Evidence map›Paper›PMID 30518440›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2018

Objectively Measured Disrupted Sleep Is Independently and Directly Associated With Low Exercise Capacity in Males: A Structural Equation Model.

Ren-Jing Huang, Shin-Da Lee, Ching-Hsiang Lai, Shen-Wen Chang, Ai-Hui Chung, Chiung-Wei Chen, I-Ning Huang, Hua Ting

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 81% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 2 countries.

Ren-Jing HuangDepartment of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan.
Shin-Da LeeDepartment of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung, Taiwan.
Ching-Hsiang LaiDepartment of Medical Informatics, Chung Shan Medical University, Taichung, Taiwan.
Shen-Wen ChangSleep Medicine Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Ai-Hui ChungSleep Medicine Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chiung-Wei ChenDepartment of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan.
I-Ning HuangDepartment of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan.
Hua TingSleep Medicine Center, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chung Shan Medical University Hospital · TWChung Shan Medical University · TWShanghai University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesWe investigated the interaction between objective sleep disturbance and obesity, sedentary lifestyle, and lung dysfunction and whether it is negatively associated with cardiorespiratory fitness.

methodsIn this community cohort study of 521 men (age 46.6 ± 7.5 years), measures of anthropometry, pulmonary function, overnight sleep polysomnography, and cardiopulmonary exercise testing were processed stepwise using structural equation modeling (SEM).

resultsA univariate correlation analysis was used to group the corresponding variables (in parentheses) into the following eligible latent variables for lower exercise capacity: obesity (body mass index, waist-to-hip ratio), irregular exercise, impaired lung function (predicted values of forced expiratory volume in the first second, forced vital capacity, maximal ventilatory volume, and lung diffusion capacity for carbon monoxide), disrupted sleep (total sleep time, percentage of slow-wave sleep, sleep efficiency), and sleep-disordered breathing (apnea-hypopnea index, lowest oxygen saturation, percentage of total period of oxygen saturation < 90%). Advanced SEM analyses produced a well-fitted final confirmatory model that obesity (direct strength β

conclusionsObjectively measured disrupted sleep is directly and independently associated with low exercise capacity; however, sleep-disordered breathing is indirectly mediated by obesity and mutual interactions among obesity, lung dysfunction, and sedentary lifestyle and is linked to low exercise capacity. Our findings indicate that individuals with limited exercise capacity without definite causes should undertake a sleep study, particularly in those describing symptoms of sleep-disordered breathing or insomnia.

Indexed as

Cardiorespiratory FitnessExercise TestSedentary BehaviorAdultCohort StudiesCorrelation of DataHumansLatent Class AnalysisLung DiseasesMaleMiddle AgedObesityPolysomnographyRespiratory Function TestsSleep Wake Disorderscardiorespiratory fitnessinsomnialung functionphysical activity

Identifiers

PMID30518440
PMCPMC6287719
OpenAlexW2905155417

What OpenQuestion holds

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Registered trials

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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.