Evidence map›Paper›PMID 33263040›Full record

ArticleERJ open research2020

Daytime sleepiness predicts inflammation and ambulatory blood pressure in sleep apnoea.

Victoria M Pak, Brittany Butts, Vicki Hertzberg, Nancy Collop, Arshed A Quyyumi, John Cox, Ann Rogers, Sandra B Dunbar

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Investigation and management of residual sleepiness in CPAP-treated patients with obstructive sleep apnoea: the European view.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  4. Sphinganine is associated with 24-h MAP in the non-sleepy with OSA.Metabolomics : Official journal of the Metabolomic Society · 2022
    Article
  5. Observational
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.

Victoria M PakEmory Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-4081-8347
Brittany ButtsEmory Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Vicki HertzbergEmory Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-8834-4363
Nancy CollopEmory School of Medicine, Atlanta, GA, USA.
Arshed A QuyyumiEmory School of Medicine, Atlanta, GA, USA.
John CoxEmory Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Ann RogersEmory Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Sandra B DunbarEmory Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Emory and Henry College · USEmory University · US

Funding

Mechanisms of Sleepiness Symptoms in Sleep Apnea and Cardiovascular DiseaseR00NR014675 · NINR · YALE UNIVERSITY · PI PAK, VICTORIA M · 2015 to 2017
$699k
NINR NIH HHS R00 NR014675
6 · The paper itself

Abstract

introductionSleepiness in obstructive sleep apnoea is associated with cardiovascular risk; however, the biological mechanisms are not known. This study explored whether those with subjective sleepiness have increased plasma tumour necrosis factor-related protein 1 (C1qTNF1), a novel adipose-derived hormone (adipokine), and 24-h ambulatory blood pressure (ABP) compared to those without sleepiness in newly diagnosed, treatment-naïve participants with obstructive sleep apnoea.

methodsOverall, 94 participants were included in the analysis. Participants completed the Epworth Sleepiness Scale (ESS), 24-h ABP was monitored, and plasma C1qTNF1 was measured. Sleepy participants were defined as ESS≥10 and nonsleepy as ESS<10. Multiple linear regression was used to explore differences in C1qTNF1, and 24-h mean arterial pressure (MAP) between sleepy and nonsleepy participants, adjusting for age, sex, body mass index, apnoea-hypopnoea index, and smoking status.

resultsC1qTNF1 was significantly higher in sleepy participants (n=57) compared to nonsleepy participants (n=37) (β=0.41 NPX, 95% CI 0.02, 0.80; p=0.04). The 24-h MAP was significantly higher in sleepy participants compared to nonsleepy participants (β=4.06 mmHg, 95% CI 0.36, 7.77; p=0.03).

conclusionsOur findings show that sleepiness is associated with inflammation and higher 24-h MAP in sleep apnoea.

Identifiers

PMID33263040
PMCPMC7682673
OpenAlexW3095918833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.