Evidence map›Paper›PMID 33974646›Full record

Observational studyPloS one2021

Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes.

Chikara Yoshimura, Hisatomi Arima, Hironobu Amagase, Mizuko Takewaka, Kazuko Nakashima, Chikako Imaoka, Nanami Miyanaga, Hirotsugu Obama, Masaki Fujita, Shin-Ichi Ando

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07144631 (PENS-P), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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.

NCT07144631 narecruitingnot on this mapstarted 2025, after this paper: background citation

PENS-P: Peroneal Electrical Nerve Stimulation in Pregnancy for Restless Legs Syndrome (RLS)

TypeinterventionalSponsorRhode Island HospitalRan2025 to 2026Enrolled15ConditionsRestless Leg Disorder, Restless Leg Syndrome (RLS), Pregnancy, Sleep Disorder (Disorder)ArmsPeroneal Nerve Stimulation (PNS) Device
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

10 authors at 2 institutions in 1 country.

Chikara YoshimuraDepartment of Preventive Medicine and Public Health, Fukuoka University, Fukuoka, Japan.ORCID 0000-0003-1639-8458
Hisatomi ArimaDepartment of Preventive Medicine and Public Health, Fukuoka University, Fukuoka, Japan.
Hironobu AmagaseAmagase Obstetrics and Gynecology Clinic, Onojo, Japan.
Mizuko TakewakaAmagase Obstetrics and Gynecology Clinic, Onojo, Japan.
Kazuko NakashimaAmagase Obstetrics and Gynecology Clinic, Onojo, Japan.
Chikako ImaokaAmagase Obstetrics and Gynecology Clinic, Onojo, Japan.
Nanami MiyanagaAmagase Obstetrics and Gynecology Clinic, Onojo, Japan.
Hirotsugu ObamaAmagase Obstetrics and Gynecology Clinic, Onojo, Japan.
Masaki FujitaFaculty of Medicine, Department of Respiratory Medicine, Fukuoka University, Fukuoka, Japan.
Shin-Ichi AndoSleep Apnea Center, Kyushu University Hospital, Fukuoka, Japan.
Fukuoka University · JPKyushu University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate prevalence of idiopathic and secondary restless legs syndrome (RLS) according to pregnancy trimester, and its effects on delivery-related outcomes among pregnant women in Japan.

methodsThis was a single-center, prospective observational study. One hundred eighty-two consecutive pregnant women participated in the study from June 2014 to March 2016. Participants were interviewed and examined in the second and third trimesters of pregnancy and 1 month after delivery. At each term, RLS was identified by a research assistant and then specialist in sleep medicine based on the diagnostic criteria of the International Restless Legs Syndrome Study Group. Delivery-related data was collected from medical charts. RLS was classified as idiopathic RLS, which originally existed before the index pregnancy, or secondary RLS, which newly appeared during the index pregnancy.

resultsThe prevalence of RLS was 4.9% (idiopathic 3.3%, secondary 1.6%) in the second trimester, 5.0% (idiopathic 0.0%, secondary 5.0%) in the third trimester, and 0.6% (idiopathic 0.0%, secondary 0.6%) after delivery. Prolonged labor, emergency Cesarean section, and arrest of labor tended to be more frequent in idiopathic and/or second RLS (all p<0.05).

conclusionsThe prevalence of RLS during pregnancy was 4-5% and decreases after delivery in current Japan. The presence of RLS was associated with an increase in some delivery-related outcomes. Early detection and treatment of RLS during pregnancy may be beneficial to safe delivery for pregnant women.

Indexed as

Pregnancy OutcomeAdultFemaleHumansJapanPregnancyPregnancy ComplicationsPregnancy TrimestersPrevalenceProspective StudiesRestless Legs Syndrome

Identifiers

PMID33974646
PMCPMC8112660
OpenAlexW3160653347

What OpenQuestion holds

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LicenceCC BY
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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.