Evidence map›Paper›PMID 40619283›Full record

ArticleSleep health2025

Late-life sleep medication use associated with increased falls risk in the Atherosclerosis Risk in Communities (ARIC) study.

Kelsie M Full, Snigdha S Pusalavidyasagar, Priya Palta, Caitlin W Hicks, Adam P Spira, Beverly Gwen Windham, Stephen P Juraschek, Matthew P Pase, Jayandra J Himali, Pamela L Lutsey

Abstract readMulticenter Study
In one paragraph

Article in Sleep health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Kelsie M FullDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Electronic address: k.full@vumc.org.
Snigdha S PusalavidyasagarDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, School of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Priya PaltaDepartment of Neurology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Caitlin W HicksDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Adam P SpiraDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Center on Aging & Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Beverly Gwen WindhamDepartment of Medicine, Memory Impairment and Neurogenerative Dementia (MIND) Center, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Stephen P JuraschekBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Matthew P PaseTurner Institute for Brain and Mental Health, School of Psychological Science, Monash University, Clayton, Victoria, Australia.
Jayandra J HimaliGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, UT Health San Antonio, San Antonio, Texas, USA; Department of Population Health Sciences, UT Health San Antonio, San Antonio, Texas, USA; Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA; Department of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA.
Pamela L LutseyDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.

Funding

ARIC Neurocognitive Study (ARIC-NCS) Renewal 2023-2028U01HL096812 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, THOMAS H MOSLEY · 2010 to 2026
$65.7M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Gladys E. Maestre, Sudha Seshadri · 2021 to 2026
$24.0M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - COORDINATING CENTER - TASK AREA B.2 AND B.375N92022D00001 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID · 2022 to 2025
$13.7M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 2 of 5U01HL096917 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI MOSLEY, THOMAS H · 2010 to 2018
$11.9M
ARIC Neurocognitive Study (ARIC-NCS) Renewal UNC 4 of 5U01HL096899 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID J · 2010 to 2018
$7.5M
ARIC Neurocognitive Study (ARIC-NCS)U01HL096902 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUTSEY, PAMELA L. · 2010 to 2018
$7.4M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 4 of 5U01HL096814 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUGHES, TIMOTHY M., WAGENKNECHT, LYNNE E · 2010 to 2018
$6.5M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00003 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUTSEY, PAMELA · 2022 to 2025
$5.1M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WAGENKNECHT, LYNNE · 2022 to 2025
$5.0M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00004 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI WINDHAM, BEVERLY GWEN · 2022 to 2025
$4.8M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00002 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CORESH, JOSEF · 2022 to 2025
$4.7M
Novel application of Digital signals of movement, sleep and heart rhythms for detection of Alzheimer's Disease and Related DementiasR01AG075883 · NIA · JOHNS HOPKINS UNIVERSITY · PI Lin Yee Chen, Ciprian M Crainiceanu · 2022 to 2026
$3.8M
NHLBI NIH HHS 75N92022D00001NHLBI NIH HHS 75N92022D00002NHLBI NIH HHS 75N92022D00003NHLBI NIH HHS 75N92022D00004NHLBI NIH HHS 75N92022D00005NHLBI NIH HHS K24 HL159246NHLBI NIH HHS U01 HL096812NHLBI NIH HHS U01 HL096814NHLBI NIH HHS U01 HL096899NHLBI NIH HHS U01 HL096902NHLBI NIH HHS U01 HL096917NIA NIH HHS K01 AG083223NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG062531NIA NIH HHS R01 AG075883NIDDK NIH HHS K23 DK124515
6 · The paper itself

Abstract

objectiveAccidental falls are the leading cause of injury for older adults in the United States. Identifying risk factors for falls is a public health priority. Poor sleep is prevalent among aging adults and has been linked to falls risk. We examined late-life sleep medication use and falls risk in a cohort of older adults.

methodsThe Atherosclerosis Risk in Communities (ARIC) study is an ongoing community-based cohort study. ARIC participants taking any barbiturates, benzodiazepines, antidepressants, non-benzodiazepine receptor agonists, or other hypnotics in the past 4 weeks (2011-2013) were categorized as taking a medication that affects sleep, regardless of indication. Participant hospital discharge records were reviewed through 2019 for ICD codes indicating incident falls. Propensity score matching was used to match participants who used sleep medications with those who did not (1:2). Cox proportional hazards regression models were used to assess the association of sleep medication use with falls with adjustment for demographics, lifestyle, and health characteristics.

resultsIn the matched sample (N = 4794; 70% female; mean age 75.5 ± 5 years), 1200 documented falls occurred over 6.5 years of follow-up. In fully adjusted models, sleep medication use was associated with a 33% greater risk of falls compared to nonuse (HR: 1.33; 95% CI: 1.18-1.51). Results did not differ by age, sex, depressive symptoms, baseline cognitive status, or physical functioning status (interaction p-values >.05).

conclusionsLate-life sleep medication use is associated with a higher risk of falls. Further research is needed to clarify the mechanisms linking sleep medications to falls risk.

Indexed as

Accidental FallsAgingHypnotics and SedativesSleepSleep Disorders, IntrinsicAgedAged, 80 and overAtherosclerosisCognitionFemaleHumansMaleMiddle AgedPropensity ScoreUnited StatesHypnotics and SedativesAgingFrailtyInsomniaSleep disturbances

Identifiers

PMID40619283
PMCPMC12477716

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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.