Sleep Duration Associated with Subjective Cognitive Decline: Influence of Age, Sex, Race and Ethnicity.

IF 1.6 3区医学 Q3 CLINICAL NEUROLOGY

Behavioral Sleep Medicine Pub Date : 2026-05-01 Epub Date: 2026-02-03 DOI:10.1080/15402002.2026.2623103

Anthony Q Briggs, Marcus Johnson, Sadia B Ghani, Andrew S Tubbs, William D S Killgore, Debbie Chung, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner

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引用次数: 0

Abstract

Objectives: To investigate the relationship between short and long sleep duration and subjective cognitive decline (SCD) in a diverse cohort of cognitively normal mid- to older-age adults.

Methods: We conducted a cross-sectional analysis of the 2022 Behavioral Risk Factor Surveillance System (BRFSS) data, including 63,948 adults aged 40-70. SCD was assessed using BRFSS survey queries. Multivariable logistic regression models examined the association between sleep duration ( < 7, 7, ≥8 hours) and SCD, adjusting for age, sex, race/ethnicity, education, and history of depression.

Results: Both short and long sleep durations were associated with higher odds of SCD. The association between short sleep and SCD was strongest among individuals in their 40s at the start of midlife. Findings were consistent across all ages for non-Hispanic Whites (NHW) and for Hispanics/Latinos in their 50s and 70s. Black/African American (B/AA) adults exhibited a stronger relationship between both short and long sleep duration and SCD as they aged from midlife into their 80s, compared to NHWs.

Conclusions: Short sleep duration is more strongly associated with subjective cognitive decline in midlife, particularly among B/AA adults. Addressing sleep disparities may help mitigate the risk of SCD.

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睡眠时间与主观认知能力下降的关系：年龄、性别、种族和民族的影响

目的：探讨中老年认知正常人群短睡眠时间和长睡眠时间与主观认知能力下降（SCD）的关系。方法：我们对2022年行为风险因素监测系统（BRFSS）数据进行了横断面分析，其中包括63,948名年龄在40-70岁之间的成年人。SCD采用BRFSS调查问卷进行评估。多变量logistic回归模型检验了睡眠时间之间的关系(结果：短睡眠时间和长睡眠时间都与SCD的高发生率相关。在中年初期的40多岁人群中，睡眠不足和SCD之间的联系最为明显。非西班牙裔白人（NHW）和50多岁和70多岁的西班牙裔/拉丁裔人的研究结果在所有年龄段都是一致的。与非裔美国人相比，黑人/非裔美国人（B/AA）成年人从中年到80多岁时，短睡眠时间和长睡眠时间与SCD之间的关系更强。结论：短睡眠时间与中年主观认知能力下降的关系更为密切，尤其是在B/AA级成年人中。解决睡眠差异可能有助于降低SCD的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.