Evidence map›Paper›PMID 25813984›Full record

ArticleJournal of behavioral medicine2015

Associations between sleep difficulties and risk factors for cardiovascular disease in veterans and active duty military personnel of the Iraq and Afghanistan conflicts.

Christi S Ulmer, Hayden B Bosworth, Anne Germain, Jennifer Lindquist, Maren Olsen, Mira Brancu, VA Mid-Atlantic Mental Illness Research Education and Clinical Center Registry Workgroup, Jean C Beckham

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of behavioral medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Perceived benefits of brief acupuncture for sleep disturbances in postdeployment military service members.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Trial
  2. Review
  3. Article
  4. A social-ecological examination of sleep among Airmen in technical training.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
  5. Review
  6. International society of sports nutrition position stand: tactical athlete nutrition.Journal of the International Society of Sports Nutrition · 2022
    Article
  7. Post-9/11 veterans' heart disease knowledge, self-perceived risk, and prevention beliefs and behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Article
  8. Article
  9. Article
  10. Sleep in the United States Military.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Review
  11. Review
  12. Sleep in the United States Military.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Review
  13. Lipoprotein(a) Elevation: A New Diagnostic Code with Relevance to Service Members and Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  14. Clinical significance of stress-related increase in blood pressure: current evidence in office and out-of-office settings.Hypertension research : official journal of the Japanese Society of Hypertension · 2018
    Review
  15. Insomnia Symptoms Among Female Veterans: Prevalence, Risk Factors, and the Impact on Psychosocial Functioning and Health Care Utilization.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Article
  16. Article
  17. 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

8 authors at 6 institutions in 2 countries.

Christi S UlmerHSR&D (152), Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC, 27705, USA, christi.ulmer@va.gov.
Hayden B Bosworth
Anne Germain
Jennifer Lindquist
Maren Olsen
Mira Brancu
VA Mid-Atlantic Mental Illness Research Education and Clinical Center Registry Workgroup
Jean C Beckham
Durham VA Medical Center · USDuke Medical Center · USDuke University Hospital · USDurham VA Health Care System · USUniversity of Pittsburgh · USVA Mid-Atlantic Health Care Network · US

Funding

A Stepped Care Model for Treating Sleep Disturbance in OEF/OIF VeteransIK2HX000845 · VA · DURHAM VA MEDICAL CENTER · PI ULMER, CHRISTI S · 2014 to 2016
–
HSRD VA IK2 HX000845
6 · The paper itself

Abstract

Recent evidence suggests that sleep disturbance may play an important role in the development of cardiovascular disease (CVD). Despite the prevalence of sleep complaints among service members of recent military conflicts, few studies have examined associations between sleep and risk factors for CVD in this population. Symptom checklist items regarding distress about "trouble falling asleep" and "restless/disturbed sleep" were used as proxies for sleep onset and maintenance difficulties to examine these associations in US military service members of recent conflicts. Veterans having both sleep onset and maintenance difficulties had greater odds of being a current smoker and having psychiatric symptoms and diagnoses. Increased odds of a self-reported hypertension diagnosis and elevated systolic blood pressure were also found in certain subsets of this sample. Findings highlight the need for greater recognition of sleep difficulties as a CVD risk factor in a population known to be at increased risk for this condition.

Indexed as

Afghan Campaign 2001-Iraq War, 2003-2011AdultCardiovascular DiseasesComorbidityCross-Sectional StudiesFemaleHumansMajor Depressive DisorderMaleMilitary PersonnelOdds RatioRisk FactorsSleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeterans

Identifiers

PMID25813984
PMCPMC4562681
OpenAlexW2086290287

What OpenQuestion holds

Textmetadata
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.