA.
W Jerry MysiwDepartment of Physical Medicine and Rehabilitation, Ohio State University, Columbus, OH, USA.
Wake Forest University · USUniversity of Iowa · USAtlanta VA Medical Center · USBrigham and Women's Hospital · USMedical College of Wisconsin · USStanford University · USThe Ohio State University · USUniversity of Nevada, Reno · USUniversity of Southern California · USUniversity of Tennessee Health Science Center · USUniversity of Wisconsin Health · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
Screening for IGT: Glucose Challenge vs Predictive ModelR18DK066204 · NIDDK · EMORY UNIVERSITY · PI PHILLIPS, LAWRENCE S · 2004 to 2007
$2.9M
Environmental Determinants of Cognitive Aging in the WHI Memory StudyR01AG033078 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, JIU-CHIUAN · 2011 to 2014
$2.6M
Environmental Determinants of Sleep Disturbance: Role of Ambient Air PollutionR21HL089422 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHEN, JIU-CHIUAN · 2007 to 2008
$405k
NHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100046CNHLBI NIH HHS R21 HL089422NHLBI NIH HHS R21HL89422NIA NIH HHS HHSN271201100004CNIA NIH HHS P30 AG021332NIA NIH HHS R01 AG033078NIA NIH HHS R01AG033078NIDDK NIH HHS DK066204NIDDK NIH HHS R18 DK066204PHS HHS HHSN268201100001CPHS HHS HHSN268201100002CPHS HHS HHSN268201100004CPHS HHS HHSN268201100046CPHS HHS HSN268201100003CPHS HHS HSN271201100004CWHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

introductionConsistent evidence linking habitual sleep duration with risks of mild cognitive impairment (MCI) and dementia is lacking.

methodsWe conducted a prospective study on 7444 community-dwelling women (aged 65-80 y) with self-reported sleep duration, within the Women's Health Initiative Memory Study in 1995-2008. Incident MCI/dementia cases were ascertained by validated protocols. Cox models were used to adjust for multiple sociodemographic and lifestyle factors, depression, cardiovascular disease (CVD), and other clinical characteristics.

resultsWe found a statistically significant (P = .03) V-shaped association with a higher MCI/dementia risk in women with either short (≤6 hours/night) or long (≥8 hours/night) sleep duration (vs. 7 hours/night). The multicovariate-adjusted hazard for MCI/dementia was increased by 36% in short sleepers irrespective of CVD, and by 35% in long sleepers without CVD. A similar V-shaped association was found with cognitive decline. DISCUSSION: In older women, habitual sleep duration predicts the future risk for cognitive impairments including dementia, independent of vascular risk factors.

Indexed as

SleepAgedAged, 80 and overCognitive DysfunctionDementiaDisorders of Excessive SomnolenceFemaleHumansProportional Hazards ModelsProspective StudiesRisk FactorsSleep Initiation and Maintenance DisordersCognitionCognitive declineCohort studiesDementiaElderlyLongitudinal analysisMild cognitive impairmentSleep duration

Identifiers

PMID26086180
PMCPMC4679723
OpenAlexW638107684

What OpenQuestion 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 OpenQuestion graph.