Evidence map›Paper›PMID 41426453›Full record

ArticleFrontiers in sleep2023

The indirect relationship between sleep and cognition in the PREVENT cohort: identifying targets for intervention.

Benjamin Tari, Michael Ben Yehuda, Axel Anders Stefan Laurell, Karen Ritchie, Yves Dauvilliers, Craig W Ritchie, Brian Lawlor, Lorina Naci, Graciela Muniz Terrera, Paresh Malhotra and 6 more

Abstract read
In one paragraph

Article in Frontiers in sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Hypothalamic volume, sleep, and APOE genotype in cognitively healthy adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  2. 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

16 authors.

Benjamin TariDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Michael Ben YehudaDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Axel Anders Stefan LaurellDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Karen RitchieSleep Unit, Neurological Department, Centre Hospitalier Universitaire Montpellier, Montpellier, France.
Yves DauvilliersSleep Unit, Neurological Department, Centre Hospitalier Universitaire Montpellier, Montpellier, France.
Craig W RitchieEdinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Brian LawlorGlobal Brain Health Institute, Trinity College Dublin, Dublin, Ireland.
Lorina NaciGlobal Brain Health Institute, Trinity College Dublin, Dublin, Ireland.
Graciela Muniz TerreraEdinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Paresh MalhotraImperial College London and the University of Surrey, UK Dementia Research Institute Care Research and Technology Centre, London, United Kingdom.
Tam WatermeyerEdinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Robert DudasDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Benjamin R UnderwoodDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
John T O'BrienDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Vanessa RaymontDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Ivan KoychevDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: As the global population ages, the economic, societal, and personal burdens associated with worsening cognition and dementia onset are growing. It is therefore becoming ever more critical to understand the factors associated with cognitive decline. One such factor is sleep. Adequate sleep has been shown to maintain cognitive function and protect against the onset of chronic disease, whereas sleep deprivation has been linked to cognitive impairment and the onset of depression and dementia. Objectives: Here, we aim to identify and explore mechanistic links between several sleep parameters, depressive symptoms and cognition in a cohort of middle-aged adults. Methods: We investigated data from the PREVENT dementia programme via structural equation modeling to illustrate links between predictor variables, moderator variables, and two cognitive constructs (i.e., Executive Function and Memory). Results: Our model demonstrated that sleep quality, and total hours of sleep were related to participants' depressive symptoms, and that, participant apathy was related to higher scores on the Epworth Sleepiness and Lausanne NoSAS Scales. Subsequently, depressive symptoms, but not sleep or apathy ratings, were associated with Executive Function. Conclusions: We provide evidence for an indirect relationship between sleep and cognition mediated by depressive symptoms in a middle-aged population. Our results provide a base from which cognition, dementia onset, and potential points of intervention, may be better understood.

Indexed as

apathycognitiondementiadepressionsleepstructural equation modeling

Identifiers

PMID41426453
PMCPMC12713881

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.