CC BY-NC-ND 4.0 · Sleep Sci
DOI: 10.1055/s-0044-1782525
Original Article

The Effects of Experimental Sleep Extension in Middle-to-Older-Aged Healthy Sleepers

1   Department of Psychology, University of South Carolina, Columbia, SC, United States
,
Zachary R. Seymour
2   Walter Reed National Military Medical Center, Bethesda, MD, United States
,
Imran H. Iftikhar
3   Division of Pulmonary, Allergy, Critical Care & Sleep Medicine, Emory University, Atlanta, GA, United States
4   Atlanta Veterans Affairs Medical Center, Atlanta, GA, United States
,
M. Michele Burnette
1   Department of Psychology, University of South Carolina, Columbia, SC, United States
,
Jennifer M. C. Vendemia
1   Department of Psychology, University of South Carolina, Columbia, SC, United States
,
Shawn D. Youngstedt
5   Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States
› Author Affiliations
Funding Source This work was partially supported by: R01 HL095799

Abstract

Objectives To determine the feasibility for middle-aged and older adults to extend their time in bed by 2 h per night for 3 consecutive weeks. Other aims were to examine the effects of sleep extension on mood, cognitive performance, and cardiovascular health.

Methods Ten healthy middle-aged to older adults (9 women; M = 65.20 ± 4.78 years) who reported regularly sleeping 6 to 8 h per night participated in a randomized controlled cross-over study: 3 weeks of both habitual sleep and extended sleep (1-week recovery between treatments). Participants were asked to spend 2 additional hours in bed per night during sleep extension. Cognitive (e.g., errors, response time), psychological (e.g., depression, anxiety, mood), and physiological measures (e.g., inflammation, glucose, triglycerides, blood pressure) were assessed.

Results Compared with habitual sleep, time in bed increased 81.63 ± 33.11 min and total sleep time increased 66.33 ± 28.64 min during sleep extension; these variables did not significantly change during baseline or the habitual sleep treatment. No significant treatment differences were found in the cognitive, psychological, or physiological measures.

Discussion Neither significant positive nor negative effects of sleep extension were found for any of the variables. In terms of feasibility, it was difficult for the participants to extend their time in bed and, subsequently, attain more sleep by the targeted amount. Sleep extension by a greater degree or longer period of times might be more likely to elicit positive or negative effects.

Disclosure

The author reports no conflicts of interest in this work.




Publication History

Received: 30 June 2023

Accepted: 28 November 2023

Article published online:
13 June 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR. Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry 2002; 59 (02) 131-136
  • 2 Fan M, Sun D, Zhou T. et al. Sleep patterns, genetic susceptibility, and incident cardiovascular disease: a prospective study of 385 292 UK biobank participants. Eur Heart J 2020; 41 (11) 1182-1189
  • 3 Jike M, Itani O, Watanabe N, Buysse DJ, Kaneita Y. Long sleep duration and health outcomes: A systematic review, meta-analysis and meta-regression. Sleep Med Rev 2018; 39: 25-36 DOI: 10.1016/j.smrv.2017.06.011.
  • 4 Dong L, Xie Y, Zou X. Association between sleep duration and depression in US adults: A cross-sectional study. J Affect Disord 2022; 296: 183-188
  • 5 Ma Y, Liang L, Zheng F, Shi L, Zhong B, Xie W. Association between sleep duration and cognitive decline. JAMA Netw Open 2020; 3 (09) e2013573
  • 6 Guo X, Zheng L, Wang J. et al. Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis. Sleep Med 2013; 14 (04) 324-332
  • 7 Reis C, Dias S, Rodrigues AM. et al. Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study. Sleep Sci 2018; 11 (04) 217-230
  • 8 Smiley A, King D, Bidulescu A. The association between sleep duration and metabolic syndrome: The NHANES 2013/2014. Nutrients 2019; 11 (11) 2582 DOI: 10.3390/nu11112582.
  • 9 Ferrie JE, Shipley MJ, Cappuccio FP. et al. A prospective study of change in sleep duration: associations with mortality in the Whitehall II cohort. Sleep 2007; 30 (12) 1659-1666
  • 10 Cohen-Mansfield J, Perach R. Sleep duration, nap habits, and mortality in older persons. Sleep 2012; 35 (07) 1003-1009 DOI: 10.5665/sleep.1970.
  • 11 Youngstedt SD, Kripke DF. Long sleep and mortality: rationale for sleep restriction. Sleep Med Rev 2004; 8 (03) 159-174 DOI: 10.1016/j.smrv.2003.10.002.
  • 12 Stamatakis KA, Punjabi NM. Long sleep duration: a risk to health or a marker of risk?. Sleep Med Rev 2007; 11 (05) 337-339 DOI: 10.1016/j.smrv.2007.07.006.
  • 13 Duggan KA, Reynolds CA, Kern ML, Friedman HS. Childhood sleep duration and lifelong mortality risk. Health Psychol 2014; 33 (10) 1195-1203 DOI: 10.1037/hea0000078.
  • 14 Mesas AE, López-García E, León-Muñoz LM, Guallar-Castillón P, Rodríguez-Artalejo F. Sleep duration and mortality according to health status in older adults. J Am Geriatr Soc 2010; 58 (10) 1870-1877 DOI: 10.1111/j.1532-5415.2010.03071.x.
  • 15 Knutson KL, Turek FW. The U-shaped association between sleep and health: the 2 peaks do not mean the same thing. Sleep 2006; 29 (07) 878-879
  • 16 Hamburg NM, McMackin CJ, Huang AL. et al. Physical inactivity rapidly induces insulin resistance and microvascular dysfunction in healthy volunteers. Arterioscler Thromb Vasc Biol 2007; 27 (12) 2650-2656 DOI: 10.1161/ATVBAHA.107.153288.
  • 17 Schneider SM, Robergs RA, Amorim FT, de Serna DG, Duran-Valdez EE, Schade DS. Impaired orthostatic response in patients with type 2 diabetes mellitus after 48 hours of bed rest. Endocr Pract 2009; 15 (02) 104-110
  • 18 Matthews CE, George SM, Moore SC. et al. Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr 2012; 95 (02) 437-445 DOI: 10.3945/ajcn.111.019620.
  • 19 Buman MP, Kline CE, Youngstedt SD, Phillips B, Tulio de Mello M, Hirshkowitz M. Sitting and television viewing: novel risk factors for sleep disturbance and apnea risk? results from the 2013 National Sleep Foundation Sleep in America Poll. Chest 2015; 147 (03) 728-734 DOI: 10.1378/chest.14-1187.
  • 20 Stranges S, Dorn JM, Shipley MJ. et al. Correlates of short and long sleep duration: a cross-cultural comparison between the United Kingdom and the United States: the Whitehall II Study and the Western New York Health Study. Am J Epidemiol 2008; 168 (12) 1353-1364
  • 21 Stepanski EJ. The effect of sleep fragmentation on daytime function. Sleep 2002; 25 (03) 268-276
  • 22 Patel SR, Zhu X, Storfer-Isser A. et al. Sleep duration and biomarkers of inflammation. Sleep 2009; 32 (02) 200-204
  • 23 Veler H. Sleep and inflammation. Sleep Med Clin 2023; 18 (02) 213-218
  • 24 Bhattacharjee Y. Psychiatric research. Is internal timing key to mental health?. Science 2007; 317 (5844) 1488-1490 DOI: 10.1126/science.317.5844.1488.
  • 25 Olanrewaju HA, Miller WW, Maslin WR, Collier SD, Purswell JL, Branton SL. Influence of light sources and photoperiod on growth performance, carcass characteristics, and health indices of broilers grown to heavy weights. Poult Sci 2018; 97 (04) 1109-1116
  • 26 Winer JR, Deters KD, Kennedy G. et al. Association of short and long sleep duration with amyloid-β burden and cognition in aging. JAMA Neurol 2021; 78 (10) 1187-1196
  • 27 Ding G, Li J, Lian Z. Both short and long sleep durations are associated with cognitive impairment among community-dwelling Chinese older adults. Medicine (Baltimore) 2020; 99 (13) e19667
  • 28 Hua J, Zhuang S, Shen Y, Tang X, Sun H, Fang Q. Exploring the bidirectional associations between short or long sleep duration and lower cognitive function: A 7-year cohort study in China. Front Aging Neurosci 2021; 13: 727763
  • 29 van Oostrom SH, Nooyens ACJ, van Boxtel MPJ, Verschuren WMM. Long sleep duration is associated with lower cognitive function among middle-age adults - the Doetinchem Cohort Study. Sleep Med 2018; 41: 78-85
  • 30 Taub JM, Globus GG, Phoebus E, Drury R. Extended sleep and performance. Nature 1971; 233 (5315) 142-143
  • 31 Taub JM, Berger RJ. Performance and mood following variations in the length and timing of sleep. Psychophysiology 1973; 10 (06) 559-570
  • 32 Reynold AM, Bowles ER, Saxena A, Fayad R, Youngstedt SD. Negative effects of time in bed extension: A pilot study. J Sleep Med Disord 2014; 1 (01) 1002
  • 33 Baron KG, Duffecy J, Reutrakul S. et al. Behavioral interventions to extend sleep duration: A systematic review and meta-analysis. Sleep Med Rev 2021; 60: 101532 DOI: 10.1016/j.smrv.2021.101532.
  • 34 Gonzales JU, Clark C, Anderson T. Effect of five nights of sleep extension on peripheral vascular function: a randomized crossover investigation into long sleep duration. Sleep Med 2022; 90: 145-152 DOI: 10.1016/j.sleep.2022.01.021.
  • 35 Clark C, Rivas E, Gonzales JU. Six nights of sleep extension increases regional cerebral oxygenation without modifying cognitive performance at rest or following acute aerobic exercise. J Sleep Res 2022; 31 (05) e13582 DOI: 10.1111/jsr.13582.
  • 36 Youngstedt SD, Kline CE, Zielinski MR. et al. Tolerance of chronic 90-minute time-in-bed restriction in older long sleepers. Sleep 2009; 32 (11) 1467-1479 DOI: 10.1093/sleep/32.11.1467.
  • 37 Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004; 27 (07) 1255-1273
  • 38 Youngstedt SD, Goff EE, Reynolds AM. et al. Has adult sleep duration declined over the last 50+ years?. Sleep Med Rev 2016; 28: 69-85 DOI: 10.1016/j.smrv.2015.08.004.
  • 39 Miner B, Kryger MH. Sleep in the aging population. Sleep Med Clin 2020; 15 (02) 311-318
  • 40 Cole RJ, Kripke DF, Gruen W, Mullaney DJ, Gillin JC. Automatic sleep/wake identification from wrist activity. Sleep 1992; 15 (05) 461-469
  • 41 Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23 (01) 56-62
  • 42 Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32 (01) 50-55
  • 43 Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. Psychological Corporation; 1996
  • 44 Spielberger CD. State-Trait Anxiety Inventory: Bibliography. 2nd ed. Consulting Psychologists Press;; 1989
  • 45 Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991; 14 (06) 540-545
  • 46 Belza BL, Henke CJ, Yelin EH, Epstein WV, Gilliss CL. Correlates of fatigue in older adults with rheumatoid arthritis. Nurs Res 1993; 42 (02) 93-99
  • 47 Roid GH. Stanford-Binet Intelligence Scales. 5th ed. (SB:V. Riverside Publishing; 2003
  • 48 Drummond SP, Bischoff-Grethe A, Dinges DF, Ayalon L, Mednick SC, Meloy MJ. The neural basis of the psychomotor vigilance task. Sleep 2005; 28 (09) 1059-1068
  • 49 Stroop JR. Studies of interference in serial verbal reactions. J Exp Psychol 1935; 18: 643-662
  • 50 Van der Elst W, Van Boxtel MP, Van Breukelen GJ, Jolles J. The Stroop color-word test: influence of age, sex, and education; and normative data for a large sample across the adult age range. Assessment 2006; 13 (01) 62-79 DOI: 10.1177/1073191105283427.
  • 51 Valentijn SAM, van Boxtel MP, van Hooren SA. et al. Change in sensory functioning predicts change in cognitive functioning: results from a 6-year follow-up in the maastricht aging study. J Am Geriatr Soc 2005; 53 (03) 374-380 DOI: 10.1111/j.1532-5415.2005.53152.x.
  • 52 Oosterman JM, Vogels RLC, van Harten B. et al. Assessing mental flexibility: neuroanatomical and neuropsychological correlates of the Trail Making Test in elderly people. Clin Neuropsychol 2010; 24 (02) 203-219 DOI: 10.1080/13854040903482848.
  • 53 Takahashi H, Yoshika M, Yokoi T. Validation of Omron RS8, RS6, and RS3 home blood pressure monitoring devices, in accordance with the European Society of Hypertension International Protocol revision 2010. Vasc Health Risk Manag 2013; 9: 265-272
  • 54 O'Connor MF, Irwin MR. Links between behavioral factors and inflammation. Clin Pharmacol Ther 2010; 87 (04) 479-482 DOI: 10.1038/clpt.2009.255.
  • 55 Henst RHP, Pienaar PR, Roden LC, Rae DE. The effects of sleep extension on cardiometabolic risk factors: A systematic review. J Sleep Res 2019; 28 (06) e12865
  • 56 Cunnington D, Junge MF, Fernando AT. Insomnia: prevalence, consequences and effective treatment. Med J Aust 2013; 199 (08) S36-S40
  • 57 Youngstedt SD. Ceiling and floor effects in sleep research. Sleep Med Rev 2003; 7 (04) 351-365
  • 58 Taub JM, Berger RJ. Extended sleep and performance: The Rip Van Winkle effect. Psychon Sci 1969; 16 (04) 204-205
  • 59 Kaneita Y, Uchiyama M, Yoshiike N, Ohida T. Associations of usual sleep duration with serum lipid and lipoprotein levels. Sleep 2008; 31 (05) 645-652
  • 60 van den Berg JF, Miedema HME, Tulen JHM. et al. Long sleep duration is associated with serum cholesterol in the elderly: the Rotterdam Study. Psychosom Med 2008; 70 (09) 1005-1011 DOI: 10.1097/PSY.0b013e318186e656.