Evidence map›Paper›PMID 27568806›Full record

Trial reportSleep2016

Aberrant Food Choices after Satiation in Human Orexin-Deficient Narcolepsy Type 1.

Ruth Janke van Holst, Lisa van der Cruijsen, Petra van Mierlo, Gert Jan Lammers, Roshan Cools, Sebastiaan Overeem, Esther Aarts

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 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
3.2field-weighted citation impact, top 8% 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, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Diagnostic challenges and burden of idiopathic hypersomnia: a systematic literature review.Sleep advances : a journal of the Sleep Research Society · 2024
    Article
  5. Review
  6. Review
  7. Comorbid parasomnias in narcolepsy and idiopathic hypersomnia: more REM than NREM parasomnias.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  8. Article
  9. Sleep dysregulation in binge eating disorder and "food addiction": the orexin (hypocretin) system as a potential neurobiological link.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Review
  10. Review
  11. Review
  12. Neuropsychiatric Correlates of Narcolepsy.Current psychiatry reports · 2020
    Review
  13. Review
  14. Review
  15. Update on narcolepsy.Journal of neurology · 2019
    Review
  16. The neurobiological basis of narcolepsy.Nature reviews. Neuroscience · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. Orexins, Sleep, and Blood Pressure.Current hypertension reports · 2018
    Review
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

7 authors at 4 institutions in 1 country.

Ruth Janke van HolstDepartment of Neurology, Radboud University Medical Center, Nijmegen, The Netherlands.
Lisa van der CruijsenDonders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Petra van MierloSleep Medicine Center Kempenhaeghe, Heeze, The Netherlands.
Gert Jan LammersSleep-Wake Center SEIN, Heemstede, The Netherlands.
Roshan CoolsDonders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Sebastiaan OvereemDepartment of Neurology, Radboud University Medical Center, Nijmegen, The Netherlands.
Esther AartsDonders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLAcademic Medical Center · NLKempenhaeghe · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesBesides influencing vigilance, orexin neurotransmission serves a variety of functions, including reward, motivation, and appetite regulation. As obesity is an important symptom in orexin-deficient narcolepsy, we explored the effects of satiety on food-related choices and spontaneous snack intake in patients with narcolepsy type 1 (n = 24) compared with healthy matched controls (n = 19). In additional analyses, we also included patients with idiopathic hypersomnia (n = 14) to assess sleepiness-related influences.

methodsParticipants were first trained on a choice task to earn salty and sweet snacks. Next, one of the snack outcomes was devalued by having participants consume it until satiation (i.e., sensory-specific satiety). We then measured the selective reduction in choices for the devalued snack outcome. Finally, we assessed the number of calories that participants consumed spontaneously from ad libitum available snacks afterwards.

resultsAfter satiety, all participants reported reduced hunger and less wanting for the devalued snack. However, while controls and idiopathic hypersomnia patients chose the devalued snack less often in the choice task, patients with narcolepsy still chose the devalued snack as often as before satiety. Subsequently, narcolepsy patients spontaneously consumed almost 4 times more calories during ad libitum snack intake.

conclusionsWe show that the manipulation of food-specific satiety has reduced effects on food choices and caloric intake in narcolepsy type 1 patients. These mechanisms may contribute to their obesity, and suggest an important functional role for orexin in human eating behavior. CLINICAL TRIALS REGISTRATION: Study registered at Netherlands Trial Register. URL: www.trialregister.nl. Trial ID: NTR4508.

Indexed as

SatiationAdolescentAdultAppetiteBiomarkersCase-Control StudiesFeeding BehaviorFemaleFood PreferencesHumansMaleMiddle AgedNarcolepsyObesityOrexinsSnacksBiomarkersOrexinshabitsnarcolepsyobesityorexinover-eatingsatiation

Identifiers

PMID27568806
PMCPMC5070749
OpenAlexW2511780272

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.