Evidence map›Paper›PMID 26768391›Full record

Observational studyThe Gerontologist2016

Sleep Disturbance, Diabetes, and Cardiovascular Disease in Postmenopausal Veteran Women.

Michelle B Rissling, Kristen E Gray, Christi S Ulmer, Jennifer L Martin, Oleg Zaslavsky, Shelly L Gray, Lauren Hale, Jamie M Zeitzer, Michelle Naughton, Nancy F Woods and 4 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Gerontologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.8field-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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. Article
  7. Article
  8. Article
  9. Role of sleep disorders in patients with cardiovascular disease: A systematic review.International journal of cardiology. Cardiovascular risk and prevention · 2024
    Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Menopause and Sleep Disorders.Journal of mid-life health
    Review
  18. Estimated Prevalence of Insomnia among Women Veterans: Results of a Postal Survey.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  19. 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

14 authors at 2 institutions in 2 countries.

Michelle B RisslingMid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, North Carolina. michelle.rissling@va.gov.
Kristen E GrayDepartment of Veterans Affairs Puget Sound Health Care System, Health Services Research and Development, Seattle, Washington. Department of Health Services, University of Washington School of Public Health, Seattle.
Christi S UlmerHealth Services R&D, Durham VA Medical Center, North Carolina. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, North Carolina.
Jennifer L MartinDavid Geffen School of Medicine, University of California Los Angeles. VA Sepulveda Ambulatory Care Center, Geriatric Research, Education and Clinical Center, North Hills, California.
Oleg ZaslavskyFaculty of Health Sciences and Social Welfare, University of Haifa, Israel.
Shelly L GrayUniversity of Washington School of Pharmacy, Seattle.
Lauren HaleProgram in Public Health, Stony Brook University School of Medicine, New York.
Jamie M ZeitzerVA Palo Alto Health Care System, Sierra Pacific Mental Illness Research, Education and Clinical Center, California. Department of Psychiatry and Behavioral Sciences, Stanford University, California.
Michelle NaughtonCollege of Medicine, Division of Population Sciences, Department of Internal Medicine, Ohio State University.
Nancy F WoodsSeattle WHI Clinical Center, Biobehavioral Nursing, University of Washington.
Andrea LaCroixDepartment of Epidemiology, University of California San Diego School of Medicine.
Patrick S CalhounMid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, North Carolina. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, North Carolina.
Marcia StefanickStanford Prevention Research Center, Department of Medicine and Obstetrics and Gynecology, Stanford University, California.
Julie C WeitlaufVA Palo Alto Health Care System, Sierra Pacific MIRECC and Center for Innovation to Implementation, California. Department of Psychiatry & Behavioral Sciences and Stanford Cancer Institute, Stanford University, California.
University of Haifa · ILUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of the studyTo compare the prevalence and cardiometabolic health impact of sleep disturbance among postmenopausal Veteran and non-Veteran participants in the Women's Health Initiative (WHI). DESIGN AND

methodsThe prevalence of five categories of sleep disturbance--medication/alcohol use for sleep; risk for insomnia; risk for sleep disordered breathing [SDB]; risk for comorbid insomnia and SDB (insomnia + SDB); and aberrant sleep duration [SLD]--was compared in 3,707 Veterans and 141,354 non-Veterans using logistic or multinomial regression. Cox proportional hazards models were used to evaluate the association of sleep disturbance and incident cardiovascular disease (CVD) and Type 2 diabetes in Veterans and non-Veterans.

resultsWomen Veterans were more likely to have high risk for insomnia + SDB relative to non-Veteran participants. However, prevalence of other forms of sleep disturbance was similar across groups. Baseline sleep disturbance was not differentially associated with cardiometabolic health outcomes in Veteran versus non-Veteran women. Risks for SDB and insomnia + SDB were both linked to heightened risk of CVD and diabetes; SLD was consistently linked with greater risk of CVD and diabetes in non-Veterans but less strongly and consistently in Veterans. IMPLICATIONS: Efforts to identify and treat sleep disturbances in postmenopausal women are needed and may positively contribute to the attenuation of cardiometabolic morbidity risk. Increased awareness of women Veterans' vulnerability to postmenopausal insomnia + SDB may be particularly important for health care providers who treat this population.

Indexed as

PostmenopauseAgedCardiovascular DiseasesComorbidityDiabetes Mellitus, Type 2FemaleHumansLogistic ModelsMiddle AgedPrevalenceProportional Hazards ModelsRisk FactorsSleep Apnea SyndromesSleep Initiation and Maintenance DisordersSleep Wake DisordersUnited StatesPostmenopausal HealthSleepVeteransWomen

Identifiers

PMID26768391
PMCPMC5881622
OpenAlexW2305907604

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.