Evidence map›Paper›PMID 33230235›Full record

ArticleScientific reports2020

Ultradian rhythms in heart rate variability and distal body temperature anticipate onset of the luteinizing hormone surge.

Azure D Grant, Mark Newman, Lance J Kriegsfeld

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Effects of menopause on temperature regulation.Temperature (Austin, Tex.) · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. The Menstrual Cycle and Sleep.Sleep medicine clinics · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

3 authors.

Azure D GrantThe Helen Wills Neuroscience Institute, University of California, 175 Li Ka Shing Center, MC # 3370, Berkeley, CA, 94720, USA.
Mark NewmanPrecision Analytical, McMinnville, OR, 97128, USA.
Lance J KriegsfeldThe Helen Wills Neuroscience Institute, University of California, 175 Li Ka Shing Center, MC # 3370, Berkeley, CA, 94720, USA. kriegsfeld@berkeley.edu.

Funding

Neuroscience Training Program at UC BerkeleyT32NS095939 · NINDS · UNIVERSITY OF CALIFORNIA BERKELEY · PI BATEUP, HELEN S. · 2016 to 2025
$6.3M
The role of kisspeptin and RFRP-3 in the neuroendocrine control of female reproductionR01HD050470 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI KRIEGSFELD, LANCE J · 2007 to 2022
$5.0M
NICHD NIH HHS R01 HD050470NIH HHS HD050470NINDS NIH HHS T32 NS095939
6 · The paper itself

Abstract

The menstrual cycle is characterized by predictable patterns of physiological change across timescales. Although patterns of reproductive hormones across the menstrual cycle, particularly ultradian rhythms, are well described, monitoring these measures repeatedly to predict the preovulatory luteinizing hormone (LH) surge is not practical. In the present study, we explored whether non-invasive measures coupled to the reproductive system: high frequency distal body temperature (DBT), sleeping heart rate (HR), sleeping heart rate variability (HRV), and sleep timing, could be used to anticipate the preovulatory LH surge in women. To test this possibility, we used signal processing to examine these measures in 45 premenopausal and 10 perimenopausal cycles alongside dates of supra-surge threshold LH and menstruation. Additionally, urinary estradiol and progesterone metabolites were measured daily surrounding the LH surge in 20 cycles. Wavelet analysis revealed a consistent pattern of DBT and HRV ultradian rhythm (2-5 h) power that uniquely enabled anticipation of the LH surge at least 2 days prior to its onset in 100% of individuals. Together, the present findings reveal fluctuations in distal body temperature and heart rate variability that consistently anticipate the LH surge, suggesting that automated ultradian rhythm monitoring may provide a novel and convenient method for non-invasive fertility assessment.

Indexed as

AdultBody TemperatureEstradiolFemaleFertilityHeart RateHumansLuteinizing HormoneMenopauseMenstruationMiddle AgedOvulationPremenopauseProgesteroneSleepUltradian RhythmEstradiolLuteinizing HormoneProgesterone

Identifiers

PMID33230235
PMCPMC7683606

What OpenQuestion holds

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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.