Evidence map›Paper›PMID 37798367›Full record

ArticleNature human behaviour2023

No phenotypic or genotypic evidence for a link between sleep duration and brain atrophy.

Anders M Fjell, Øystein Sørensen, Yunpeng Wang, Inge K Amlien, William F C Baaré, David Bartrés-Faz, Lars Bertram, Carl-Johan Boraxbekk, Andreas M Brandmaier, Ilja Demuth and 14 more

Abstract read
In one paragraph

Article in Nature human behaviour, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Association of sleep duration with Alzheimer's disease and cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Sleep Patterns and Human Brain Health.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2025
    Review
  9. Lower slow wave sleep and rapid eye movement sleep are associated with brain atrophy of Alzheimer's disease-vulnerable regions.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Is Short Sleep Bad for the Brain? Brain Structure and Cognitive Function in Short Sleepers.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  17. Restless nights, cold hearts: Poor sleep causally blunts empathy.International journal of clinical and health psychology : IJCHP
    Article
  18. 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

24 authors.

Anders M FjellCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway. andersmf@psykologi.uio.no.ORCID 0000-0003-2502-8774
Øystein SørensenCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.ORCID 0000-0003-0724-3542
Yunpeng WangCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.ORCID 0000-0001-9831-1090
Inge K AmlienCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.ORCID 0000-0002-8508-9088
William F C BaaréDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0002-1810-7266
David Bartrés-FazDepartament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0001-6020-4118
Lars BertramCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.
Carl-Johan BoraxbekkDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0002-4458-6475
Andreas M BrandmaierCenter for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.ORCID 0000-0001-8765-6982
Ilja DemuthDepartment of Endocrinology and Metabolic Diseases (including Division of Lipid Metabolism), Biology of Aging Working Group, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-4340-2523
Christian A DrevonVitas AS, Oslo, Norway.
Klaus P EbmeierDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0002-5190-7038
Paolo GhislettaFaculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.ORCID 0000-0001-7731-2406
Rogier KievitCognitive Neuroscience Department, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-0700-4568
Simone KühnCenter for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.ORCID 0000-0001-6823-7969
Kathrine Skak MadsenDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0001-8884-5902
Athanasia M MowinckelCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.
Lars NybergCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.ORCID 0000-0002-3367-1746
Claire E SextonDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0002-3846-2986
Cristina Solé-PadullésDepartament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain.
Didac Vidal-PiñeiroCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.ORCID 0000-0001-9997-9156
Gerd WagnerDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
Leiv Otto WatneOslo Delirium Research Group, Department of Geriatric Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0003-0441-6700
Kristine B WalhovdCenter for Lifespan Changes in Brain and Cognition, University of Oslo, Oslo, Norway.ORCID 0000-0003-1918-1123

Funding

Mapping the Human Connectome: Structure, Function, and HeritabilityU54MH091657 · NIMH · WASHINGTON UNIVERSITY · PI UGURBIL, KAMIL, VAN ESSEN, DAVID C · 2010 to 2014
$34.7M
Medical Research Council G1001354NIMH NIH HHS U54 MH091657Wellcome Trust
6 · The paper itself

Abstract

Short sleep is held to cause poorer brain health, but is short sleep associated with higher rates of brain structural decline? Analysing 8,153 longitudinal MRIs from 3,893 healthy adults, we found no evidence for an association between sleep duration and brain atrophy. In contrast, cross-sectional analyses (51,295 observations) showed inverse U-shaped relationships, where a duration of 6.5 (95% confidence interval, (5.7, 7.3)) hours was associated with the thickest cortex and largest volumes relative to intracranial volume. This fits converging evidence from research on mortality, health and cognition that points to roughly seven hours being associated with good health. Genome-wide association analyses suggested that genes associated with longer sleep for below-average sleepers were linked to shorter sleep for above-average sleepers. Mendelian randomization did not yield evidence for causal impacts of sleep on brain structure. The combined results challenge the notion that habitual short sleep causes brain atrophy, suggesting that normal brains promote adequate sleep duration-which is shorter than current recommendations.

Indexed as

Sleep DurationSleep Wake DisordersAdultAtrophyBrainCross-Sectional StudiesGenome-Wide Association StudyHumans

Identifiers

PMID37798367
PMCPMC10663160

What OpenQuestion holds

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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.