Evidence map›Paper›PMID 35527545›Full record

ArticleJournal of Alzheimer's disease : JAD2022

Sleep Disturbances, Changes in Sleep, and Cognitive Function in Low-Income African Americans.

Wendy M Troxel, Ann Haas, Tamara Dubowitz, Bonnie Ghosh-Dastidar, Meryl A Butters, Tiffany L Gary-Webb, Andrea M Weinstein, Andrea L Rosso

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

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  9. The association of perceived discrimination with dementia risk in Black older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  10. Article
  11. Article
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  13. Association Between Sleep and Cognition of Older Adults in Rural Areas: A Cross-Sectional Study.Inquiry : a journal of medical care organization, provision and financing
    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

8 authors at 2 institutions in 1 country.

Wendy M TroxelDivision of Social and Economic Well-Being, RAND Corporation, Pittsburgh, PA, USA.
Ann HaasDivision of Social and Economic Well-Being, RAND Corporation, Pittsburgh, PA, USA.
Tamara DubowitzDivision of Social and Economic Well-Being, RAND Corporation, Pittsburgh, PA, USA.
Bonnie Ghosh-DastidarDivision of Economics, Sociology, and Statistics, RAND Corporation, Santa Monica, CA, USA.
Meryl A ButtersDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Tiffany L Gary-WebbDepartment of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Andrea M WeinsteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Andrea L RossoDepartment of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
RAND Corporation · USUniversity of Pittsburgh · US

Funding

Longitudinal Examination of Neighborhood Disadvantage, Cognitive Aging, and Alzheimer's Disease Risk in Disinvested, African American NeighborhoodsR01AG072652 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Tamara Dubowitz, Andrea L Rosso · 2022 to 2026
$10.0M
Urban Revitalization and Long-Term Effects on Diet, Economic, and Health OutcomesR01CA149105 · NCI · RAND CORPORATION · PI DUBOWITZ, TAMARA · 2010 to 2021
$7.9M
Neighborhood Change: Impact on Sleep and Obesity-Related Health DisparitiesR01HL122460 · NHLBI · RAND CORPORATION · PI DUBOWITZ, TAMARA, TROXEL, WENDY M · 2015 to 2018
$3.3M
Natural Experiment of Neighborhood Revitalization and Cardiometabolic HealthR01HL131531 · NHLBI · RAND CORPORATION · PI GARY-WEBB, TIFFANY L, TROXEL, WENDY M · 2016 to 2019
$3.0M
NCI NIH HHS R01 CA149105NHLBI NIH HHS R01 HL122460NHLBI NIH HHS R01 HL131531NIA NIH HHS R01 AG072652
6 · The paper itself

Abstract

backgroundSleep problems may contribute to the disproportionate burden of Alzheimer's disease and related dementias (ADRD) among African Americans (AAs).

objectiveTo examine the role of sleep problems in contributing to cognitive function and clinically adjudicated cognitive impairment in a predominantly AA sample.

methodsThis study (n = 216, 78.8% female; mean age = 67.7 years) examined associations between 1) the level (i.e., measured in 2018) and 2) change over time (from 2013 to 2018; n = 168) in actigraphy-assessed sleep with domain-specific cognitive function and clinically adjudicated cognitive impairment (2018) in a community-dwelling, predominantly AA (96.9%) sample. A comprehensive cognitive battery assessed global cognitive function (3MS) and domain-specific cognitive function (attention, visuo-spatial ability, language, delayed recall, immediate recall, and executive function) in 2018. Sleep was measured in 2013 and 2018 via actigraphy.

resultsHigher sleep efficiency and less wakefulness after sleep onset (WASO; measured in 2018) were associated with greater attention, executive function, and visuospatial ability. Increases in sleep efficiency between 2013 and 2018 were associated with better executive function, language, immediate recall, and visuospatial ability, whereas increases in WASO (2013-2018) were associated with poorer attention, executive function, and visuospatial ability. Level or change in sleep duration were not associated with domain-specific cognitive function, nor were any sleep measures associated with clinically adjudicated cognitive impairment.

conclusionIn a predominantly AA sample of older adults, both the level and change (i.e., worsening) of sleep efficiency and WASO were associated with poorer cognitive function. Improving sleep health may support ADRD prevention and reduce health disparities.

Indexed as

Cognitive DysfunctionSleep Wake DisordersActigraphyAgedBlack or African AmericanCognitionFemaleHumansMaleNeuropsychological TestsSleepActigraphyAfrican AmericansAlzheimer’s diseasecognitive functiondisparitiesracesleepstructural racism

Identifiers

PMID35527545
PMCPMC10646789
OpenAlexW4229044404

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.