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Incident MCI\/dementia cases were ascertained by validated protocols. Cox models were used to adjust for multiple sociodemographic and lifestyle factors, depression, cardiovascular disease (CVD), and other clinical characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a statistically significant (<jats:italic>P<\/jats:italic> = .03) V\u2010shaped association with a higher MCI\/dementia risk in women with either short (\u22646 hours\/night) or long (\u22658 hours\/night) sleep duration (vs. 7 hours\/night). The multicovariate\u2010adjusted hazard for MCI\/dementia was increased by 36% in short sleepers irrespective of CVD, and by 35% in long sleepers without CVD. A similar V\u2010shaped association was found with cognitive decline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>In older women, habitual sleep duration predicts the future risk for cognitive impairments including dementia, independent of vascular risk factors.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jalz.2015.03.004","type":"journal-article","created":{"date-parts":[[2015,6,15]],"date-time":"2015-06-15T19:20:05Z","timestamp":1434396005000},"page":"21-33","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":224,"title":["Sleep duration, cognitive decline, and dementia risk in older women"],"prefix":"10.1002","volume":"12","author":[{"given":"Jiu\u2010Chiuan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine University of Southern California, Keck School of Medicine  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Espeland","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences Department of Biostatistical Sciences Wake Forest University School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Brunner","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Nevada School of Medicine  Reno NV USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C.","family":"Lovato","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences Department of Biostatistical Sciences Wake Forest University School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Departments of Epidemiology &amp; Medicine University of Iowa  Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"Leng","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences Department of Biostatistical Sciences Wake Forest University School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence S.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Atlanta VA Medical Center and Division of Endocrinology Emory University School of Medicine  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer G.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Departments of Epidemiology &amp; Medicine University of Iowa  Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane M.","family":"Kotchen","sequence":"additional","affiliation":[{"name":"Department of Population Health Medical College of Wisconsin  Milwaukee WI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen C.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine University of Tennessee Health Science Center  Memphis TN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JoAnn E.","family":"Manson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women's Hospital Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia L.","family":"Stefanick","sequence":"additional","affiliation":[{"name":"Department of Medicine Stanford University  Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria E.","family":"Sarto","sequence":"additional","affiliation":[{"name":"University of Wisconsin Center for Women's Health Research  Madison WI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. 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