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Problems associated with short sleep: Bridging the gap between laboratory and epidemiological studies
Open accessAbstract
Existing data from laboratory studies suggest a number of negative consequences of acute reductions in sleep time. Also, epidemiological data suggest links between shorter self-reported sleep duration and negative health outcomes. These bodies of work are growing, revealing several key points of convergence and opportunities for future exploration. In addition, they begin to highlight possible problems experienced by "short sleepers," who sleep approximately 6h or less per night. While it is likely that this group is heterogeneous, comprised both of individuals with less need for sleep and those not sleeping enough, the laboratory and epidemiological findings point towards directions that can be more fully explored in verified short sleepers. This paper discusses problems associated with the terminology used to describe "short sleep," summarizes laboratory studies exploring neurobehavioral performance, metabolism and obesity, and psychological health and epidemiological studies exploring mortality risk, obesity and metabolism, cardiovascular disease, and general health/psychosocial stress, describes studies of verified short sleepers and explores areas of convergence, laying out possible future directions.
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“For example, the precision of measurement of sleep in these studies is often poor.17,27,35”
From Sleep, Health, and Society (2017) · cites this paper as [35]
In the citing paper
“these variables may represent partly overlapping, but separate physiological entities6970.”
From Prolonged sleep restriction induces changes in pathways involved in cholesterol metabolism and inflammatory responses (2016) · cites this paper as [69]
In the citing paper
“While sleep duration as a measure of sleep has many advantages, in evaluation of sleep insufficiency it has one considerable disadvantage: it cannot differentiate sleep insufficiency-inducing short sleep from natural short sleep69.”
From Prolonged sleep restriction induces changes in pathways involved in cholesterol metabolism and inflammatory responses (2016) · cites this paper as [69]
In the citing paper
“Even among survey methods, there seems to be systematic variation.35”
From Sleep, Health, and Society (2017) · cites this paper as [35]
In the citing paper
“Epidemiologic studies, while typically more generalizable, carry methodological limitations such as inconsistent definitions of ‘short’ and ‘long’ sleep duration categories, inconsistent assessments (e.g., differently-worded survey items)[17], variable measurement techniques (e.g., diaries, actigraphy, polysomnography)[38], and occasionally non-representative samples”
From Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors (2014) · cites this paper as [17]
In the citing paper
“previously established categories of self-reported sleep duration[2, 17, 47, 48]”
From Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors (2014) · cites this paper as [17]
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Self-citation
Metadata
- Authors
- Grandner, M. A., Patel, N. P., Gehrman, P. R., Perlis, M. L., & Pack, A. I.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Grandner, Michael A.
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 14
- Issue
- 4
- Pages
- 239-247
- ISSN
- 1087-0792 (ISSN-L)
- PMC
- PMC2888649
- OpenAlex
- W2077014575
- Cited by
- 291
- References
- 137
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 18 · 2023: 20 · 2022: 25 · 2021: 17 · 2020: 20 · 2019: 20 · 2018: 18 · 2017: 22 · 2016: 24 · 2015: 17 · 2014: 12 · 2013: 26 · 2012: 17
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL007713)
- National Center for Research Resources (UL1RR024134)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- short sleep duration, short sleepers, sleep duration, sleep deprivation, neurobehavioral performance, metabolism, obesity, mortality risk, cardiovascular disease, mental health, psychosocial stress, sleep need
- MeSH terms
- Cardiovascular Diseases, Cause of Death, Cross-Sectional Studies, Feeding Behavior, Female, Health Surveys, Homeostasis, Humans, Sleep Initiation and Maintenance Disorders, Male, Neuropsychological Tests, Obesity, Sleep Deprivation, Sleep Wake Disorders, Survival Rate, Mind-Body Relations, Metaphysical, Metabolic Syndrome
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