Evidence map›Paper›PMID 26856907›Full record

ArticleSleep2016

K-Complexes: Interaction between the Central and Autonomic Nervous Systems during Sleep.

Massimiliano de Zambotti, Adrian R Willoughby, Peter L Franzen, Duncan B Clark, Fiona C Baker, Ian M Colrain

Abstract read
In one paragraph

Article in Sleep, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Trial
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  3. Trial
  4. Article
  5. Article
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  7. Cortex-specific inversion of visual responses during sleep.bioRxiv : the preprint server for biology · 2026
    Article
  8. Review
  9. Article
  10. Human deep sleep facilitates cerebrospinal fluid dynamics linked to spontaneous brain oscillations and neural events.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Cardiorespiratory changes associated with micro-arousals during naps.Neurobiology of sleep and circadian rhythms · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Blunted heart rate recovery to spontaneous nocturnal arousals in short-sleeping adults.American journal of physiology. Heart and circulatory physiology · 2021
    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

6 authors.

Massimiliano de ZambottiCenter for Health Sciences, SRI International, Menlo Park, CA.
Adrian R WilloughbyCenter for Health Sciences, SRI International, Menlo Park, CA.
Peter L FranzenUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Duncan B ClarkUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Fiona C BakerCenter for Health Sciences, SRI International, Menlo Park, CA.
Ian M ColrainCenter for Health Sciences, SRI International, Menlo Park, CA.

Funding

Sex Differences in Autonomic Nervous System Function and Depression Across AdolescenceU01AA021696 · NIAAA · SRI INTERNATIONAL · PI Fiona C Baker · 2012 to 2026
$12.2M
National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA): Administrative ResourceU24AA021695 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SANDRA A BROWN, Susan F. Tapert · 2016 to 2026
$6.0M
NIAAA NIH HHS U01 AA021696NIAAA NIH HHS U24 AA021695
6 · The paper itself

Abstract

STUDY

objectivesTo investigate the relationship between K-complexes (KCs) and cardiac functioning.

methodsForty healthy adolescents aged 16-22 y (19 females) participated in the study. Heart rate (HR) fluctuations associated with spontaneous and evoked KCs were investigated on two nights, one with (event-related potential night) and one without auditory tones presented across the night.

resultsThere was a clear biphasic cardiac response to evoked and spontaneous KCs, with an initial acceleration in HR followed by a deceleration (P < 0.001). HR acceleration occurred immediately to KCs in response to tones presented in the first third of the interbeat interval, but was delayed a beat when the tone occurred later in the cardiac cycle (P < 0.05). Sex differences were also evident. Pretone baseline HR was higher, and the magnitude of the HR response was blunted and delayed, in female compared to male adolescents (P < 0.001). Also, pretone baseline HR was lower when a tone elicited a KC compared to when it did not (P < 0.001), suggesting that KCs are possibly more likely to be elicited by external stimuli in states of reduced cardiac activation.

conclusionsThe strict dependency observed between KCs and cardiac control indicates a potential role of KCs in modulating the cardiovascular system during sleep. Sex differences in the KC-cardiac response indicate the sensitivity of this measure in capturing sex differences in cardiac regulatory physiology.

Indexed as

ElectroencephalographyAcoustic StimulationAdolescentAutonomic Nervous SystemCentral Nervous SystemEvoked PotentialsFemaleHealthy VolunteersHeart RateHumansMaleSex CharacteristicsSleepSleep StagesYoung Adultautonomic nervous systemcardiovascularheart rateK-complexsex differencessleep

Identifiers

PMID26856907
PMCPMC4835312

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.