Evidence map›Paper›PMID 24482677›Full record

Trial reportPloS one2014

Sleep extension improves neurocognitive functions in chronically sleep-deprived obese individuals.

Eliane A Lucassen, Paolo Piaggi, John Dsurney, Lilian de Jonge, Xiong-ce Zhao, Megan S Mattingly, Angela Ramer, Janet Gershengorn, Gyorgy Csako, Giovanni Cizza and 1 more

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

Trial report in PloS one, 2014. 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.9field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Review
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  10. Review
  11. Neurobehavioral Effects and Biomarkers of Sleep Loss in Healthy Adults.Current neurology and neuroscience reports · 2017
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Sleep, cognition, and normal aging: integrating a half century of multidisciplinary research.Perspectives on psychological science : a journal of the Association for Psychological Science · 2015
    Review
  19. Article
  20. Association Between Sleep and Cognition of Older Adults in Rural Areas: A Cross-Sectional Study.Inquiry : a journal of medical care organization, provision and financing
    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

11 authors at 5 institutions in 3 countries.

Eliane A LucassenClinical Center, NIH, Bethesda, Maryland, United States of America ; Laboratory for Neurophysiology, Department of Molecular Cell Biology, Leiden University Medical Center, Leiden, The Netherlands.
Paolo PiaggiObesity Research Center, Endocrinology Unit, University Hospital of Pisa, Pisa, Italy.
John DsurneyClinical Center, NIH, Bethesda, Maryland, United States of America ; Center for Neuroscience and Regenerative Medicine, Bethesda, Maryland, United States of America.
Lilian de JongeSection on Neuroendocrinology of Obesity, NIDDK, NIH, Bethesda, Maryland, United States of America.
Xiong-ce ZhaoIntramural Research Program, NIDDK, NIH, Bethesda, Maryland, United States of America.
Megan S MattinglySection on Neuroendocrinology of Obesity, NIDDK, NIH, Bethesda, Maryland, United States of America.
Angela RamerSection on Neuroendocrinology of Obesity, NIDDK, NIH, Bethesda, Maryland, United States of America.
Janet GershengornSection on Neuroendocrinology of Obesity, NIDDK, NIH, Bethesda, Maryland, United States of America.
Gyorgy CsakoClinical Center, NIH, Bethesda, Maryland, United States of America ; Department of Laboratory Medicine, Clinical Center, NIH, Bethesda, Maryland, United States of America.
Giovanni CizzaSection on Neuroendocrinology of Obesity, NIDDK, NIH, Bethesda, Maryland, United States of America.
Sleep Extension Study Group
National Institutes of Health · USNational Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health Clinical Center · USAzienda Ospedaliera Universitaria Pisana · ITCenter for Neuroscience and Regenerative Medicine · US

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

backgroundSleep deprivation and obesity, are associated with neurocognitive impairments. Effects of sleep deprivation and obesity on cognition are unknown, and the cognitive long-term effects of improvement of sleep have not been prospectively assessed in short sleeping, obese individuals.

objectiveTo characterize neurocognitive functions and assess its reversibility.

designProspective cohort study.

settingTertiary Referral Research Clinical Center. PATIENTS: A cohort of 121 short-sleeping (<6.5 h/night) obese (BMI 30-55 kg/m(2)) men and pre-menopausal women.

interventionSleep extension (468±88 days) with life-style modifications. MEASUREMENTS: Neurocognitive functions, sleep quality and sleep duration.

resultsAt baseline, 44% of the individuals had an impaired global deficit score (t-score 0-39). Impaired global deficit score was associated with worse subjective sleep quality (p = 0.02), and lower urinary dopamine levels (p = 0.001). Memory was impaired in 33%; attention in 35%; motor skills in 42%; and executive function in 51% of individuals. At the final evaluation (N = 74), subjective sleep quality improved by 24% (p<0.001), self-reported sleep duration increased by 11% by questionnaires (p<0.001) and by 4% by diaries (p = 0.04), and daytime sleepiness tended to improve (p = 0.10). Global cognitive function and attention improved by 7% and 10%, respectively (both p = 0.001), and memory and executive functions tended to improve (p = 0.07 and p = 0.06). Serum cortisol increased by 17% (p = 0.02). In a multivariate mixed model, subjective sleep quality and sleep efficiency, urinary free cortisol and dopamine and plasma total ghrelin accounted for 1/5 of the variability in global cognitive function. LIMITATIONS: Drop-out rate.

conclusionsChronically sleep-deprived obese individuals exhibit substantial neurocognitive deficits that are partially reversible upon improvement of sleep in a non-pharmacological way. These findings have clinical implications for large segments of the US population. TRAIL REGISTRATION: www.ClinicalTrials.gov NCT00261898. NIDDK protocol 06-DK-0036.

Indexed as

Behavior TherapyAdolescentAdultCognitionExecutive FunctionFemaleHumansMaleMemoryMiddle AgedNeuropsychological TestsObesityProspective StudiesSleepSleep DeprivationSurveys and Questionnaires

Identifiers

PMID24482677
PMCPMC3903365
OpenAlexW1987429107

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

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.