Multidimensional Sleep Health: Definitions and Implications for Cardiometabolic Health: A Scientific Statement From

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Updated: Jul 11, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
07:40

Multi-Modal Home Sleep Monitoring in Older Adults

Published on: January 26, 2019

Marie-Pierre St-Onge, Brooke Aggarwal, Julio Fernandez-Mendoza

    Circulation. Cardiovascular Quality and Outcomes
    |April 14, 2025
    PubMed

    Insights

    Poor sleep health is linked to heart disease and other risks. Expanding sleep health beyond duration is crucial for improving cardiovascular health and addressing disparities.

    Area of Science:

    • Cardiology
    • Sleep Medicine
    • Public Health

    Background:

    • Poor sleep health is a significant risk factor for cardiometabolic diseases.
    • It is associated with conditions like heart disease, stroke, hypertension, obesity, and increased mortality.
    • The American Heart Association recognizes sleep duration as part of Life's Essential 8, but sleep health is multidimensional.

    Purpose of the Study:

    • To outline the concept of multidimensional sleep health.
    • To examine its application to cardiometabolic health.
    • To highlight associations with sociodemographic factors and identify knowledge gaps.

    Main Methods:

    • This is a scientific statement, not an empirical study.
    • It synthesizes existing knowledge on sleep health dimensions and cardiometabolic outcomes.
    • It reviews literature on sociodemographic patterning of sleep and cardiometabolic health.

    Main Results:

    • Sleep health encompasses multiple dimensions: duration, continuity, timing, regularity, daytime functioning, architecture, and absence of sleep disorders.
    • These dimensions are intricately related to cardiometabolic health.
    • Sociodemographic factors significantly influence sleep health and cardiometabolic risk.

    Conclusions:

    • Sleep health is a complex, multidimensional construct critical for cardiometabolic well-being.
    • Current metrics like sleep duration are insufficient; a broader assessment is needed.
    • Further research is required to optimize sleep health assessment and interventions for cardiovascular health improvement.

    Keywords:
    AHA Scientific Statementssleepsleep durationsleep quality

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