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

Anders M. Fjell*, Øystein Sørensen, Yunpeng Wang, Inge K. Amlien, William F.C. Baaré, David Bartrés-Faz, Lars Bertram, Carl Johan Boraxbekk, 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-PadullésDidac Vidal-Piñeiro, Gerd Wagner, Leiv Otto Watne, Kristine B. Walhovd

*Corresponding author for this work
    20 Citations (Scopus)

    Abstract

    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
    DOIs
    Publication statusPublished - 11.2023

    Funding

    FundersFunder number
    California Walnut Commission
    Knut och Alice Wallenbergs Stiftelse
    Norges Idrettshøgskole
    National Association for Public Health
    Norges Forskningsråd
    Agencia Estatal de Investigación
    Horizon 2020
    WU-Minn Consortium1U54MH091657
    Bundesministerium für Bildung und Forschung677804, 16SV5536K, 01GL1716B, 01GL1716A, 01UW0808, 01UW0706, 16SV5538, 16SV5537, 16SV5837
    Horizon 2020 Framework Programme732592
    McDonnell Center for Systems Neuroscience32048
    European Regional Development FundNCT01634841
    Wellcome Trust203139
    Ministerio de Economía y CompetitividadPSI2015-64227-R
    European Research Council283634, 725025, 313440
    Lifelong Health and Well-being ProgrammeG1001354
    Medical Research Council203139/Z/16/Z

      Research Areas and Centers

      • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)
      • Research Area: Medical Genetics

      DFG Research Classification Scheme

      • 2.23-06 Molecular and Cellular Neurology and Neuropathology

      KDSF Research Field Classification Scheme

      • 231 - Cells and Genes

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