Evidence map›Paper›PMID 31901092›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Poor Sleep Is Related to Metabolic Syndrome Severity in Adolescents With PCOS and Obesity.

Stacey Simon, Haseeb Rahat, Anne-Marie Carreau, Yesenia Garcia-Reyes, Ann Halbower, Laura Pyle, Kristen J Nadeau, Melanie Cree-Green

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
–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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Metabolic Implications of PCOS.Current pediatrics reports · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Sleep Disorders in Women: What Should a Gynecologist Know?Geburtshilfe und Frauenheilkunde · 2024
    Article
  14. Article
  15. Review
  16. Metabolic and endocrine status associate with obstructive sleep apnea risk among patients with polycystic ovary syndrome.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  17. Article
  18. Review
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Stacey SimonDivision of Pulmonary Medicine, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Haseeb RahatDivision of Pediatric Endocrinology, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Anne-Marie CarreauDivision of Pediatric Endocrinology, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Yesenia Garcia-ReyesDivision of Pediatric Endocrinology, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Ann HalbowerDivision of Pulmonary Medicine, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Laura PyleDepartment of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Kristen J NadeauDivision of Pediatric Endocrinology, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.
Melanie Cree-GreenDivision of Pediatric Endocrinology, Department of Pediatrics, University of Colorado Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado.

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
The Colorado Building Interdisciplinary Research Careers in Women's Health ProgramK12AR084226 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI JUDITH G. REGENSTEINER, Nanette F. Santoro · 2023 to 2026
$2.5M
Influence of peripheral insulin resistance and hepatic lipogenesis on liver fat in obese PCOS girlsK23DK107871 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI CREE, MELANIE G · 2015 to 2018
$743k
Impact of Sleep Extension on Insulin Sensitivity and Dietary Intake in AdolescentsK23DK117021 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI SIMON, STACEY LYNN · 2018 to 2021
$682k
The Next Generation of Innovative Cardiovascular Clinical/Translational ResearchersK24HL145076 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI NADEAU, KRISTEN JANE · 2019 to 2023
$574k
NCATS NIH HHS UL1 TR002535NHLBI NIH HHS K24 HL145076NIAMS NIH HHS K12 AR084226NICHD NIH HHS K12 HD057022NIDDK NIH HHS K23 DK107871NIDDK NIH HHS K23 DK117021
6 · The paper itself

Abstract

contextPolycystic ovary syndrome (PCOS) is a common endocrine disorder and is associated with metabolic syndrome (MS). Development of MS in PCOS is likely multifactorial and may relate to poor sleep.

objectiveThe objective of this research is to investigate differences in objective markers of sleep in adolescents with obesity and PCOS with and without MS. We also aimed to examine the relationships between markers of sleep with MS markers.

designA cross-sectional study was conducted.

participantsParticipants included adolescents with PCOS and obesity with MS (N = 30) or without MS (N = 36). OUTCOME MEASURES: Hormone and metabolic measurements, abdominal magnetic resonance imaging for hepatic fat fraction, actigraphy to estimate sleep, and overnight polysomnography (PSG).

resultsAdolescents with obesity and PCOS who also had MS had significantly worse sleep-disordered breathing including higher apnea-hypopnea index (AHI, P = .02) and arousal index (P = .01) compared to those without MS. Actigraphy showed no differences in habitual patterns of sleep behaviors including duration, timing, or efficiency between groups. However, a greater number of poor sleep health behaviors was associated with greater number of MS components (P = .04). Higher AHI correlated with higher triglycerides (TG) (r = 0.49, P = .02), and poorer sleep efficiency correlated with higher percentage of liver fat (r = -0.40, P = .01), waist circumference (r = -0.46, P < .01) and higher TG (r = -0.34, P = .04).

conclusionsAmong girls with PCOS and obesity, sleep-disordered breathing was more prevalent in those with MS, and poor sleep behaviors were associated with metabolic dysfunction and more MS symptoms. Sleep health should be included in the assessment of adolescents with PCOS and obesity.

Indexed as

Severity of Illness IndexAdolescentAdultChildColoradoCross-Sectional StudiesFemaleFollow-Up StudiesHumansMetabolic SyndromeObesityPolycystic Ovary SyndromePrognosisSleep Initiation and Maintenance DisordersYoung Adultinsulin resistancemetabolic diseaseobstructive sleep apneapediatricspolycystic ovarian syndromesleep-disordered breathing

Identifiers

PMID31901092
PMCPMC7059992

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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.