Evidence map›Paper›PMID 34170233›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021

Hot flashes, insomnia, and the reproductive stages: a cross-sectional observation of women from the EPISONO study.

Helena Hachul, Laura Siqueira Castro, Andréia Gomes Bezerra, Gabriel Natan Pires, Dalva Poyares, Monica Levy Andersen, Lia Rita Bittencourt, Sergio Tufik

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Hot flashes and sleep disruption in a randomized trial in menopausal women.American journal of obstetrics and gynecology · 2025
    Trial
  3. Article
  4. Evaluating perioperative self-reported sleep quality in patients with a gynecologic malignancy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Frontiers in pharmacology · 2026
    Review
  6. Review
  7. 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 1 institution in 2 countries.

Helena HachulDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Laura Siqueira CastroDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Andréia Gomes BezerraDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Gabriel Natan PiresDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Dalva PoyaresDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Monica Levy AndersenDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Lia Rita BittencourtDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Sergio TufikDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo investigate the association of hot flashes and insomnia in women in premenopause and postmenopause.

methodsThe study was performed using data from the São Paulo Epidemiological Sleep Study. Women in premenopause were classified as having regular menstrual cycles, being anovulatory, or using hormonal contraceptives. Women in menopause were classified as being in perimenopause, early postmenopause, or late postmenopause. Women reporting frequent insomnia symptoms and relevant daytime complaints were classified as having insomnia disorder. Polysomnography alterations suggestive of insomnia were also identified.

resultsThe frequency of hot flashes was 42% among women in postmenopause (mainly in early postmenopause) and 9% among women in premenopause (mainly anovulatory;

conclusionsHot flashes are associated with insomnia and polysomnography alterations suggestive of insomnia. The prevalence of hot flashes among women with insomnia disorder is especially high among women in late postmenopause. CITATION: Hachul H, Castro LS, Bezerra AG, et al. Hot flashes, insomnia, and the reproductive stages: a cross-sectional observation of women from the EPISONO study.

Indexed as

Hot FlashesSleep Initiation and Maintenance DisordersBrazilCross-Sectional StudiesDepressionFemaleHumansMenopausehot flashesinsomniapolysomnographypostmenopausepremenopausesleep

Identifiers

PMID34170233
PMCPMC8636363
OpenAlexW3174595442

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.