No phenotypic or genotypic evidence for a link between sleep duration and brain atrophy

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  • Anders M Fjell
  • Øystein Sørensen
  • Yunpeng Wang
  • Inge K Amlien
  • William F C Baaré
  • David Bartrés-Faz
  • Lars Bertram
  • Andreas M Brandmaier
  • Ilja Demuth
  • Christian A Drevon
  • Klaus P Ebmeier
  • Paolo Ghisletta
  • Rogier Kievit
  • Simone Kühn
  • Kathrine Skak Madsen
  • Athanasia M Mowinckel
  • Lars Nyberg
  • Claire E Sexton
  • Cristina Solé-Padullés
  • Didac Vidal-Piñeiro
  • Gerd Wagner
  • Leiv Otto Watne
  • Kristine B Walhovd

Short sleep is held to cause poorer brain health, but is short sleep associated with higher rates of brain structural decline? Analysing 8,153 longitudinal MRIs from 3,893 healthy adults, we found no evidence for an association between sleep duration and brain atrophy. In contrast, cross-sectional analyses (51,295 observations) showed inverse U-shaped relationships, where a duration of 6.5 (95% confidence interval, (5.7, 7.3)) hours was associated with the thickest cortex and largest volumes relative to intracranial volume. This fits converging evidence from research on mortality, health and cognition that points to roughly seven hours being associated with good health. Genome-wide association analyses suggested that genes associated with longer sleep for below-average sleepers were linked to shorter sleep for above-average sleepers. Mendelian randomization did not yield evidence for causal impacts of sleep on brain structure. The combined results challenge the notion that habitual short sleep causes brain atrophy, suggesting that normal brains promote adequate sleep duration-which is shorter than current recommendations.

Original languageEnglish
JournalNature Human Behaviour
Volume7
Issue number11
Pages (from-to)2008-2022
Number of pages15
ISSN2397-3374
DOIs
Publication statusPublished - Nov 2023

Bibliographical note

© 2023. The Author(s).

    Research areas

  • Adult, Humans, Sleep Duration, Cross-Sectional Studies, Genome-Wide Association Study, Brain/diagnostic imaging, Sleep Wake Disorders/diagnostic imaging, Atrophy

ID: 375630303