Evidence map›Paper›PMID 31062029›Full record

ArticleInternational journal of epidemiology2019

The relationship between sleep duration, cognition and dementia: a Mendelian randomization study.

Albert Henry, Michail Katsoulis, Stefano Masi, Ghazaleh Fatemifar, Spiros Denaxas, Dionisio Acosta, Victoria Garfield, Caroline E Dale

Abstract read
In one paragraph

Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 4 pooled it
–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

76 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Association of sleep duration with Alzheimer's disease and cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  9. Sleep and dementia: Assessing established dementia-related factors using multivariable Mendelian randomization.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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16 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

8 authors.

Albert HenryInstitute of Health Informatics, University College London, London, UK.
Michail KatsoulisInstitute of Health Informatics, University College London, London, UK.
Stefano MasiDepartment of Population Science and Experimental Medicine, Institute of Cardiovascular Science, University College London, London, UK.
Ghazaleh FatemifarInstitute of Health Informatics, University College London, London, UK.
Spiros DenaxasInstitute of Health Informatics, University College London, London, UK.
Dionisio AcostaInstitute of Health Informatics, University College London, London, UK.
Victoria GarfieldDepartment of Population Science and Experimental Medicine, Institute of Cardiovascular Science, University College London, London, UK.
Caroline E DaleInstitute of Health Informatics, University College London, London, UK.

Funding

Arthritis Research UKBritish Heart Foundation FS/18/5/33319Cancer Research UKChief Scientist OfficeDepartment of Health RP-PG-0407-10314Department of Health RP-PG-0407–10314Medical Research Council MR/K006584/1Wellcome TrustWellcome Trust 086091/Z/08/ZWellcome Trust 105604/Z/14/Z
6 · The paper itself

Abstract

backgroundShort and long sleep duration have been linked with poorer cognitive outcomes, but it remains unclear whether these associations are causal.

methodsWe conducted the first Mendelian randomization (MR) study with 77 single-nucleotide polymorphisms (SNPs) for sleep duration using individual-participant data from the UK Biobank cohort (N = 395 803) and summary statistics from the International Genomics of Alzheimer's Project (N cases/controls = 17 008/37 154) to investigate the potential impact of sleep duration on cognitive outcomes.

resultsLinear MR suggested that each additional hour/day of sleep was associated with 1% [95% confidence interval (CI) = 0-2%; P = 0.008] slower reaction time and 3% more errors in visual-memory test (95% CI = 0-6%; P = 0.05). There was little evidence to support associations of increased sleep duration with decline in visual memory [odds ratio (OR) per additional hour/day of sleep = 1.10 (95% CI = 0.76-1.57); P = 0.62], decline in reaction time [OR = 1.28 (95% CI = 0.49-3.35); P = 0.61], all-cause dementia [OR = 1.19 (95% CI = 0.65-2.19); P = 0.57] or Alzheimer's disease risk [OR = 0.89 (95% CI = 0.67-1.18); P = 0.41]. Non-linear MR suggested that both short and long sleep duration were associated with poorer visual memory (P for non-linearity = 3.44e-9) and reaction time (P for non-linearity = 6.66e-16).

conclusionsLinear increase in sleep duration has a small negative effect on reaction time and visual memory, but the true association might be non-linear, with evidence of associations for both short and long sleep duration. These findings suggest that sleep duration may represent a potential causal pathway for cognition.

Indexed as

CognitionAdultAgedAlzheimer DiseaseCognitive DysfunctionDementiaFemaleHumansMaleMemoryMendelian Randomization AnalysisMiddle AgedReaction TimeSleepTime FactorsUnited KingdomcognitiondementiaMendelian randomizationSleep duration

Identifiers

PMID31062029
PMCPMC6659373

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Registered trials

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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.