ArticlePsychosomatic medicine2024
Ten-Year Stability of an Insomnia Sleeper Phenotype and Its Association With Chronic Conditions.
Article in Psychosomatic medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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.
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Who cites it
7 citing papers in PubMed.
- Coupling of within-person changes in sleep quality and subjective cognition in community-dwelling adults.Aging & mental health · 2026Article
- Exploring sleep-related problems among concerned others of individuals with mental health problems and/or problematic substance use: a cross-sectional study.Frontiers in public health · 2026Article
- Diagnosis, treatment, and associated outcomes of later-life insomnia: a narrative review.Sleep · 2025Review
- Late-life disability may increase with more frequent insomnia symptoms and sleep medications use over time.Sleep · 2025Article
- Effects of chronic diseases on health related quality of life is mediated by sleep difficulty in middle aged and older adults.Scientific reports · 2025Article
- Short Sleep Duration is Inversely Associated with the Prevalence of Underweight in a Young Japanese Population.Nature and science of sleep · 2025Article
- Sex Differences in the Associations Between Chronic Diseases and Insomnia Symptoms Among Older Adults in India.Nature and science of sleep · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo identify distinct sleep health phenotypes in adults, examine transitions in sleep health phenotypes over time, and subsequently relate these to the risk of chronic conditions.
methodsA national sample of adults from the Midlife in the United States study ( N = 3683) provided longitudinal data with two time points (T1: 2004-2006, T2: 2013-2017). Participants self-reported on sleep health (regularity, satisfaction, alertness, efficiency, duration) and the number and type of chronic conditions. Covariates included age, sex, race, education, education, partnered status, number of children, work status, smoking, alcohol, and physical activity.
resultsLatent transition analysis identified four sleep health phenotypes across both time points: good sleepers, insomnia sleepers, weekend catch-up sleepers, and nappers. Between T1 and T2, the majority (77%) maintained their phenotype, with the nappers and insomnia sleepers being the most stable. In fully adjusted models with good sleepers at both time points as the reference, being an insomnia sleeper at either time point was related to having an increased number of total chronic conditions by 28%-81% at T2, adjusting for T1 conditions. Insomnia sleepers at both time points were at 72%-188% higher risk for cardiovascular disease, diabetes, depression, and frailty. Being a napper at any time point related to increased risks for diabetes, cancer, and frailty. Being a weekend catch-up sleeper was not associated with chronic conditions. Those with lower education and unemployed were more likely to be insomnia sleepers; older adults and retirees were more likely to be nappers.
conclusionFindings indicate a heightened risk of chronic conditions involved in suboptimal sleep health phenotypes, mainly insomnia sleepers.
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