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Sleep duration is associated with white matter hyperintensity volume in older adults: the Northern Manhattan Study

Summary Self‐reports of long or short sleep durations have indicated an association with cardiovascular morbidity and mortality, but there are limited data evaluating their association with white matter hyperintensity volume (WMHV), a marker of cerebral small vessel disease. We conducted a cross‐sec...

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Published in:Journal of sleep research 2014-10, Vol.23 (5), p.524-530
Main Authors: Ramos, Alberto R., Dong, Chuanhui, Rundek, Tatjana, Elkind, Mitchell S. V., Boden‐Albala, Bernadette, Sacco, Ralph L., Wright, Clinton B.
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container_title Journal of sleep research
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creator Ramos, Alberto R.
Dong, Chuanhui
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Wright, Clinton B.
description Summary Self‐reports of long or short sleep durations have indicated an association with cardiovascular morbidity and mortality, but there are limited data evaluating their association with white matter hyperintensity volume (WMHV), a marker of cerebral small vessel disease. We conducted a cross‐sectional analysis of self‐reported sleep duration to test for a correlation with white matter hyperintensities, measured by quantitative magnetic resonance imaging (MRI), in the Northern Manhattan Study. We used multivariable linear regression models to assess associations between both short (
doi_str_mv 10.1111/jsr.12177
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V. ; Boden‐Albala, Bernadette ; Sacco, Ralph L. ; Wright, Clinton B.</creator><creatorcontrib>Ramos, Alberto R. ; Dong, Chuanhui ; Rundek, Tatjana ; Elkind, Mitchell S. V. ; Boden‐Albala, Bernadette ; Sacco, Ralph L. ; Wright, Clinton B.</creatorcontrib><description>Summary Self‐reports of long or short sleep durations have indicated an association with cardiovascular morbidity and mortality, but there are limited data evaluating their association with white matter hyperintensity volume (WMHV), a marker of cerebral small vessel disease. We conducted a cross‐sectional analysis of self‐reported sleep duration to test for a correlation with white matter hyperintensities, measured by quantitative magnetic resonance imaging (MRI), in the Northern Manhattan Study. We used multivariable linear regression models to assess associations between both short (&lt;6 h) and long (≥9 h) sleep durations and log‐transformed WMHV, adjusting for demographic, behavioural and vascular risk factors. A total of 1244 participants, mean age 70 ± 9 years, 61% women and 68% Hispanics were analysed with magnetic resonance brain imaging and self‐reported sleep duration. Short sleep was reported by 23% (n = 293) and long sleep by 10% (n = 121) of the sample. Long sleep (β = 0.178; P = 0.035), but not short sleep (β = −0.053; P = 0.357), was associated with greater log‐WMHV in fully adjusted models. We observed an interaction between sleep duration, diabetes mellitus and log‐WMHV (P = 0.07). In fully adjusted models, stratified analysis showed that long sleep duration was associated with greater WMHV only in those with diabetes (β = 0.78; P = 0.0314), but not in those without diabetes (β = 0.022; P = 0.2), whereas short sleep was not associated with white matter hyperintensities in those with or without diabetes. In conclusion, long sleep duration was associated with a greater burden of white matter lesions in this stroke‐free urban sample. The association was seen mainly among those with diabetes mellitus.</description><identifier>ISSN: 0962-1105</identifier><identifier>EISSN: 1365-2869</identifier><identifier>DOI: 10.1111/jsr.12177</identifier><identifier>PMID: 25040435</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Aged ; Aging - pathology ; Cohort Studies ; diabetes ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - pathology ; elderly ; Female ; Hispanic Americans ; Humans ; hyperintensities ; leukoaraiosis ; long sleep ; Magnetic Resonance Imaging ; Male ; Middle Aged ; multi‐ethnic ; New York City - epidemiology ; Prevalence ; Risk Factors ; Self Report ; short sleep ; Sleep - physiology ; Stroke ; Time Factors ; white matter ; White Matter - pathology</subject><ispartof>Journal of sleep research, 2014-10, Vol.23 (5), p.524-530</ispartof><rights>2014 European Sleep Research Society</rights><rights>2014 European Sleep Research Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4857-4f9b2d1b5fcd1e822420d814ecf430a14d3f4abcf51b8fd8c4833e353a73150b3</citedby><cites>FETCH-LOGICAL-c4857-4f9b2d1b5fcd1e822420d814ecf430a14d3f4abcf51b8fd8c4833e353a73150b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25040435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ramos, Alberto R.</creatorcontrib><creatorcontrib>Dong, Chuanhui</creatorcontrib><creatorcontrib>Rundek, Tatjana</creatorcontrib><creatorcontrib>Elkind, Mitchell S. V.</creatorcontrib><creatorcontrib>Boden‐Albala, Bernadette</creatorcontrib><creatorcontrib>Sacco, Ralph L.</creatorcontrib><creatorcontrib>Wright, Clinton B.</creatorcontrib><title>Sleep duration is associated with white matter hyperintensity volume in older adults: the Northern Manhattan Study</title><title>Journal of sleep research</title><addtitle>J Sleep Res</addtitle><description>Summary Self‐reports of long or short sleep durations have indicated an association with cardiovascular morbidity and mortality, but there are limited data evaluating their association with white matter hyperintensity volume (WMHV), a marker of cerebral small vessel disease. We conducted a cross‐sectional analysis of self‐reported sleep duration to test for a correlation with white matter hyperintensities, measured by quantitative magnetic resonance imaging (MRI), in the Northern Manhattan Study. We used multivariable linear regression models to assess associations between both short (&lt;6 h) and long (≥9 h) sleep durations and log‐transformed WMHV, adjusting for demographic, behavioural and vascular risk factors. A total of 1244 participants, mean age 70 ± 9 years, 61% women and 68% Hispanics were analysed with magnetic resonance brain imaging and self‐reported sleep duration. Short sleep was reported by 23% (n = 293) and long sleep by 10% (n = 121) of the sample. Long sleep (β = 0.178; P = 0.035), but not short sleep (β = −0.053; P = 0.357), was associated with greater log‐WMHV in fully adjusted models. We observed an interaction between sleep duration, diabetes mellitus and log‐WMHV (P = 0.07). In fully adjusted models, stratified analysis showed that long sleep duration was associated with greater WMHV only in those with diabetes (β = 0.78; P = 0.0314), but not in those without diabetes (β = 0.022; P = 0.2), whereas short sleep was not associated with white matter hyperintensities in those with or without diabetes. In conclusion, long sleep duration was associated with a greater burden of white matter lesions in this stroke‐free urban sample. The association was seen mainly among those with diabetes mellitus.</description><subject>Adult</subject><subject>Aged</subject><subject>Aging - pathology</subject><subject>Cohort Studies</subject><subject>diabetes</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus - pathology</subject><subject>elderly</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>hyperintensities</subject><subject>leukoaraiosis</subject><subject>long sleep</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>multi‐ethnic</subject><subject>New York City - epidemiology</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>short sleep</subject><subject>Sleep - physiology</subject><subject>Stroke</subject><subject>Time Factors</subject><subject>white matter</subject><subject>White Matter - pathology</subject><issn>0962-1105</issn><issn>1365-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kU1v1DAQhi0EokvhwB9APsIhrSe2kywHJFTxqQISC2fLiSfElWNvbaer_HsMWyo4MJc5zDPPWH4JeQrsDEqdX6V4BjW07T2yAd7Iqu6a7X2yYdumrgCYPCGPUrpiDFrJtw_JSS2ZYILLDYk7h7inZok62-CpTVSnFAarMxp6sHmih8lmpLPOGSOd1j1G6zP6ZPNKb4JbZqTW0-BMGWuzuJxe0jwh_RxiadHTT9pPZVt7usuLWR-TB6N2CZ_c9lPy_e2bbxfvq8sv7z5cvL6sBtHJthLjtq8N9HIcDGBX16JmpgOBwyg40yAMH4Xuh1FC342mK1ucI5dctxwk6_kpeXX07pd-RjOgz1E7tY921nFVQVv178TbSf0IN0qUnxQSiuD5rSCG6wVTVrNNAzqnPYYlKZBNA6ztGl7QF0d0iCGliOPdGWDqV0aqZKR-Z1TYZ3-_6478E0oBzo_AwTpc_29SH3dfj8qflvSfFg</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Ramos, Alberto R.</creator><creator>Dong, Chuanhui</creator><creator>Rundek, Tatjana</creator><creator>Elkind, Mitchell S. 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V. ; Boden‐Albala, Bernadette ; Sacco, Ralph L. ; Wright, Clinton B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4857-4f9b2d1b5fcd1e822420d814ecf430a14d3f4abcf51b8fd8c4833e353a73150b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aging - pathology</topic><topic>Cohort Studies</topic><topic>diabetes</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus - pathology</topic><topic>elderly</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>hyperintensities</topic><topic>leukoaraiosis</topic><topic>long sleep</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>multi‐ethnic</topic><topic>New York City - epidemiology</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>short sleep</topic><topic>Sleep - physiology</topic><topic>Stroke</topic><topic>Time Factors</topic><topic>white matter</topic><topic>White Matter - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ramos, Alberto R.</creatorcontrib><creatorcontrib>Dong, Chuanhui</creatorcontrib><creatorcontrib>Rundek, Tatjana</creatorcontrib><creatorcontrib>Elkind, Mitchell S. 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V.</au><au>Boden‐Albala, Bernadette</au><au>Sacco, Ralph L.</au><au>Wright, Clinton B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep duration is associated with white matter hyperintensity volume in older adults: the Northern Manhattan Study</atitle><jtitle>Journal of sleep research</jtitle><addtitle>J Sleep Res</addtitle><date>2014-10</date><risdate>2014</risdate><volume>23</volume><issue>5</issue><spage>524</spage><epage>530</epage><pages>524-530</pages><issn>0962-1105</issn><eissn>1365-2869</eissn><abstract>Summary Self‐reports of long or short sleep durations have indicated an association with cardiovascular morbidity and mortality, but there are limited data evaluating their association with white matter hyperintensity volume (WMHV), a marker of cerebral small vessel disease. 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In fully adjusted models, stratified analysis showed that long sleep duration was associated with greater WMHV only in those with diabetes (β = 0.78; P = 0.0314), but not in those without diabetes (β = 0.022; P = 0.2), whereas short sleep was not associated with white matter hyperintensities in those with or without diabetes. In conclusion, long sleep duration was associated with a greater burden of white matter lesions in this stroke‐free urban sample. The association was seen mainly among those with diabetes mellitus.</abstract><cop>England</cop><pmid>25040435</pmid><doi>10.1111/jsr.12177</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0962-1105
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language eng
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subjects Adult
Aged
Aging - pathology
Cohort Studies
diabetes
Diabetes Mellitus - epidemiology
Diabetes Mellitus - pathology
elderly
Female
Hispanic Americans
Humans
hyperintensities
leukoaraiosis
long sleep
Magnetic Resonance Imaging
Male
Middle Aged
multi‐ethnic
New York City - epidemiology
Prevalence
Risk Factors
Self Report
short sleep
Sleep - physiology
Stroke
Time Factors
white matter
White Matter - pathology
title Sleep duration is associated with white matter hyperintensity volume in older adults: the Northern Manhattan Study
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