Prather · Journal of aging research 2011 · cross-sectional observational study · n=245

Shorter leukocyte telomere length in midlife women with poor sleep quality.

Cited 101 times in the scientific literature.

Level 4 - case-series / case-control

Cross-sectional observational study of sleep characteristics and leukocyte telomere length.

PubMed 22046530 · doi:10.4061/2011/721390 · record verified 2026-08-30

What was done

The authors examined associations between self-reported sleep duration, onset latency, and subjective sleep quality with leukocyte telomere length (LTL) in a community-dwelling sample of 245 healthy midlife women aged 49 to 66 years. Multivariable models adjusted for age, BMI, race, income, and, in a chronic sleep subgroup, perceived psychological stress.

What was found

Sleep duration and sleep onset latency were unrelated to LTL. Poorer subjective sleep quality significantly correlated with shorter LTL (r = 0.14, P = 0.03) and remained significant after adjusting for age, BMI, race, and income (b = 55.48, SE = 27.43, P = 0.04). In women with chronic sleep patterns, poor sleep quality predicted shorter LTL independent of covariates and perceived psychological stress.

Why it matters

This study provides early evidence that subjective sleep disruption is associated with shorter leukocyte telomere length, suggesting a link between sleep quality and cellular aging.

Limits

The cross-sectional design prevents causal inference. Sleep characteristics were self-reported rather than objectively measured. The findings are based on a modest sample limited to healthy women aged 49-66, which limits generalizability to men and other populations, and the observed correlation was weak (r = 0.14).

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