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Association of Vitamin D and B12 Levels with Actigraphic Sleep in Cognitively Unimpaired Middle-Aged and Older Adults

AI Summary
  • Higher serum vitamin D is associated with longer total sleep time and reduced wake bout length; vitamin D deficiency linked to shorter total sleep time.
  • Associations between vitamin D and sleep were stronger among Black participants.
  • Vitamin B12 showed sex-specific effects: higher B12 associated with shorter WASO in women but longer WASO in men; insufficiency altered total sleep time by sex.
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J Gerontol A Biol Sci Med Sci. 2026 Sep 4:glag212. doi: 10.1093/gerona/glag212. Online ahead of print.

ABSTRACT

BACKGROUND: Low vitamin D and B12 levels are linked to low self-reported sleep quality and conditions comorbid with sleep disturbances in older adults. We examined the associations between serum vitamin D and B12 levels with actigraphic sleep indices in middle-aged and older adults.

METHODS: We studied 460 participants aged 40 and older [70.9±12.0(sd)years; 52.8% female; 22.2% Black] in the Baltimore Longitudinal Study of Aging. Predictors included total serum vitamin D and B12,sleep outcomes included total sleep time (minutes), sleep efficiency (%), sleep onset latency (minutes), wake after sleep onset (minutes), and average wake bout length (minutes). We examined race and sex as effect modifiers of associations between vitaminsand sleep.

RESULTS: Higher vitamin D concentration was associated with longer total sleep time (B = 23.63 minutes, 95% CI: 9.62, 37.64) and shorter wake bout length (B = -0.29 minutes, 95% CI: -0.50, -0.09). Vitamin D deficiency was associated with shorter total sleep time (B=-23.03 minutes, 95% CI: -42.05 -4.01). The associations between vitamin D and sleep were stronger among Black participants. Higher B12 was associated with shorter wake after sleep onset in women but longer wake after sleep onset in men. B12 insufficiency/deficiency was associated with longer total sleep time in men but shorter total sleep time in women.

CONCLUSIONS: Higher vitamin D levels are associated with longer and less disturbed sleep in middle-aged and older adults. Future studies are needed to understand if maintaining optimal vitamin D levels improve sleep quality and promote better sleep-associated health outcomes.

PMID:42696426 | DOI:10.1093/gerona/glag212

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