Evidence map›Paper›PMID 33507268›Full record

ArticleSleep2021

Associations of the residential built environment with adolescent sleep outcomes.

Stephanie L Mayne, Knashawn H Morales, Ariel A Williamson, Struan F A Grant, Alexander G Fiks, Mathias Basner, David F Dinges, Babette S Zemel, Jonathan A Mitchell

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05703347 (Optimizing a Mobile Health Platform for Sleep Promotion and Obesity Prevention in Children), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.7field-weighted citation impact, top 3% 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.

NCT05703347 narecruitingnot on this mapstarted 2023, after this paper: background citation

Optimizing a Mobile Health Platform for Sleep Promotion and Obesity Prevention in Children

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2023 to 2027Enrolled5,000ConditionsInsufficient Sleep, ObesityArmsFixed sleep goal, Personalized sleep goal, Digital sleep health messaging without virtual study visit, Digital sleep health messaging with virtual study visit, Inactive Parent-Directed Loss-Framed Incentive
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Sleep-anxiety symptom networks and subgroup characterization in nasopharyngeal carcinoma patients undergoing chemoradiotherapy: A latent profile and network analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  16. Review
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  18. A school-based health and mindfulness curriculum improves children's objectively measured sleep: a prospective observational cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Observational
  19. Review
  20. 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

9 authors at 2 institutions in 1 country.

Stephanie L MayneDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Knashawn H MoralesDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Ariel A WilliamsonDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-3008-3065
Struan F A GrantDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-2025-5302
Alexander G FiksDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Mathias BasnerDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-8453-0812
David F DingesDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Babette S ZemelDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Jonathan A MitchellDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-3765-2419
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Sleep, Energetic Behaviors, and Adolescent Obesity during the Transition from Middle to High SchoolK01HL123612 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI MITCHELL, JONATHAN ANDREW · 2015 to 2019
$787k
Implementing Evidence-Based Behavioral Sleep Intervention in Urban Primary CareK23HD094905 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI WILLIAMSON, ARIEL A · 2018 to 2022
$657k
NHLBI NIH HHS K01 HL123612NICHD NIH HHS K23 HD094905
6 · The paper itself

Abstract

STUDY

objectivesOver 75% of US high school students obtain insufficient sleep, placing them at risk for adverse health outcomes. Identification of modifiable determinants of adolescent sleep is needed to inform prevention strategies, yet little is known about the influence of the built environment on adolescent sleep.

methodsIn this prospective study, actigraphy was used to assess sleep outcomes among 110 adolescents for 14 days each in eighth and ninth grades: duration (hours/night), onset and offset, and sleeping ≥8 hours. Home addresses were linked to built environment exposures: sound levels, tree canopy cover, street density, intersection density, population density, and housing density. Mixed-effects regression estimated associations of built environment measures with sleep outcomes, adjusting for sex, race, parent education, household income, household size, grade, weeknight status, and neighborhood poverty.

resultsA 1-standard deviation (SD) increase in neighborhood sound was associated with 16 minutes later sleep onset (β = 0.28; 95% confidence interval (CI): 0.06, 0.49) and 25% lower odds of sleeping for ≥8 hours (odds ratio (OR) = 0.75, 95% CI: 0.59, 0.96). A 1-SD increase in neighborhood tree canopy was associated with 18 minutes earlier sleep onset (β = -0.31, 95% CI: -0.49, -0.13) and 10 minutes earlier sleep offset (β= -0.17, 95% CI: -0.28, -0.05). No associations were observed for density-based exposures.

conclusionsHigher neighborhood sound level was associated with lower odds of sufficient sleep, while higher tree canopy cover was associated with more favorable sleep timing. Neighborhood sound levels and tree canopy cover are potential targets for policies and interventions to support healthier sleep among adolescents.

Indexed as

Built EnvironmentSleepAdolescentHumansProspective StudiesResidence CharacteristicsSleep Deprivationadolescentbuilt environmentchildrenneighborhoodnoisesleep

Identifiers

PMID33507268
PMCPMC8193550
OpenAlexW3125557208

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.