Evidence map›Paper›PMID 32790595›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2020

Variations in loop gain and arousal threshold during NREM sleep are affected by time of day over a 24-hour period in participants with obstructive sleep apnea.

Shipra Puri, Mohamad El-Chami, David Shaheen, Blake Ivers, Gino S Panza, M Safwan Badr, Ho-Sheng Lin, Jason H Mateika

Open access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. The upper airway in obstructive sleep apnoea: state of the art.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  3. Review
  4. Mechanisms and Management of Obstructive Sleep Apnea: A Translational Overview.Clinical and experimental otorhinolaryngology · 2025
    Review
  5. Neuro-Ophthalmological Disorders Associated with Obstructive Sleep Apnoea.International journal of molecular sciences · 2025
    Review
  6. Article
  7. Reply to ChenAmerican journal of respiratory and critical care medicine · 2022
    Article
  8. Article
  9. Review
  10. 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

8 authors at 2 institutions in 1 country.

Shipra PuriJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
Mohamad El-ChamiJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
David ShaheenJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
Blake IversJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
Gino S PanzaJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
M Safwan BadrJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
Ho-Sheng LinJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
Jason H MateikaJohn D. Dingell Department of Veterans Affairs Medical Center, Detroit, Michigan.
John D. Dingell VA Medical Center · USWayne State University · US

Funding

Impact of intermittent hypoxia on ventilatory drive and apnea severityR01HL085537 · NHLBI · WAYNE STATE UNIVERSITY · PI MATEIKA, JASON H. · 2007 to 2010
$1.5M
Mild intermittent hypoxia and CPAP: A multi-pronged approach to treat sleep apnea in intact and spinal cord injured humansR56HL142757 · NHLBI · WAYNE STATE UNIVERSITY · PI MATEIKA, JASON H. · 2018 to 2018
$385k
CSRD VA I01 CX000125NHLBI NIH HHS R01 HL085537NHLBI NIH HHS R56 HL142757NIH HHS R01HL085537NIH HHS R56HL142757VA 15SRCS003VA I01CX000125
6 · The paper itself

Abstract

We investigated whether time of day affects loop gain (LG) and the arousal threshold (AT) during non-rapid eye movement (NREM) sleep. Eleven men with obstructive sleep apnea (apnea-hypopnea index > 5 events/h) completed a constant-routine protocol that comprised 3-h sleep sessions in the evening [10 PM (1) to 1 AM], morning (6 AM to 9 AM), afternoon (2 PM to 5 PM), and subsequent evening [10 PM (2) to 1 AM]. During each sleep session LG and the AT were measured during NREM sleep with a model-based approach. Our results showed the presence of a rhythmicity in both LG (

Indexed as

Sleep Apnea, ObstructiveArousalCircadian RhythmHumansMaleRespirationSleeparousal thresholdcircadian rhythmhypocapnic ventilatory responseloop gainobstructive sleep apneaupper airway critical closing pressure

Identifiers

PMID32790595
PMCPMC7654696
OpenAlexW3048400360

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.