Evidence map›Paper›PMID 29367834›Full record

ArticleSleep and biological rhythms

Physiological and autonomic stress responses after prolonged sleep restriction and subsequent recovery sleep in healthy young men.

Wessel M A van Leeuwen, Mikael Sallinen, Jussi Virkkala, Harri Lindholm, Ari Hirvonen, Christer Hublin, Tarja Porkka-Heiskanen, Mikko Härmä

Open access · hybridAbstract read
In one paragraph

Article in Sleep and biological rhythms. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Cardiac event-induced PTSD symptoms and continuous heart rate in coronary artery disease patients.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  4. [Joint predictive effect of systolic blood pressure variability and sleep patterns on stroke].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
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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 2 institutions in 2 countries.

Wessel M A van Leeuwen1Department of Physiology, Medicum, University of Helsinki, PO Box 63, 00014 Helsinki, Finland.ORCID 0000-0003-0834-0811
Mikael Sallinen2Centre of Expertise for the Development of Work and Organizations, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A 00250 Helsinki, Finland.
Jussi Virkkala2Centre of Expertise for the Development of Work and Organizations, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A 00250 Helsinki, Finland.
Harri Lindholm6Centre of Expertise for Health and Work Ability, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A 00250 Helsinki, Finland.
Ari Hirvonen6Centre of Expertise for Health and Work Ability, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A 00250 Helsinki, Finland.
Christer Hublin2Centre of Expertise for the Development of Work and Organizations, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A 00250 Helsinki, Finland.
Tarja Porkka-Heiskanen1Department of Physiology, Medicum, University of Helsinki, PO Box 63, 00014 Helsinki, Finland.
Mikko Härmä2Centre of Expertise for the Development of Work and Organizations, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A 00250 Helsinki, Finland.
Finnish Institute of Occupational Health · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSleep restriction is increasingly common and associated with the development of health problems. We investigated how the neuroendocrine stress systems respond to prolonged sleep restriction and subsequent recovery sleep in healthy young men.

methodsAfter two baseline (BL) nights of 8 h time in bed (TIB), TIB was restricted to 4 h per night for five nights (sleep restriction, SR,

resultsIn the control group, none of the parameters changed. In the experimental group, heart rate increased from 60 ± 1.8 beats per minute (bpm) at BL, to 63 ± 1.1 bpm after SR and further to 65 ± 1.8 bpm after REC. In addition, whole day low-frequency to-high frequency (LF/HF) power ratio of heart rate variability increased from 4.6 ± 0.4 at BL to 6.0 ± 0.6 after SR. Other parameters, including salivary NPY and cortisol levels, remained unaffected.

conclusionsIncreased heart rate and LF/HF power ratio are early signs of an increased sympathetic activity after prolonged sleep restriction. To reliably interpret the clinical significance of these early signs of physiological stress, a follow-up study would be needed to evaluate if the stress responses escalate and lead to more unfavourable reactions, such as elevated blood pressure and a subsequent elevated risk for cardiovascular health problems.

Indexed as

Autonomic nervous systemCortisolHeart rate variabilityHPA-axisSleep restriction

Identifiers

PMID29367834
PMCPMC5754428
OpenAlexW2756363179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.