Evidence map›Paper›PMID 20921542›Full record

Trial reportAnnals of internal medicine2010

Insufficient sleep undermines dietary efforts to reduce adiposity.

Arlet V Nedeltcheva, Jennifer M Kilkus, Jacqueline Imperial, Dale A Schoeller, Plamen D Penev

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 160 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Sleep and Its Impact on the Success of Weight Loss Interventions in Adults With Excess Weight: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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100 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Arlet V NedeltchevaThe University of Chicago, Illinois, USA.
Jennifer M Kilkus
Jacqueline Imperial
Dale A Schoeller
Plamen D Penev

Funding

SLOW WAVE SLEEP AND TYPE 2 DIABETES RISK IN AGINGP01AG011412 · NIA · UNIVERSITY OF CHICAGO · PI ZEE, PHYLLIS C. · 1994 to 2021
$31.5M
TRANSGENIC COREP60DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I · 1985 to 2012
$25.5M
TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI Matthew J Brady · 2013 to 2026
$20.9M
Effects of Sleep Self-Restriction on Physical Activity and Diabetes RiskR01HL089637 · NHLBI · UNIVERSITY OF CHICAGO · PI PENEV, PLAMEN · 2008 to 2011
$1.8M
PURCHASING OF A GENETISCAN FOR AUTOMATED KARYOTYPINGS10RR004999 · NCRR · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · PI PATHAK, S · 1988 to 1988
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NCRR NIH HHS CTSA-RR 04999NCRR NIH HHS UL1 RR024999NHLBI NIH HHS R01 HL089637NHLBI NIH HHS R01-HL089637NIA NIH HHS P01 AG011412NIA NIH HHS P01-AG11412NIDDK NIH HHS P60 DK020595NIDDK NIH HHS P60-DK020595
6 · The paper itself

Abstract

backgroundSleep loss can modify energy intake and expenditure.

objectiveTo determine whether sleep restriction attenuates the effect of a reduced-calorie diet on excess adiposity.

designRandomized, 2-period, 2-condition crossover study.

settingUniversity clinical research center and sleep laboratory. PATIENTS: 10 overweight nonsmoking adults (3 women and 7 men) with a mean age of 41 years (SD, 5) and a mean body mass index of 27.4 kg/m² (SD, 2.0).

intervention14 days of moderate caloric restriction with 8.5 or 5.5 hours of nighttime sleep opportunity. MEASUREMENTS: The primary measure was loss of fat and fat-free body mass. Secondary measures were changes in substrate utilization, energy expenditure, hunger, and 24-hour metabolic hormone concentrations.

resultsSleep curtailment decreased the proportion of weight lost as fat by 55% (1.4 vs. 0.6 kg with 8.5 vs. 5.5 hours of sleep opportunity, respectively; P = 0.043) and increased the loss of fat-free body mass by 60% (1.5 vs. 2.4 kg; P = 0.002). This was accompanied by markers of enhanced neuroendocrine adaptation to caloric restriction, increased hunger, and a shift in relative substrate utilization toward oxidation of less fat. LIMITATION: The nature of the study limited its duration and sample size.

conclusionThe amount of human sleep contributes to the maintenance of fat-free body mass at times of decreased energy intake. Lack of sufficient sleep may compromise the efficacy of typical dietary interventions for weight loss and related metabolic risk reduction. PRIMARY FUNDING SOURCE: National Institutes of Health.

Indexed as

Caloric RestrictionAdiposityAdultCross-Over StudiesEnergy MetabolismFemaleHormonesHumansHungerMaleObesitySleep DeprivationWeight LossHormones

Identifiers

PMID20921542
PMCPMC2951287

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.