Evidence map›Paper›PMID 23734252›Full record

Trial reportPloS one2013

Obstructive sleep apnea is a predictor of abnormal glucose metabolism in chronically sleep deprived obese adults.

Giovanni Cizza, Paolo Piaggi, Eliane A Lucassen, Lilian de Jonge, Mary Walter, Megan S Mattingly, Heather Kalish, Gyorgy Csako, Kristina I Rother, Sleep Extension Study Group

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00261898 (Chronic Sleep Deprivation as a Risk Factor for Metabolic Syndrome and Obesity), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
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.

NCT00261898 phase2terminatednot on this map

Chronic Sleep Deprivation as a Risk Factor for Metabolic Syndrome and Obesity

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2005 to 2013Enrolled239ConditionsObesity, Chronic Sleep DeprivationArmsIncrease sleep
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. The Phenotype of Elderly Patients with Type 2 Diabetes Mellitus and Poor Sleep Quality.International journal of environmental research and public health · 2020
    Observational
  10. Article
  11. Review
  12. Article
  13. Sleep apnea and type 2 diabetes.Journal of diabetes investigation · 2018
    Review
  14. Article
  15. Article
  16. Review
  17. Effect of diabetes mellitus on sleep quality.World journal of diabetes · 2015
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Giovanni CizzaSection on Neuroendocrinology of Obesity, National Institute of Diabetes, Digestive, and Kidney Disease, Bethesda, Maryland, USA. cizzag@intra.niddk.nih.gov
Paolo Piaggi
Eliane A Lucassen
Lilian de Jonge
Mary Walter
Megan S Mattingly
Heather Kalish
Gyorgy Csako
Kristina I Rother
Sleep Extension Study Group
National Institute of Diabetes and Digestive and Kidney Diseases · USAzienda Ospedaliera Universitaria Pisana · ITLeiden University Medical Center · NLNational Institute of Biomedical Imaging and Bioengineering · USNational Institutes of Health · USNational Institutes of Health Clinical Center · US

Funding

Clinical Research and Assay SupportZICDK071006 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI WALTER, MARY · 2009 to 2025
$20.6M
Micro Analytical ImmunochemistryZICEB000076 · NIBIB · NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING · PI KALISH, HEATHER · 2011 to 2025
$6.3M
Studies in Youths & Young Adults with Obesity & T2DM (07-DK-0115, 10-DK-0163)ZIADK047049 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI REITMAN, MARC L · 2009 to 2019
$4.4M
Chronic sleep deprivation as a risk factor for metabolic syndrome and obesityZIADK075015 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CIZZA, GIOVANNI · 2009 to 2013
$1.4M
Intramural NIH HHS
6 · The paper itself

Abstract

contextSleep abnormalities, including obstructive sleep apnea (OSA), have been associated with insulin resistance.

objectiveTo determine the relationship between sleep, including OSA, and glucose parameters in a prospectively assembled cohort of chronically sleep-deprived obese subjects.

designCross-sectional evaluation of a prospective cohort study.

settingTertiary Referral Research Clinical Center.

main outcome measuresSleep duration and quality assessed by actigraphy, sleep diaries and questionnaires, OSA determined by a portable device; glucose metabolism assessed by oral glucose tolerance test (oGTT), and HbA1c concentrations in 96 obese individuals reporting sleeping less than 6.5 h on a regular basis.

resultsSixty % of subjects had an abnormal respiratory disturbance index (RDI≥5) and 44% of these subjects had abnormal oGTT results. Severity of OSA as assessed by RDI score was associated with fasting glucose (R = 0.325, p = 0.001) and fasting insulin levels (ρ = 0.217, p = 0.033). Subjects with moderate to severe OSA (RDI>15) had higher glucose concentrations at 120 min than those without OSA (RDI<5) (p = 0.017). Subjects with OSA also had significantly higher concentrations of plasma ACTH (p = 0.009). Several pro-inflammatory cytokines were higher in subjects with OSA (p<0.050). CRP levels were elevated in this sample, suggesting increased cardiovascular risk.

conclusionsOSA is associated with impaired glucose metabolism in obese, sleep deprived individuals. Since sleep apnea is common and frequently undiagnosed, health care providers should be aware of its occurrence and associated risks.

trial registrationThis study was conducted under the NIDDK protocol 06-DK-0036 and is listed in ClinicalTrials.gov NCT00261898.

Indexed as

Adrenocorticotropic HormoneAdultBlood GlucoseC-Reactive ProteinCross-Sectional StudiesCytokinesFastingFemaleGlucose Tolerance TestGlycated HemoglobinHumansMaleMiddle AgedMultivariate AnalysisObesityProspective StudiesAdrenocorticotropic HormoneBlood GlucoseC-Reactive ProteinCytokinesGlycated Hemoglobin

Identifiers

PMID23734252
PMCPMC3667085
OpenAlexW2050460724

What OpenQuestion holds

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Registered trials

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.