Actigraphic Sleep Health During Adolescence Predicts Young Adult Cardiovascular Health
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background Adequate sleep duration among middle-aged and older adults predicts better future cardiovascular health (CVH). It is unclear whether adolescent sleep health predicts young adult CVH, particularly using objective sleep measures. Objectives The authors examined whether actigraphic adolescent sleep health predicted young adult CVH. Methods Data were from a diverse U.S. population-based sample of 307 youth (57% F) from the Future of Families (FF) and Child Wellbeing Study, the FF- CHAYA (Cardiovascular Health Among Young Adults) Study, and the FF-Sleep Sub-Study. At age 15 years, adolescents wore wrist-actigraphy devices for ∼1 week. Multiple linear regression analyses adjusted for sociodemographic and behavioral characteristics examined whether age 15y average actigraphic total sleep time (TST), sleep timing, sleep maintenance efficiency, and variability (individual SD ) of these measures predicted age 22y CVH score (0-100), calculated as the average of nonsleep factors from the American Heart Association’s Life's Essential 8 (LE8) including objective CVH markers (modified LE8 [LE8 m ]). Results Later age 15 sleep onset ( b = −1.11; 95% CI: −2.06 to −0.15; β = −0.12) and offset ( b = −1.08; 95% CI: −1.96 to −0.21; β = −0.12) predicted lower (worse) age 22 LE8 m score. Higher sleep maintenance efficiency ( b = +0.66; 95% CI: 0.18-1.15; β = +0.14) predicted higher age 22 LE8 m score. Greater variability in TST ( b = −1.97; 95% CI: −3.87 to −0.07; β = −0.11) and in sleep onset ( b = −1.93; 95% CI: −3.72 to −0.14; β = −0.11) predicted lower age 22 LE8 m score. Age 15 average TST and variability in sleep offset did not predict age 22 LE8 m score ( P ≥ 0.10). Conclusions Earlier, more efficient, and less variable adolescent sleep predicted better young adult CVH. Interventions to protect future CVH should consider improving adolescent sleep health across multiple dimensions.
Source: JACC Advances
Language: English
Topic: Sleep and related disorders
Subfield: Experimental and Cognitive Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $2,936
Funders: National Science Foundation, National Sleep Foundation, University of Miami, New York University, University of Arizona, Pennsylvania State University, Georgia State University, Harvard T.H. Chan School of Public Health, Small Business Technology Transfer, Idorsia Pharmaceuticals, National Institutes of Health, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Child Health and Human Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: Longitudinal behavioral, sociodemographic and contextual predictors of young adult sleep health and well-being, ECONOMIC STATUS, PUBLIC POLICY, AND CHILD NEGLECT, G4602152420, G4733135383, Biological and social mediators of child wellbeing among ethnic groups in Fragile Families, A non-pharmacological multi-modal therapy to improve sleep and cognition and reduce mild cognitive impairment risk, Fragile Families and Child Wellbeing - Young Adulthood, Training in Translational Science and Cardiovascular Research, The Fragile Families Cardiovascular Health Follow Up Study, Child Care and Parental Employment in Fragile Families
OpenAlex ID: W4415696166