Evidence map›Paper›PMID 26156003›Full record

ArticleBiological research for nursing2016

Serum Tryptophan Metabolite Levels During Sleep in Patients With and Without Irritable Bowel Syndrome (IBS).

Margaret M Heitkemper, Claire Jungyoun Han, Monica E Jarrett, Haiwei Gu, Danijel Djukovic, Robert J Shulman, Daniel Raftery, Wendy A Henderson, Kevin C Cain

Open access · greenAbstract readComparative Study
In one paragraph

Article in Biological research for nursing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
2.6field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Prevalence of sleep disorder in irritable bowel syndrome: A systematic review with meta-analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Pooled it
  2. Trial
  3. Trial
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Gut Microbiota-Derived Metabolites in Irritable Bowel Syndrome.Frontiers in cellular and infection microbiology · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Melatonin and Comorbidities in Children with Autism Spectrum Disorder.Current developmental disorders reports · 2018
    Review
  20. Sleep disturbance and kynurenine metabolism in depression.Journal of psychosomatic research · 2017
    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

9 authors at 4 institutions in 1 country.

Margaret M HeitkemperDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA heit@u.washington.edu.
Claire Jungyoun HanDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA.
Monica E JarrettDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA.
Haiwei GuDepartment of Anesthesiology and Pain Medicine, Northwest Metabolomics Research Center, University of Washington, Seattle, WA, USA.
Danijel DjukovicDepartment of Anesthesiology and Pain Medicine, Northwest Metabolomics Research Center, University of Washington, Seattle, WA, USA.
Robert J ShulmanBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Daniel RafteryDepartment of Anesthesiology and Pain Medicine, Northwest Metabolomics Research Center, University of Washington, Seattle, WA, USA Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Wendy A HendersonDigestive Disorders Unit, Biobehavioral Branch, Division of Intramural Research, NINR, NIH, DHHS, Bethesda, MD, USA.
Kevin C CainDepartment of Biostatistics and Office of Nursing Research, University of Washington, Seattle, WA, USA.
University of Washington · USBaylor College of Medicine · USFred Hutch Cancer Center · USUnited States Department of Health and Human Services · US

Funding

PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
NURSING MANAGEMENT OF IBS--IMPROVING OUTCOMESR01NR004142 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN · 1996 to 2011
$5.5M
Symptom Distress Mechanisms in Digestive DisordersZIANR000018 · NINR · NATIONAL INSTITUTE OF NURSING RESEARCH · PI HENDERSON, WENDY · 2009 to 2019
$5.2M
Unraveling the link of sleep to IBS: A Metabolomics ApproachR01NR015117 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN · 2014 to 2016
$688k
PHYSIOLOGICAL AROUSAL IN WOMEN WITH IBSR01NR004101 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN · 1995 to 1998
–
PHYSIOLOGICAL AROUSAL IN IBS: GENDER DIFFERENCESR55NR004101 · NINR · UNIVERSITY OF WASHINGTON · PI JARRETT, MONICA E · 1999 to 1999
–
NIDDK NIH HHS P30 DK035816NINR NIH HHS NR04101NINR NIH HHS R01 NR004142NINR NIH HHS R01 NR015117
6 · The paper itself

Abstract

Poor sleep and stress are more frequently reported by women with irritable bowel syndrome (IBS) than by healthy control (HC) women. The pathophysiology linking poor sleep and stress to gastrointestinal symptoms remains poorly understood. We used a metabolomic approach to determine whether tryptophan (TRP) metabolites differ between women with and without IBS and whether the levels are associated with sleep indices and serum cortisol levels. This study sample included 38 women with IBS and 21 HCs. The women were studied in a sleep laboratory for three consecutive nights. On the third night of the study, a social stressor was introduced, then blood samples were drawn every 20 min and sleep indices were measured. Metabolites were determined by targeted liquid chromatography tandem mass spectrometry in a sample collected 1 hr after the onset of sleep. The ratios of each metabolite to TRP were used for analyses. Correlations were controlled for age and oral contraceptive use. Melatonin/TRP levels were lower (p = .005) in the IBS-diarrhea group versus the IBS-constipation and HC groups, and kynurenine/TRP ratios tended to be lower (p = .067) in the total IBS and IBS-diarrhea groups compared to HCs. Associations within the HC group included melatonin/TRP with polysomnography-sleep efficiency (r = .61, p = .006) and weaker positive correlations with the other ratios for either sleep efficiency or percentage time in rapid eye movement sleep (r > .40, p = .025-.091). This study suggests that reductions in early nighttime melatonin/TRP levels may be related to altered sleep quality in IBS, particularly those with diarrhea.

Indexed as

AdolescentAdultBiomarkersFemaleHumansHydrocortisoneIrritable Bowel SyndromeMiddle AgedPilot ProjectsPolysomnographySleepSleep Wake DisordersStress, PsychologicalTryptophanYoung AdultBiomarkersHydrocortisoneTryptophanirritable bowel syndromemelatoninmetabolomicssleeptryptophan

Identifiers

PMID26156003
PMCPMC5472373
OpenAlexW1947168847

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.