Evidence map›Paper›PMID 40223596›Full record

ReviewCirculation. Cardiovascular quality and outcomes2025

Multidimensional Sleep Health: Definitions and Implications for Cardiometabolic Health: A Scientific Statement From the American Heart Association.

Marie-Pierre St-Onge, Brooke Aggarwal, Julio Fernandez-Mendoza, Dayna Johnson, Christopher E Kline, Kristen L Knutson, Nancy Redeker, Michael A Grandner, American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Quality of Care and Outcomes Research

Abstract readReview
In one paragraph

Review in Circulation. Cardiovascular quality and outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
–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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Multidimensional sleep health and serious cognitive difficulty among US adolescents.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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7 more citing papers are in PubMed but not listed here.

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

9 authors.

Marie-Pierre St-Onge
Brooke Aggarwal
Julio Fernandez-Mendoza
Dayna Johnson
Christopher E Kline
Kristen L Knutson
Nancy Redeker
Michael A Grandner
American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Quality of Care and Outcomes Research

Funding

Mechanisms addressing the causal relationships of sleep, circadian rhythms, and cardiometabolic healthR35HL155670 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARIE-PIERRE ST-ONGE · 2021 to 2026
$5.4M
Sleep and Cardiometabolic Health Disparities at the US/Mexico Border: The Nogales Cardiometabolic Health and Sleep (NoCHeS) StudyR01MD011600 · NIMHD · UNIVERSITY OF ARIZONA · PI GRANDNER, MICHAEL A · 2018 to 2022
$4.1M
The Penn State Child Sleep Cohort: Cardiometabolic and Neurocognitive Risk in Young AdulthoodR01HL136587 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI FERNANDEZ-MENDOZA, JULIO · 2018 to 2022
$3.7M
Investigating the Influences of Sleep‐Wake Patterns and Gut Microbiome Development in Infancy on Rapid Weight Gain, an Early Risk Factor for ObesityR01HL147931 · NHLBI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI PETROV, MEGAN ELISE, WHISNER, CORRIE MARIE · 2020 to 2024
$3.4M
Sleep Variability and Cardiometabolic Health Among WomenR01HL169991 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Brooke Anne Aggarwal · 2024 to 2026
$2.4M
The Mind After Midnight: Mechanistic Examination of Nocturnal Wakefulness as aSuicide Risk FactorR01MH135978 · NIMH · UNIVERSITY OF ARIZONA · PI Fabian Fernandez, Michael A Grandner · 2025 to 2026
$1.5M
Sleep stability, weight, and glycemic controlR01DK128154 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LAFERRERE, BLANDINE B, ST-ONGE, MARIE-PIERRE · 2021 to 2023
$972k
NHLBI NIH HHS R01 HL136587NHLBI NIH HHS R01 HL147931NHLBI NIH HHS R01 HL169991NHLBI NIH HHS R35 HL155670NIDDK NIH HHS R01 DK128154NIMHD NIH HHS R01 MD011600NIMH NIH HHS R01 MH135978
6 · The paper itself

Abstract

Poor sleep health is associated with cardiometabolic disease and related risk factors, including heart disease, stroke, elevated blood pressure and lipid levels, inflammation, glucose intolerance, obesity, physical inactivity, poor diet, unhealthy substance use, poor mental health, and increased all-cause and cardiovascular mortality, and is associated with social determinants of cardiovascular health and health disparities. Therefore, sleep duration has been recognized by the American Heart Association as one of Life's Essential 8. Although chronic sleep duration is the sole metric used in Life's Essential 8, sleep health represents a multidimensional construct. This scientific statement outlines the concept of multidimensional sleep health (sleep duration, continuity, timing, regularity, sleep-related daytime functioning, architecture, and absence of sleep disorders) as it applies to cardiometabolic health. Considerations of how these dimensions are related to cardiometabolic health and patterned by sociodemographic status are explained, and knowledge gaps are highlighted. Additional data are needed to understand better how these various dimensions of sleep should be assessed and how interventions targeting sleep health in clinical and community settings can be leveraged to improve health.

Indexed as

Cardiovascular DiseasesSleepSleep QualitySleep Wake DisordersTerminology as TopicAmerican Heart AssociationCardiometabolic Risk FactorsConsensusHealth Status DisparitiesHumansPrognosisRisk AssessmentRisk FactorsSocial Determinants of HealthTime FactorsUnited StatesAHA Scientific Statementssleepsleep durationsleep quality

Identifiers

PMID40223596
PMCPMC12147655

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.