Evidence map›Paper›PMID 34661109›Full record

ArticleSleep advances : a journal of the Sleep Research Society2021

Brain amyloid burden, sleep, and 24-hour rest/activity rhythms: screening findings from the Anti-Amyloid Treatment in Asymptomatic Alzheimer's and Longitudinal Evaluation of Amyloid Risk and Neurodegeneration Studies.

Adam P Spira, Vadim Zipunnikov, Rema Raman, Jiyoon Choi, Junrui Di, Jiawei Bai, Cynthia M Carlsson, Jacobo E Mintzer, Gad A Marshall, Anton P Porsteinsson and 7 more

Open access · goldAbstract read
In one paragraph

Article in Sleep advances : a journal of the Sleep Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Using Apple Watches to Monitor Health and Behaviors of Individuals With Cognitive Impairment: A Case Series Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  5. Article
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  7. Differences in Daily Physical Activity by Alzheimer's Risk Markers Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  8. Article
  9. Sleep and circadian rhythm disruptions in behavioral variant frontotemporal dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. 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

17 authors at 7 institutions in 1 country.

Adam P SpiraJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-1507-0995
Vadim ZipunnikovJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Rema RamanAlzheimer's Therapeutic Research Institute, University of Southern California, San Diego, CA, USA.
Jiyoon ChoiAlzheimer's Therapeutic Research Institute, University of Southern California, San Diego, CA, USA.
Junrui DiJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jiawei BaiJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Cynthia M CarlssonWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jacobo E MintzerRalph H. Johnson VA Medical Center, Charleston, SC, USA.
Gad A MarshallCenter for Alzheimer Research and Treatment, Brigham and Women's Hospital, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Anton P PorsteinssonUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Roy YaariEli Lilly and Company, Indianapolis, IN, USA.
Sarah K WanigatungaJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
John KimJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Mark N WuJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Paul S AisenAlzheimer's Therapeutic Research Institute, University of Southern California, San Diego, CA, USA.
Reisa A SperlingCenter for Alzheimer Research and Treatment, Brigham and Women's Hospital, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Paul B RosenbergJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USUniversity of Southern California · USBrigham and Women's Hospital · USEli Lilly (United States) · USRalph H. Johnson VA Medical Center · USUniversity of Rochester · USUniversity of Wisconsin–Madison · US

Funding

The Alzheimer's Clinical Trial Consortium - Down Syndrome Network (ACTC- DSN)U24AG057437 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Paul S. Aisen, RONALD C PETERSEN · 2018 to 2026
$198.4M
Wisconsin longitudinal study: Initial lifetime's impact on Alzheimer's disease and related disorders (WLS-ILIAD)R01AG060737 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sanjay Asthana, Michal Engelman · 2018 to 2026
$56.8M
Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Rebecca E Amariglio · 2010 to 2026
$50.2M
Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI AMY J. KIND · 2019 to 2026
$34.5M
Anti-Amyloid Treatment in Asymptomatic Alzheimer's Disease (A4) Open-Label Extension StudyR01AG063689 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI AISEN, PAUL S., SPERLING, REISA A. · 2019 to 2024
$30.8M
Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI Corinne Pettigrew · 2020 to 2026
$29.3M
The Longitudinal Course of Neural Function and Amyloid in People At Risk for ADR01AG021155 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sterling C Johnson · 2004 to 2026
$27.0M
Wisconsin Registry for Alzheimer's PreventionRF1AG027161 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI JOHNSON, STERLING C · 2018 to 2018
$18.8M
ARMADA: Advancing Reliable Measurement in Alzheimer's Disease and cognitive Aging - Tech CoreU2CAG057441 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GERSHON, RICHARD · 2017 to 2019
$10.8M
Stress Mental Disorders Accelerated Aging and Dementia a 35 year Cohort Study - Covid SupplementU01AG052445 · NIA · JOHNS HOPKINS UNIVERSITY · PI EATON, WILLIAM W, SPIRA, ADAM PETER · 2016 to 2021
$5.7M
Novel automated performance-based ADL outcomes for early AD clinical trialsR01AG053184 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI MARSHALL, GAD ASHER · 2018 to 2023
$4.5M
Decoding neural systems underlying anosognosia for memory loss in aging and Alzheimer's diseaseR01AG061083 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI VANNINI, PATRIZIA · 2019 to 2023
$4.3M
NIA NIH HHS P01 AG036694NIA NIH HHS P30 AG062715NIA NIH HHS P30 AG066507NIA NIH HHS R01 AG021155NIA NIH HHS R01 AG049872NIA NIH HHS R01 AG050507NIA NIH HHS R01 AG053184NIA NIH HHS R01 AG058825NIA NIH HHS R01 AG060737NIA NIH HHS R01 AG061083NIA NIH HHS R01 AG063689NIA NIH HHS R01 AG067021NIA NIH HHS R21 AG064413NIA NIH HHS RF1 AG027161NIA NIH HHS RF1 AG050745NIA NIH HHS RF1 AG052324NIA NIH HHS U01 AG052445NIA NIH HHS U24 AG057437NIA NIH HHS U2C AG057441
6 · The paper itself

Abstract

STUDY

objectivesTo examine in a subsample at the screening phase of a clinical trial of a β-amyloid (Aβ) antibody whether disturbed sleep and altered 24-hour rest/activity rhythms (RARs) may serve as markers of preclinical Alzheimer's disease (AD).

methodsOverall, 26 Aβ-positive (Aβ+) and 33 Aβ-negative (Aβ-) cognitively unimpaired participants (mean age = 71.3 ± 4.6 years, 59% women) from the Anti-Amyloid Treatment in Asymptomatic Alzheimer's (A4) and the Longitudinal Evaluation of Amyloid Risk and Neurodegeneration (LEARN) studies, respectively, wore actigraphs for 5.66 ± 0.88 24-hour periods. We computed standard sleep parameters, standard RAR metrics (mean estimating statistic of rhythm, amplitude, acrophase, interdaily stability, intradaily variability, relative amplitude), and performed a novel RAR analysis (function-on-scalar regression [FOSR]).

resultsWe were unable to detect any differences between Aβ+ and Aβ- participants in standard sleep parameters or RAR metrics with our sample size. When we used novel FOSR methods, however, Aβ+ participants had lower activity levels than Aβ- participants in the late night through early morning (11:30 pm to 3:00 am), and higher levels in the early morning (4:30 am to 8:30 am) and from midday through late afternoon (12:30 pm to 5:30 pm; all

conclusionsAlthough we found no association of preclinical AD with standard actigraphic sleep or RAR metrics, a novel data-driven analytic method identified temporally "local" RAR alterations in preclinical AD.

Indexed as

actigraphyactivityAlzheimer’s diseaseamyloidcircadiancognitiverhythmsleepwrist

Identifiers

PMID34661109
PMCPMC8519157
OpenAlexW3199111570

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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.