ArticleSleep health2021
Multidimensional sleep health in a diverse, aging adult cohort: Concepts, advances, and implications for research and intervention.
Article in Sleep health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Genome-wide gene-sleep interaction study identifies novel lipid loci in 732,564 participants.Atherosclerosis · 2026Pooled it
- Air pollution and sleep health in middle-aged and older adults: A systematic review and meta-analysis.Sleep medicine reviews · 2025Pooled it
- Sleep During Pregnancy and Offspring Outcomes From Infancy to Childhood: A Systematic Review.Biopsychosocial science and medicine · 2025Pooled it
- A randomized trial of adapted versus standard versions of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction implemented via facilitation and delivered by community mental health providers: improving the "fit" of psychological treatments by adapting to context.Implementation science : IS · 2025Trial
- Mood States, Physical Activity, and Sleep Quality in University Students: A Cross-Sectional Study in Educational Settings.Healthcare (Basel, Switzerland) · 2026Article
- The combined association between sleep duration and insomnia symptoms with dementia and cognitive deficits: a multivariable-adjusted and genetic liability study.GeroScience · 2026Article
- Sleep variability as an important marker of treatment outcomes in a clinical sample receiving psychotherapy treatment for alcohol use disorder.Alcohol, clinical & experimental research · 2026Article
- Multidimensional Sleep Health and Sleep Environment Factors in Individuals with Cancer Undergoing Outpatient Chemotherapy: An Exploratory Cross-Sectional Analysis.Nature and science of sleep · 2026Article
- Multi-dimensional sleep patterns predict complications and mortality in chronic kidney disease patients: a prospective study from the UK Biobank.Frontiers in public health · 2026Article
- Poor sleep health is associated with worse cardiometabolic risk among rural and urban schooled Nigerian adolescents.Scientific reports · 2025Article
- Multidimensional sleep health linked to quality of life among Chinese adults.Health and quality of life outcomes · 2025Article
- A semi-empirical Bayes approach for calibrating weak instrumental bias in sex-specific Mendelian randomization studies.American journal of human genetics · 2025Article
- Racial Disparities in Sleep Among Diverse Young Adults During the First Semester of College.Journal of racial and ethnic health disparities · 2025Article
- Sleep Irregularity, Circadian Disruption, and Cardiometabolic Disease Risk.Circulation research · 2025Review
- Sleep Duration Irregularity and Risk for Incident Cardiovascular Disease in the UK Biobank.Journal of the American Heart Association · 2025Article
- Multi-dimensional sleep health and dementia risk: a prospective study in the UK Biobank.BMC medicine · 2025Article
- Exploring nightly variability and clinical influences on sleep measures: insights from a digital brain health platform.Sleep medicine · 2025Article
- Associations of a multidimensional polygenic sleep health score and a sleep lifestyle index with disease outcomes and their interaction in a clinical biobank.Sleep health · 2025Article
- Status of cardiovascular health in United States immigrants using the American Heart Association's Life's Essential 8 framework: a population-based study of prevalence estimates and determinants.Lancet regional health. Americas · 2025Article
- Association between sleep disorders and myopia in Shanghai adolescents: a cross-sectional survey conducted among junior school students.BMC ophthalmology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeTo illustrate 2 frameshifts of multidimensional sleep health: i) use of composite sleep metrics; and ii) the correlations among sleep dimensions.
participants735 adults of diverse backgrounds aged <65 years who participated in the Multi-Ethnic Study of Atherosclerosis. MEASURES: In-home polysomnography, 7-day wrist actigraphy, and validated questionnaires.
methodsThe Buysse Ru SATED model-sleep regularity, satisfaction, alertness, timing, efficiency, duration-was operationalized, then extended by including additional measures of sleep architecture and sleep apnea from polysomnography and difficulties initiating sleep from questionnaire and sleep onset latency and duration [ir]regularity from actigraphy. We dichotomized sleep variables, operationalizing optimal and nonoptimal ranges as 1 and 0, respectively, summed into a sleep health score, and computed global sleep health scores via principal components analysis.
findingsParticipants showed low prevalence of sleep regularity in timing (<30 minutes standard deviation [SD]; 21.4% favorable) and duration (<60 minutes SD; 36.9%). Although 62.7% of participants demonstrated favorable sleep duration by actigraphy, few met criteria for favorable levels of % N3 (11.4%) or %R (34.1%). The average Sleep Health Score was 5.6 of 13 (higher is better). Sleep variables were variably intercorrelated (r = 0 to r = -0.72). The first principal component for each operationalization of sleep health was interpretable as a "health" score; all summary scores captured variable but systematic shifts towards more favorable sleep in each sleep variable.
conclusionsMultidimensional sleep health can be measured by complementary composite scores as well as consideration of multiple individual dimensions.
Indexed as
Identifiers
What OpenQuestion holds
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.