Researchers studied over 730,000 people to understand why sleeping too much or too little can affect cholesterol levels. They discovered 10 new genetic variations that explain how sleep problems change the way your body handles cholesterol and fats. These findings could help doctors develop new treatments for people with high cholesterol who also struggle with sleep issues. The study looked at genes that control how your body processes different types of cholesterol, including a pathway related to vitamin D, which your body makes when exposed to sunlight.

The Quick Take

  • What they studied: How genes interact with sleep duration to affect cholesterol and fat levels in your blood
  • Who participated: Over 732,000 people from 55 different research studies, mostly of European ancestry, with complete information about their sleep habits and cholesterol levels
  • Key finding: Scientists found 10 new genetic variations that only affect cholesterol when combined with sleeping too much or too little. These genes appear to control how your body processes different types of cholesterol, particularly through a vitamin D-related pathway
  • What it means for you: If you have sleep problems and high cholesterol, your genes may play a bigger role than previously thought. This could eventually lead to personalized treatments based on your genetics and sleep patterns, though these treatments are still in early development stages

The Research Details

This was a massive collaborative study combining data from 55 different research projects across the world. Instead of doing one new study, researchers pooled information they already had from hundreds of thousands of people who had been tracked over time. Each person provided information about how long they typically slept and had blood tests measuring their cholesterol and triglycerides (a type of fat in your blood). Researchers then used advanced computer analysis to search through the entire human genetic code, looking for specific gene variations that only affected cholesterol levels when people had unusual sleep patterns—either sleeping much less or much more than average for their age and gender.

This approach is powerful because it uses real-world data from hundreds of thousands of people rather than small laboratory studies. By looking at how genes interact with sleep specifically, researchers can identify the biological pathways that explain why sleep problems harm cholesterol levels. This is more useful than just knowing that sleep affects cholesterol—it shows us the actual mechanisms involved, which helps scientists develop targeted treatments.

This study is very large and combines data from multiple reputable research projects, which makes the findings more reliable. However, most participants were of European ancestry, so results may not apply equally to all populations. The study identified statistical patterns in existing data rather than testing new treatments, so these findings need follow-up research to confirm they actually work in practice. The researchers used strict statistical standards to avoid false discoveries.

What the Results Show

The research identified 10 completely new genetic variations that affect cholesterol levels specifically in people with unusual sleep patterns. Nine of these variations were found in people who sleep too little, and eight in people who sleep too much. These genes appear to control important biological processes related to how your body handles cholesterol and fats. Two particularly interesting genes were APSH and SLC8A1, which showed strong biological connections to cholesterol processing and could potentially be targeted by future medications. The study also found evidence that vitamin D pathways—the biological systems your body uses to process vitamin D from sunlight—may be involved in how sleep affects cholesterol.

The research revealed that the relationship between sleep and cholesterol is more complex than previously understood. It’s not just that bad sleep causes high cholesterol; rather, your genes determine whether your cholesterol will be affected by sleep problems. This explains why some people with poor sleep have normal cholesterol while others develop problems. The findings suggest that multiple different biological pathways are involved, not just one simple mechanism.

Earlier research showed that sleeping too much or too little increases heart disease risk and cholesterol problems, but scientists didn’t understand why. This study goes deeper by identifying the specific genes and biological pathways involved. Previous studies looked at sleep and cholesterol separately; this research shows how they interact together. The discovery of the vitamin D pathway connection is particularly new and suggests a link between sunlight exposure, sleep, and cholesterol that hadn’t been clearly established before.

The study mostly included people of European ancestry, so the findings may not apply equally to other ethnic groups. Researchers identified genetic patterns but didn’t prove these genes actually cause cholesterol changes—they just found associations. The study used existing data rather than testing new treatments, so it’s unclear whether targeting these genes would actually help patients. Sleep duration was measured at one point in time, not tracked over years, so the study couldn’t account for people whose sleep habits changed. Finally, these findings are preliminary and need additional research before any new treatments could be developed.

The Bottom Line

If you have both sleep problems and high cholesterol, discuss this research with your doctor. Current treatments for high cholesterol remain important and effective. This research suggests that future personalized treatments based on genetics and sleep patterns may be possible, but these don’t exist yet. In the meantime, focus on maintaining consistent sleep schedules and following your doctor’s recommendations for cholesterol management. (Confidence: Moderate—findings are promising but preliminary)

This research is most relevant for people who have both sleep disorders and high cholesterol. It’s also important for cardiologists and sleep specialists who treat these conditions. Researchers developing new medications should pay attention to these findings. People with normal cholesterol or normal sleep patterns may find this less immediately relevant, though the findings could eventually benefit everyone.

These are early-stage research findings. It typically takes 5-10 years to develop and test new medications based on genetic discoveries. Don’t expect new treatments immediately, but this research could lead to better options within the next decade. In the short term, focus on proven strategies like improving sleep habits and following current cholesterol treatment plans.

Want to Apply This Research?

  • Log your sleep duration daily and track your cholesterol levels at doctor visits. Note any patterns between nights with poor sleep and how you feel, as this may eventually correlate with cholesterol changes when personalized treatments become available.
  • Set a consistent bedtime and wake time, aiming for 7-9 hours of sleep nightly. Use the app to track whether maintaining regular sleep improves your overall health markers. If you have diagnosed sleep problems, use the app to monitor whether treatments help your sleep consistency.
  • Track sleep duration weekly and record cholesterol test results when available. Over months and years, look for patterns between your sleep quality and cholesterol levels. Share this data with your doctor to help personalize your treatment approach as new options become available.

This research identifies genetic patterns associated with sleep and cholesterol but does not establish proven treatments. These findings are preliminary and require further research before clinical application. If you have high cholesterol or sleep disorders, continue following your doctor’s current treatment recommendations. Do not make changes to your cholesterol medications or sleep treatments based on this research alone. Consult with your healthcare provider before making any health decisions. This article is for educational purposes and should not be considered medical advice.