Evidence map›Paper›PMID 32619240›Full record

ArticleSleep2020

Cognitive effects of split and continuous sleep schedules in adolescents differ according to total sleep opportunity.

June C Lo, Ruth L F Leong, Alyssa S C Ng, S Azrin Jamaluddin, Ju Lynn Ong, Shohreh Ghorbani, TeYang Lau, Nicholas I Y N Chee, Joshua J Gooley, Michael W L Chee

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04044885 (Investigating the Preferred Nap Schedule for Adolescents With Adequate Sleep), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

NCT04044885 nacompletednot on this map

Investigating the Preferred Nap Schedule for Adolescents With Adequate Sleep

TypeinterventionalSponsorDuke-NUS Graduate Medical SchoolRan2019 to 2019Enrolled54ConditionsSleepArmsNap
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 31 citations in OpenAlex.

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  7. Primary care versus sleep specialist pathways for obstructive sleep apnea with home testing: access, adherence, and treatment personalization.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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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

10 authors at 2 institutions in 1 country.

June C LoCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ruth L F LeongCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Alyssa S C NgCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
S Azrin JamaluddinCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ju Lynn OngCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Shohreh GhorbaniCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
TeYang LauCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nicholas I Y N CheeCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Joshua J GooleyNeuroscience and Behavioral Disorders Program, Duke-NUS Medical School, Singapore.
Michael W L CheeCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
National University of Singapore · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesWe compared the basic cognitive functions of adolescents undergoing split (nocturnal sleep + daytime nap) and continuous nocturnal sleep schedules when total sleep opportunity was either below or within the recommended range (i.e. 6.5 or 8 h).

methodsAdolescent participants (age: 15-19 year) in the 8-h split (n = 24) and continuous (n = 29) sleep groups were compared with 6.5-h split and continuous sleep groups from a previous study (n = 58). These protocols involved two baseline nights (9-h time-in-bed [TIB]), 5 nights of sleep manipulation, 2 recovery nights (9-h TIB), followed by a second cycle of sleep manipulation (3 nights) and recovery (2 nights). Cognitive performance, subjective sleepiness, and mood were evaluated daily; sleep was assessed using polysomnography.

resultsSplitting 6.5 h of sleep with a mid-afternoon nap offered a boost to cognitive function compared to continuous nocturnal sleep. However, when total TIB across 24 h increased to 8 h, the split and continuous sleep groups performed comparably in tests evaluating vigilance, working memory, executive function, processing speed, subjective sleepiness, and mood.

conclusionsIn adolescents, the effects of split sleep on basic cognitive functions vary by the amount of total sleep obtained. As long as the total sleep opportunity across 24 h is within the recommended range, students may fulfill sleep requirements by adopting a split sleep schedule consisting of a shorter period of nocturnal sleep combined with a mid-afternoon nap, without significant impact on basic cognitive functions. CLINICAL

trial registrationNCT04044885.

Indexed as

SleepSleep DeprivationAdolescentAdultCognitionHumansPolysomnographyWakefulnessYoung Adultadolescentscognitioncontinuous sleepnapssplit sleepvigilance

Identifiers

PMID32619240
PMCPMC8061132
OpenAlexW3038143418

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.