Sleep quality
- 20 independent labs in 8 countries
- Funders: National Institutes of Health and others
- Humans34
Outcomes
7Cognitive function
no changein humans1
1 study
Cognitive function
no changein humans1
Sleep quality has no effect on cognitive function in humans.
“sleep quality was not associated with cognition.”
HumansUnited States; adjusted for MIDUS 2 cognition and covariates
medRxiv : the preprint server for health sciences12 Aug 2026Preprint
Memory complaints
no changein humans1
1 study
Memory complaints
no changein humans1
Sleep quality has no effect on memory complaints in humans.
“No significant correlation emerged between self‐reported sleep quality and memory complaints.”
Humansin Kenyan adults across dementia, control, and oncology groupsn = 263
AAIC 2025 abstract24 Dec 2025
Social frailty
no changein humans1
1 study
Social frailty
no changein humans1
Sleep quality has no effect on social frailty in humans (β = 0.057; p = 0.282).
“the direct effect of sleep quality on social frailty (β = 0.057, p = 0.282)”
HumansIschemic stroke inpatients; nonsignificant direct association in structural equation modeln = 437
Frontiers in public health20 Oct 2025
Tower of London test
no changein humans1
1 study
Tower of London test
no changein humans1
Sleep quality has no effect on Tower of London test in humans.
“Additionally there was no significant interaction between the Tower of London Test score and sleep status.”
Humansn = 100
Effect of sleep quality on different aspects of executive function in older Iranians
Australasian journal on ageing1 Sep 2025
Executive functioning
no changein humans1
1 study
Executive functioning
no changein humans1
Sleep quality has no effect on executive functioning in humans (r=-.219, p=.090).
“WCST standardized percent perseverative errors (r=-.219, p=.090)”
Humansin family caregivers of persons with dementia
THE IMPACT OF SLEEP QUALITY ON NEUROCOGNITIVE FUNCTIONING IN CAREGIVERS OF PERSONS WITH DEMENTIA
GSA 2024 abstract31 Dec 2024
Neurocognitive functioning
no changein humans1
1 study
Neurocognitive functioning
no changein humans1
Sleep quality has no effect on neurocognitive functioning in humans (r=-.110, p=.269).
“There was no significant relationship between sleep and processing speed (r=-.173, p=.143), executive functioning (i.e., WCST standardized percent perseverative errors (r=-.219, p=.090); WCST standardized percent conceptual level responses (r=-.256, p=.059)), and overall neurocognitive functioning (r=-.110, p=.269).”
Humansin family caregivers of persons with dementia
THE IMPACT OF SLEEP QUALITY ON NEUROCOGNITIVE FUNCTIONING IN CAREGIVERS OF PERSONS WITH DEMENTIA
GSA 2024 abstract31 Dec 2024
Processing speed
no changein humans1
1 study
Processing speed
no changein humans1
Sleep quality has no effect on processing speed in humans (r=-.173, p=.143).
“There was no significant relationship between sleep and processing speed (r=-.173, p=.143)”
Humansin family caregivers of persons with dementia
THE IMPACT OF SLEEP QUALITY ON NEUROCOGNITIVE FUNCTIONING IN CAREGIVERS OF PERSONS WITH DEMENTIA
GSA 2024 abstract31 Dec 2024
Associations
16Executive function
downin humans2
2 studies
Executive function
downin humans2
Sleep quality is associated with executive function in humans (r = -0.116, p = 0.007).
“executive functioning decline was associated with poor subjective sleep quality (r=-0.116, p = 0.007)”
Humans9.2 yearsn = 537
Age-Specific Long-Term Effects Of Sleep On Memory And Executive Function: MIDUS 2 And 3
GSA 2025 abstract31 Dec 2025
Sleep quality is associated with executive function in humans.
“Sleep status was independently associated with poorer executive functioning, indicated by perseverative errors, categories and incorrect replacement on the Wisconsin Card Sorting Test, as well as the Trail Making Test B.”
Humansn = 100
Effect of sleep quality on different aspects of executive function in older Iranians
Australasian journal on ageing1 Sep 2025
Motor performance
upin humans1
1 study
Motor performance
upin humans1
Sleep quality is associated with motor performance in humans (r = 0.2, SD = 0.05).
“In the combined model of the HCP-YA sample, a canonical variate of better sleep, mild, sub-clinical depressive symptoms, and altered GMV of several cortical (including precentral and fusiform gyrus), thalamus, and cerebellar brain regions was associated with a canonical variate of better MP (r = 0.2, SD = 0.05).”
Humans
Scientific reports10 Jan 2026
Psychological well-being
upin humans1
1 study
Psychological well-being
upin humans1
Sleep quality is associated with psychological well-being in humans (2008: β = 0.159; 2011: β = 0.193; 2014: β = 0.207; 2018: β = 0.266; all p < 0.001).
“After controlling for time-invariant and time-varying covariates, better sleep quality was consistently associated with better psychological well-being among older adults”
HumansChinese older adults; adjusted for time-invariant and time-varying covariates2008–2018n = 2,371
Journal of aging research1 Jan 2026
Psychological capacity
upin humans1
1 study
Psychological capacity
upin humans1
Sleep quality is associated with psychological capacity in humans.
“Psychological capacity showed a specific association with sleep quality.”
Humansn = 3,398
Experimental gerontology31 Dec 2025
Daily activity diversity
upin humans1
1 study
Daily activity diversity
upin humans1
Sleep quality predicts daily activity diversity in humans.
“for the oldest-olds (≥80), higher sleep quality predicted greater activity diversity”
Humansin oldest-old adults
Associations Between Nightly Sleep and Daily Activity Diversity Among Older Adults
GSA 2025 abstract31 Dec 2025
Weak-binder status on VSTMBT
downin humans1
1 study
Weak-binder status on VSTMBT
downin humans1
Sleep quality lowers the risk of weak-binder status on VSTMBT in humans (AOR = 0.50, 95% CI: 0.247–1.011, p = 0.054).
“Consistent sleep quality was marginally associated with lower odds of WB. There were slightly significant lower odds (AOR=0.50, 95% CI: 0.247 ‐ 1.011; p = 0.054)”
Humans
AAIC 2025 abstract25 Dec 2025
pTau231
upin humans1
1 study
pTau231
upin humans1
Sleep quality is associated with pTau231 in humans (β = 0.02, p = 0.04).
“Poorer SQ was significantly associated with elevated pTau231 (β = 0.02, p = 0.04)”
Humansbloodmalesn = 938
AAIC 2025 abstract24 Dec 2025
NfL
upin humans1
1 study
NfL
upin humans1
Sleep quality is associated with NfL in humans (β=0.16, 95% CI=0.01,0.30).
“poor sleep quality was linked to higher level of NfL (β=0.16, 95% 95% confidence interval (CI)=0.01,0.30).”
Humans15 years
Sleep patterns in midlife and Alzheimer's disease biomarkers
AAIC 2025 abstract23 Dec 2025
Dementia
no changein humans1HR 0.68
1 study
Dementia
no changein humans1HR 0.68
Sleep quality is associated with dementia in humans (HR 0.68, 95% CI 0.41-1.12).
“there was weak evidence of reduced risk in persons with poor sleep quality, compared to good sleep quality (HR 0.68, 95% CI 0.41-1.12)”
Humansmild cognitive impairment
Brain and behavior1 Dec 2025
Clinical depression
upin humans1
1 study
Clinical depression
upin humans1
Sleep quality raises the risk of clinical depression in humans (1.6 times the odds).
“individuals who were very dissatisfied with their sleep quality had 1.6 times the odds of reporting new depression”
Humansvery dissatisfied vs very satisfied sleep quality6 yearsn = 13,997
Sleep medicine1 Dec 2025
All 16Fewer
Preclinical Alzheimer's Cognitive Composite
downin humans1
1 study
Preclinical Alzheimer's Cognitive Composite
downin humans1
Sleep quality is associated with preclinical Alzheimer's Cognitive Composite in humans.
“Poorer sleep quality was independently associated with worse PACC outcomes.”
Humansn = 491
The journals of gerontology. Series A, Biological sciences and medical sciences21 Nov 2025
Cognitive frailty
upin humans1
1 study
Cognitive frailty
upin humans1
Sleep quality is associated with cognitive frailty in humans.
“Key inflection points where the risk of cognitive frailty significantly increased were age ≥75 years, depression score ≥20 points, and sleep quality score ≤5 points.”
HumansSleep quality score ≤5 points; community-dwelling patients with multiple coexisting chronic conditionsn = 1,692
Frontiers in public health29 Oct 2025
Anxiety symptoms
upin humans1OR 9.96
1 study
Anxiety symptoms
upin humans1OR 9.96
Sleep quality is associated with anxiety symptoms in humans (OR 9.96 for poor sleep quality).
“poor sleep quality was positively associated with depression and anxiety (OR = 2.40; 9.96) (P < 0.05)”
Humanspoor sleep qualityn = 2,497
The interaction of physical activity and sleep quality with depression and anxiety in older adults
Frontiers in public health23 Oct 2025
Depressive symptoms
upin humans1OR 2.4
1 study
Depressive symptoms
upin humans1OR 2.4
Sleep quality is associated with depressive symptoms in humans (OR 2.40 for poor sleep quality).
“poor sleep quality was positively associated with depression and anxiety (OR = 2.40; 9.96) (P < 0.05)”
Humanspoor sleep qualityn = 2,497
The interaction of physical activity and sleep quality with depression and anxiety in older adults
Frontiers in public health23 Oct 2025
Subjective cognitive function
upin humans1
1 study
Subjective cognitive function
upin humans1
Sleep quality is associated with subjective cognitive function in humans (β=0.044, 95% CI [0.004, 0.084], p=.031).
“changes in sleep quality were significantly associated with changes in subjective cognitive function (β=0.044, 95% CI [0.004, 0.084], p=.031)”
Humansn = 131
GSA 2024 abstract31 Dec 2024
Cognitive impairment
upin humans1
1 study
Cognitive impairment
upin humans1
Sleep quality is associated with cognitive impairment in humans.
“These results underline that sleep alterations are associated with cognitive impairment.”
Reviewaging
International journal of environmental research and public health11 Jul 2022
Funding
3 grants since 2023National Institute on AgingUS$5.8mNational Heart, Lung, and Blood InstituteUS$740.9k
Enhancing Sleep Quality for Nursing Home Residents with Dementia: Pragmatic Trial
National Institute on AgingUniversity of Alabama in TuscaloosaUS$1.5m2019–2027
National Institute on AgingUniversity of California, San FranciscoUS$764.8k2019–2026
Sleep Quality and Mechanisms of Cardiovascular Risk in Adults with Hypertension
National Heart, Lung, and Blood InstituteDuke UniversityUS$740.9k2019–2024