Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study

Introduction Cognitive dysfunction, a leading cause of mortality and morbidity in the USA and globally, has been shown to disproportionately affect the socioeconomically disadvantaged and those who identify as black or Hispanic/Latinx. Poor sleep is strongly associated with the development of vascul...

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Main Authors: Mandy L Pershing, Phyllis C Zee, Shaina J Alexandria, Kristen L. Knutson, Sabra Abbott, Sindhu Chiluka, Diana Chirinos, Aida Giachello, Niket Gupta, Katharine Harrington, Sarah S Rittner, Farzaneh Sorond, Mandy Wong, Thanh-Huyen T. Vu, Mercedes R. Carnethon
Format: Article
Language:English
Published: BMJ Publishing Group 2023-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/11/e073734.full
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author Mandy L Pershing
Phyllis C Zee
Shaina J Alexandria
Kristen L. Knutson
Sabra Abbott
Sindhu Chiluka
Diana Chirinos
Aida Giachello
Niket Gupta
Katharine Harrington
Sarah S Rittner
Farzaneh Sorond
Mandy Wong
Thanh-Huyen T. Vu
Mercedes R. Carnethon
author_facet Mandy L Pershing
Phyllis C Zee
Shaina J Alexandria
Kristen L. Knutson
Sabra Abbott
Sindhu Chiluka
Diana Chirinos
Aida Giachello
Niket Gupta
Katharine Harrington
Sarah S Rittner
Farzaneh Sorond
Mandy Wong
Thanh-Huyen T. Vu
Mercedes R. Carnethon
author_sort Mandy L Pershing
collection DOAJ
description Introduction Cognitive dysfunction, a leading cause of mortality and morbidity in the USA and globally, has been shown to disproportionately affect the socioeconomically disadvantaged and those who identify as black or Hispanic/Latinx. Poor sleep is strongly associated with the development of vascular and metabolic diseases, which correlate with cognitive dysfunction. Therefore, sleep may contribute to observed disparities in cognitive disorders. The Epidemiologic Study of Disparities in Sleep and Cognition in Older Adults (DISCO) is a longitudinal, observational cohort study that focuses on gathering data to better understand racial/ethnic sleep disparities and illuminate the relationship among sleep, race and ethnicity and changes in cognitive function. This investigation may help inform targeted interventions to minimise disparities in cognitive health among ageing adults.Methods and analysis The DISCO study will examine up to 495 individuals aged 55 and older at two time points over 24 months. An equal number of black, white and Hispanic/Latinx individuals will be recruited using methods aimed for adults traditionally under-represented in research. Study procedures at each time point will include cognitive tests, gait speed measurement, wrist actigraphy, a type 2 home polysomnography and a clinical examination. Participants will also complete self-identified assessments and questionnaires on cognitive ability, sleep, medication use, quality of life, sociodemographic characteristics, diet, substance use, and psychological and social health.Ethics and dissemination This study was approved by the Northwestern University Feinberg School of Medicine Institutional Review Board. Deidentified datasets will be shared via the BioLINCC repository following the completion of the project. Biospecimen samples from the study that are not being analysed can be made available to qualified investigators on review and approval by study investigators. Requests that do not lead to participant burden or that conflict with the primary aims of the study will be reviewed by the study investigators.
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spelling doaj.art-2735e2f7ce1848f9b0558d3473c5ddf22023-12-02T12:15:08ZengBMJ Publishing GroupBMJ Open2044-60552023-11-01131110.1136/bmjopen-2023-073734Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO studyMandy L Pershing0Phyllis C Zee1Shaina J Alexandria2Kristen L. Knutson3Sabra Abbott4Sindhu Chiluka5Diana Chirinos6Aida Giachello7Niket Gupta8Katharine Harrington9Sarah S Rittner10Farzaneh Sorond11Mandy Wong12Thanh-Huyen T. Vu13Mercedes R. Carnethon14Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USANorthwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USASASU Project Management, Chicago, Illinois, USADepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USAIntroduction Cognitive dysfunction, a leading cause of mortality and morbidity in the USA and globally, has been shown to disproportionately affect the socioeconomically disadvantaged and those who identify as black or Hispanic/Latinx. Poor sleep is strongly associated with the development of vascular and metabolic diseases, which correlate with cognitive dysfunction. Therefore, sleep may contribute to observed disparities in cognitive disorders. The Epidemiologic Study of Disparities in Sleep and Cognition in Older Adults (DISCO) is a longitudinal, observational cohort study that focuses on gathering data to better understand racial/ethnic sleep disparities and illuminate the relationship among sleep, race and ethnicity and changes in cognitive function. This investigation may help inform targeted interventions to minimise disparities in cognitive health among ageing adults.Methods and analysis The DISCO study will examine up to 495 individuals aged 55 and older at two time points over 24 months. An equal number of black, white and Hispanic/Latinx individuals will be recruited using methods aimed for adults traditionally under-represented in research. Study procedures at each time point will include cognitive tests, gait speed measurement, wrist actigraphy, a type 2 home polysomnography and a clinical examination. Participants will also complete self-identified assessments and questionnaires on cognitive ability, sleep, medication use, quality of life, sociodemographic characteristics, diet, substance use, and psychological and social health.Ethics and dissemination This study was approved by the Northwestern University Feinberg School of Medicine Institutional Review Board. Deidentified datasets will be shared via the BioLINCC repository following the completion of the project. Biospecimen samples from the study that are not being analysed can be made available to qualified investigators on review and approval by study investigators. Requests that do not lead to participant burden or that conflict with the primary aims of the study will be reviewed by the study investigators.https://bmjopen.bmj.com/content/13/11/e073734.full
spellingShingle Mandy L Pershing
Phyllis C Zee
Shaina J Alexandria
Kristen L. Knutson
Sabra Abbott
Sindhu Chiluka
Diana Chirinos
Aida Giachello
Niket Gupta
Katharine Harrington
Sarah S Rittner
Farzaneh Sorond
Mandy Wong
Thanh-Huyen T. Vu
Mercedes R. Carnethon
Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study
BMJ Open
title Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study
title_full Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study
title_fullStr Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study
title_full_unstemmed Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study
title_short Study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults: the DISCO study
title_sort study protocol for a longitudinal observational study of disparities in sleep and cognition in older adults the disco study
url https://bmjopen.bmj.com/content/13/11/e073734.full
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