Evidence map›Paper›PMID 40317639›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Sleep trajectories across three cognitive-aging pathways in community older adults.

Afsara B Zaheed, Amanda L Tapia, Nina Oryshkewych, Bradley J Wheeler, Meryl A Butters, Daniel J Buysse, Yue Leng, Lisa L Barnes, Andrew Lim, Lan Yu and 2 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Sleep and daily pain intensity among Black and White dementia caregivers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sleep trajectories across three cognitive-aging pathways in community older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    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

12 authors.

Afsara B ZaheedDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Amanda L TapiaDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Nina OryshkewychDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Bradley J WheelerSchool of Computing and Information, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Meryl A ButtersDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Daniel J BuysseDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Yue LengDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, California, USA.
Lisa L BarnesDepartment of Neurological Sciences and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Andrew LimDepartment of Neurology, University of Toronto, Ottawa, Ontario, Canada.
Lan YuDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Adriane M SoehnerDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Meredith L WallaceDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
Risk Factors for Cognitive Decline in African-AmericansR01AG022018 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BARNES, LISA L · 2004 to 2025
$18.2M
Establishing Sleep Apnea as a non-cognitive phenotype of brainstem ADRD pathologies in older adultsR01AG071638 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ARON S BUCHMAN, Veronique VanderHorst · 2021 to 2026
$6.1M
Translational Research Training in Sleep MedicineT32HL082610 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Daniel J. Buysse, PETER L FRANZEN · 2007 to 2026
$5.8M
Sleep, Circadian Rhythms, and Mechanisms of Cognitive Decline in the Human BrainR01AG052488 · NIA · SUNNYBROOK RESEARCH INSTITUTE · PI LIM, ANDREW · 2017 to 2021
$3.3M
Bidirectional interactions between sleep and Alzheimer's disease: Functional dissection of the brain transcriptome in humans and DrosophilaRF1AG070436 · NIA · WASHINGTON UNIVERSITY · PI LIM, ANDREW, SHAW, PAUL J · 2021 to 2021
$2.3M
Lifecourse sleep, cognitive decline and risk of Alzheimer's disease: a pooled cohort study.R01AG083836 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Yue Leng · 2024 to 2026
$2.1M
Sleep Health Profiles Predicting Impaired Cognition and Depressive Symptoms in Older Adults: Extending Novel Statistical Methods in Multi-Cohort ApplicationsRF1AG056331 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WALLACE, MEREDITH JOANNE LOTZ · 2021 to 2021
$2.0M
National Institute on Aging, USA R01AG052488National Institute on Aging, USA R01AG071638National Institute on Aging, USA R01AG083836National Institute on Aging, USA R01AG17917National Institute on Aging, USA RF1AG056331National Institute on Aging, USA RF1AG070436NHLBI NIH HHS T32 HL082610NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG022018NIA NIH HHS R01 AG052488NIA NIH HHS R01 AG071638NIA NIH HHS R01 AG083836NIA NIH HHS R01AG17917NIA NIH HHS RF1 AG056331NIA NIH HHS RF1 AG070436
6 · The paper itself

Abstract

introductionComparing sleep and rest-activity rhythms across different cognitive aging pathways can identify novel risk factors and potential mechanisms. However, our current understanding is restricted by differences in sleep measurement, limited longitudinal data, and heterogeneous cognitive aging processes.

methodsWe applied cubic splines to longitudinal self-reported sleep and actigraphy data from 1449 participants in the Rush Memory and Aging Project and quantified differences in the levels and trajectories of sleep amount, regularity, and timing within and between three cognitive aging pathways: normal, stable mild cognitive impairment, dementia.

resultsSleep amount was lowest in the dementia pathway prior to cognitive impairment but increased with age, most rapidly after dementia. Regularity declined across all pathways, most rapidly after cognitive diagnoses. Timing advanced across all pathways. DISCUSSION: Shorter sleep amount in cognitively healthy older adults may be a risk factor or prodromal indicator of dementia, while longer sleep amounts and decreasing regularity may reflect neurodegeneration. HIGHLIGHTS: We quantified longitudinal changes in sleep across three cognitive-aging pathways. We incorporated both subjective and objective measures of sleep health. Self-report duration increased noticeably from before to after cognitive diagnosis. Sleep irregularity increased most prominently after cognitive diagnosis. Advances in sleep timing occurred in both normal and pathological aging.

Indexed as

AgingCognitive AgingCognitive DysfunctionDementiaSleepActigraphyAgedAged, 80 and overFemaleHumansIndependent LivingLongitudinal StudiesMaleRisk FactorsSelf Reportactigraphydementiamild cognitive impairmentrest–activity rhythmssleep healthsmoothing splines

Identifiers

PMID40317639
PMCPMC12046567

What OpenQuestion holds

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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.