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Actigraphic Sleep Health During Adolescence Predicts Young Adult Cardiovascular Health
Gina Marie Mathew1, David A Reichenberger2, Lindsay Master3
1Program in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Health Sciences Center, Stony Brook, New York, USA.
JACC. Advances
|October 28, 2025
Summary
Adolescent sleep patterns, including timing and efficiency, significantly impact cardiovascular health (CVH) in young adulthood. Improving sleep consistency and quality during adolescence promotes better long-term heart health.
Area of Science:
- Sleep Science
- Cardiovascular Health
- Adolescent Health
Background:
- Adequate sleep in older adults is linked to better cardiovascular health (CVH).
- The association between adolescent sleep health and young adult CVH remains unclear, especially with objective sleep measures.
Purpose of the Study:
- To investigate if objective measures of adolescent sleep health predict cardiovascular health in young adulthood.
Main Methods:
- Utilized data from 307 diverse U.S. youth (age 15) from the Future of Families Study and its sub-studies.
- Objective sleep data (total sleep time, timing, efficiency, variability) were collected using wrist-actigraphy over ~1 week.
- Regression analyses examined the prediction of age 22 CVH score (modified Life's Essential 8 [LE8m]) from adolescent sleep metrics, adjusting for covariates.
Main Results:
- Later adolescent sleep onset and offset predicted lower young adult CVH.
- Higher sleep maintenance efficiency in adolescence predicted better young adult CVH.
- Greater variability in adolescent total sleep time and sleep onset predicted poorer young adult CVH.
Conclusions:
- Adolescent sleep timing, efficiency, and variability are significant predictors of young adult cardiovascular health.
- Interventions aimed at improving adolescent sleep health across multiple dimensions are recommended to foster future CVH.
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