Evidence map›Paper›PMID 25287399›Full record

ArticleHypertension (Dallas, Tex. : 1979)2015

Periodic limb movements during sleep and prevalent hypertension in the multi-ethnic study of atherosclerosis.

Brian B Koo, Stefan Sillau, Dennis A Dean, Pamela L Lutsey, Susan Redline

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% 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.

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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pharmacological responsiveness of periodic limb movements in patients with restless legs syndrome: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
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  6. Polygenic risk scores in neurological disorders: restless legs syndrome as a translational model.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
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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

5 authors at 1 institution in 1 country.

Brian B KooFrom the Department of Neurology, Yale University School of Medicine, New Haven, CT (B.B.K.); Department of Neurology, Connecticut Veterans Affairs Health System, West Haven (B.B.K.); Department of Biostatistics, University of Washington School of Public Health, Seattle (S.S.); Division of Sleep Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA (D.A.D., S.R.); and Department of Epidemiology, University of Minnesota, Minneapolis (P.L.L.). koobri@gmail.com.
Stefan SillauFrom the Department of Neurology, Yale University School of Medicine, New Haven, CT (B.B.K.); Department of Neurology, Connecticut Veterans Affairs Health System, West Haven (B.B.K.); Department of Biostatistics, University of Washington School of Public Health, Seattle (S.S.); Division of Sleep Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA (D.A.D., S.R.); and Department of Epidemiology, University of Minnesota, Minneapolis (P.L.L.).
Dennis A DeanFrom the Department of Neurology, Yale University School of Medicine, New Haven, CT (B.B.K.); Department of Neurology, Connecticut Veterans Affairs Health System, West Haven (B.B.K.); Department of Biostatistics, University of Washington School of Public Health, Seattle (S.S.); Division of Sleep Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA (D.A.D., S.R.); and Department of Epidemiology, University of Minnesota, Minneapolis (P.L.L.).
Pamela L LutseyFrom the Department of Neurology, Yale University School of Medicine, New Haven, CT (B.B.K.); Department of Neurology, Connecticut Veterans Affairs Health System, West Haven (B.B.K.); Department of Biostatistics, University of Washington School of Public Health, Seattle (S.S.); Division of Sleep Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA (D.A.D., S.R.); and Department of Epidemiology, University of Minnesota, Minneapolis (P.L.L.).
Susan RedlineFrom the Department of Neurology, Yale University School of Medicine, New Haven, CT (B.B.K.); Department of Neurology, Connecticut Veterans Affairs Health System, West Haven (B.B.K.); Department of Biostatistics, University of Washington School of Public Health, Seattle (S.S.); Division of Sleep Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA (D.A.D., S.R.); and Department of Epidemiology, University of Minnesota, Minneapolis (P.L.L.).
Yale University · US

Funding

ASSOCIATION OF SLEEP DISORDERS WITH CARDIOVASCULAR HEALTH ACROSS ETHNIC GROUPSR01HL098433 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2010 to 2015
$8.2M
Randomized Controlled Study of Adenotonsillectomy for Childhood Sleep ApneaU01HL083075 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI REDLINE, SUSAN S. · 2006 to 2010
$7.6M
Leveraging Family Data to Identify Genetic Variants for Sleep ApneaR01HL113338 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIN, XIHONG, REDLINE, SUSAN S. · 2012 to 2016
$4.4M
Elucidation of the Influence of Sleep Apnea on Risk of Atrial FibrillationR01HL109493 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI MEHRA, REENA · 2011 to 2015
$3.7M
Sleep-Disordered Breathing and Risk for CVD and Stroke in the Jackson Heart StudyR01HL110068 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI REDLINE, SUSAN S., WILSON, JAMES GRAHAM · 2012 to 2015
$2.9M
A Planning Study: Sleep Apnea Intervention for Cardiovascular Disease ReductionU34HL105277 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MITTLEMAN, MURRAY A, REDLINE, SUSAN S. · 2010 to 2012
$2.5M
Prevention and Risk Identification of SUDEP Mortality - the PRISM ProjectP20NS076965 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI LHATOO, SAMDEN · 2011 to 2013
$1.4M
Adjunctive Use of Apyrase to Fibrinolytic TherapyR44HL095169 · NHLBI · APT THERAPEUTICS, INC. · PI CHEN, RIDONG · 2012 to 2013
$1.3M
Sleep-Related Respiratory and Electrophysiological Atrial Fibrillation Predictor R21HL108226 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI MEHRA, REENA · 2012 to 2013
$515k
SUBCLINICAL CARDIOVASCULAR DISEASE COORDINATING CENTER-N01HC95159-268095159N01HC095159 · HC · UNIVERSITY OF WASHINGTON · PI KRONMAL, RICHARD A · 1999 to 2006
$304k
Adjunctive Use of Apyrase to Fibrinolytic TherapyR43HL095169 · NHLBI · APT THERAPEUTICS, INC. · PI CHEN, RIDONG · 2009 to 2009
$226k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--EBCT READINGN01HC095169 · HC · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI DETRANO, ROBERT · 1999 to 2001
$124k
NHLBI NIH HHS 1R01HL083075-01NHLBI NIH HHS 1R01HL110068-01A1NHLBI NIH HHS 1R01HL113338-01NHLBI NIH HHS 1U34HL105277-01NHLBI NIH HHS N01 HC095159NHLBI NIH HHS N01 HC095169NHLBI NIH HHS N01-HC-95159NHLBI NIH HHS N01-HC-95169NHLBI NIH HHS R01 HL098433NHLBI NIH HHS R01HL098433NHLBI NIH HHS R01HL098433-02S1NHLBI NIH HHS R01 HL109493NHLBI NIH HHS R01HL109493NHLBI NIH HHS R01 HL113338NHLBI NIH HHS R21 HL108226NHLBI NIH HHS R21HL108226NHLBI NIH HHS U01 HL083075NHLBI NIH HHS U34 HL105277NINDS NIH HHS P20 NS076965NINDS NIH HHS P20NS076965
6 · The paper itself

Abstract

Periodic limb movements during sleep (PLMS) are associated with immediate increases in blood pressure. Both PLMS and hypertension have different distributions across racial/ethnic groups. We sought to determine whether PLMS is associated with hypertension among various racial/ethnic groups. A total of 1740 men and women underwent measurement of blood pressure and polysomnography with quantification of PLMS. Hypertension was defined as systolic blood pressure (SBP) ≥140, diastolic BP ≥90, or taking antihypertensive medication. For those taking antihypertensives, an estimated pretreatment SBP value was derived based on observed SBP and medication type/dose. Measures of PLMS, PLMS index, and PLMS arousal index were the main explanatory variables. Hypertension and SBP were modeled with logistic and multivariable regression adjusted for age, sex, body mass index, cardiovascular risk factors, lifestyle/habitual factors, apnea-hypopnea index, and race/ethnicity. In the overall cohort, prevalent hypertension was modestly associated with PLMS index (10 U; odds ratio, 1.05; 95% confidence interval, 1.00-1.10) and PLMS arousal index (1 U; 1.05; 1.01-1.09) after adjusting for confounders. Association in the overall cohort was influenced by large effect sizes in blacks, in whom the odds of prevalent hypertension increased by 21% (1%-45%) for 10 U PLMS index increase and 20% (2%-42%) for 1-U PLMS arousal index increase. In blacks, every 1-U PLMS arousal index increase was associated with SBP 1.01 mm Hg higher (1.01; 0.04-1.98). Associations between PLMS and blood pressure outcomes were also suggested among Chinese-Americans but not in whites or Hispanics. In a multiethnic cohort of community-dwelling men and women, prevalent hypertension and SBP are associated with PLMS frequency in blacks.

Indexed as

EthnicitySleepAtherosclerosisBlood PressureExtremitiesFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedMovementPolysomnographyPrevalenceProspective StudiesUnited Statesblood pressurecontinental population groupsethnicityhypertensionPLMS

Identifiers

PMID25287399
PMCPMC4268086
OpenAlexW2122788770

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Registered trials

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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.