Sleep

Ecologically Assessed Sleep Duration and Pulse Wave Velocity in Young Adult African Americans.

TL;DR

PWV was significantly negatively correlated with total sleep time in young African American adults, with the effect accounted for by males in the sample, suggesting sleep duration may be a modifiable risk factor for cardiovascular health.

Key Findings

Pulse wave velocity (PWV) was significantly negatively correlated with total sleep time in young African American adults.

  • Correlation coefficient r = -0.26, p = .04
  • This indicates that shorter sleep duration was associated with greater arterial stiffness
  • Sample consisted of 68 young adults (ages 18–35) who identified as African American
  • Average age was 28.4 ± 4.3 years; 38 (53.5%) were men
  • Sleep was measured using actigraphy in participants' habitual environments

Central systolic pressure (CSP) was correlated with age and BMI but not with any sleep measures.

  • CSP correlated with age: r = 0.33, p = .003
  • CSP correlated with BMI: r = 0.28, p = .01
  • CSP was not significantly correlated with total sleep time or other sleep measures
  • PWV and CSP were measured using the SphygmoCor CVO system in participants' homes in the morning, close to awakening

The effect of total sleep time on PWV was accounted for by the male participants in the sample.

  • A regression model was used to assess the contribution of sex to the sleep-PWV relationship
  • The association between sleep duration and arterial stiffness was driven by males, not females
  • This finding is noted as opposite to the gender relationship found in a recent study utilizing central augmentation indices during sleep
  • 38 of the 68 participants (53.5%) were men

The study employed an ecologically valid methodology, measuring sleep and cardiovascular outcomes in participants' home environments.

  • Sleep was assessed using actigraphy, with lights-out time and awakenings recorded using digital devices
  • PWV and CSP measurements were taken in participants' homes in the morning, close to awakening from the last assessed sleep period
  • Average BMI was in the healthy range and average insomnia severity was mild
  • Participants ranged in age from 18 to 35 years

The authors conclude that sleep duration may be a modifiable risk factor for improving cardiovascular health.

  • Results are described as consistent with a recent finding utilizing central augmentation indices during sleep regarding a relationship between sleep duration and arterial elasticity
  • The authors call for replication and extension of findings to further support sleep duration as a modifiable cardiovascular risk factor
  • The study focused on African Americans, a population with disproportionate cardiovascular disease burden
  • The opposite gender pattern compared to prior work is highlighted as a notable discrepancy requiring further investigation

What This Means

This research suggests that in young African American adults, sleeping less is associated with stiffer arteries, as measured by pulse wave velocity (PWV) — a well-established marker of cardiovascular risk. The study tracked sleep using wrist-worn devices in participants' own homes and measured arterial stiffness in the morning shortly after waking, making the findings particularly relevant to real-world conditions. Notably, blood pressure-related measures (central systolic pressure) were linked to age and body weight but not to how long people slept. When the researchers looked more closely at who was driving the sleep-arterial stiffness connection, they found the association was mainly present in the male participants. This is interesting because a previous study found the opposite — that the sleep-arterial elasticity relationship was stronger in women. This discrepancy points to a need for more research to understand whether and how sex differences influence the relationship between sleep and heart health. This research matters because it adds to growing evidence that sleep duration could be a practical, changeable target for reducing cardiovascular disease risk. African Americans are disproportionately affected by cardiovascular disease and also tend to experience shorter and less restful sleep on average. Studies like this, conducted in real-world home settings rather than sleep labs, help build the case that improving sleep habits could be a meaningful strategy for protecting heart health in this population.

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Citation

Sheriff P, Boyd K, Lavela P, Sandhu I, Mellman T. (2026). Ecologically Assessed Sleep Duration and Pulse Wave Velocity in Young Adult African Americans.. Biopsychosocial science and medicine. https://doi.org/10.1097/PSY.0000000000001455