Evidence map›Paper›PMID 34889523›Full record

ArticleAmerican journal of medical genetics. Part A2022

Sleep problems in fragile X syndrome: Cross-sectional analysis of a large clinic-based cohort.

Dejan B Budimirovic, Dragana D Protic, Carol M Delahunty, Howard F Andrews, Tse-Hwei Choo, Qing Xu, Elizabeth Berry-Kravis, Walter E Kaufmann, FORWARD Consortium

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Profile of Behavioral Comorbidities in Children With Fragile X Syndrome.Journal of autism and developmental disorders · 2026
    Article
  3. Article
  4. Effects of Gallic Acid on Sleep and Circadian Rhythm in aThe Yale journal of biology and medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. State-of-the-art therapies for fragile X syndrome.Developmental medicine and child neurology · 2024
    Review
  17. Article
  18. Review
  19. Article
  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

9 authors at 6 institutions in 2 countries.

Dejan B BudimirovicDepartment of Psychiatry, Fragile X Clinic, Kennedy Krieger Institute, JHMI, Baltimore, Maryland, USA.ORCID 0000-0001-7263-5134
Dragana D ProticFaculty of Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0002-2137-5405
Carol M DelahuntyDepartment of Pediatrics, Cleveland Clinic Children's Hospital, Cleveland, Ohio, USA.ORCID 0000-0002-8422-8568
Howard F AndrewsDepartments of Psychiatry and Biostatistics, Columbia University, Irving Medical Center, , New York, New York, USA.ORCID 0000-0002-7726-0551
Tse-Hwei ChooDepartment of Psychiatry, Mental Health Data Science, Columbia University Medical Center and NY State Psychiatric Institute, New York, New York, USA.ORCID 0000-0001-5068-9799
Qing XuDepartment of Psychiatry, Mental Health Data Science, Columbia University Medical Center and NY State Psychiatric Institute, New York, New York, USA.
Elizabeth Berry-KravisDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.ORCID 0000-0001-7099-1522
Walter E KaufmannDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-8561-8453
FORWARD Consortium
Columbia University Irving Medical Center · USBoston Children's Hospital · USCleveland Clinic · USKennedy Krieger Institute · USRush University Medical Center · USUniversity of Belgrade · RS

Funding

Characterizing the Natural History of Fragile X Syndrome to Inform the Development of Intervention,Outcome MeasuresU01DD001298 · DD · RUSH UNIVERSITY MEDICAL CENTER · PI BERRY-KRAVIS, ELIZABETH MARA, ERICKSON, CRAIG · 2021 to 2025
$4.0M
FXTAS Key Molecular Pathways Converge with Other Neurodegenerative DisordersK01NS126736 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Reymundo Lozano · 2022 to 2026
$1.4M
USING LONGITUDINAL DATA TO CHARACTERIZE THE NATURAL HISTORY OF FRAGILE X SYNDROME TO IMPROVE SERVICESU01DD001188 · DD · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI ANDREWS, HOWARD F. · 2015 to 2020
$1.2M
USING LONGITUDINAL DATA TO CHARACTERIZE THE NATURAL HISTORY OF FRAGILE X SYNDROME TO IMPROVE SERVICESU01DD001186 · DD · RUSH UNIVERSITY MEDICAL CENTER · PI BERRY-KRAVIS, ELIZABETH MARA · 2015 to 2020
$850k
Using Longitudinal Data to Characterize the Natural History of Fragile X Syndrome (FXS) to Improve Services and Outcomes-Component CU01DD001185 · DD · CINCINNATI CHILDRENS HOSP MED CTR · PI ERICKSON, CRAIG · 2016 to 2019
$400k
ACL HHS U01DD001189CDC HHS U01DD000231CDC HHS U01DD001189CDC HHS U19DD000753NCBDD CDC HHS U01 DD000231NCBDD CDC HHS U01 DD001185NCBDD CDC HHS U01 DD001186NCBDD CDC HHS U01 DD001188NCBDD CDC HHS U01 DD001189NCBDD CDC HHS U01 DD001298NCBDD CDC HHS U19 DD000753NINDS NIH HHS K01 NS126736
6 · The paper itself

Abstract

Fragile X syndrome (FXS), the leading cause of inherited intellectual disability and autism spectrum disorder, is associated with multiple neurobehavioral abnormalities including sleep difficulties. Nonetheless, frequency, severity, and consequences of sleep problems are still unclear. The Fragile X Online Registry with Accessible Research Database (FORWARD-version-3), including Clinician Report and Parent Report forms, was analyzed for frequency, severity, relationship with behavioral problems, and impact of sleep difficulties in a mainly pediatric cohort. A focused evaluation of sleep apnea was also conducted. Six surveyed sleep difficulties were moderately frequent (~23%-46%), relatively mild, affected predominantly younger males, and considered a problem for 7%-20% of families. Snoring was more prevalent in older individuals. All sleep difficulties were associated with irritability/aggression and most also to hyperactivity. Only severe snoring was correlated with sleep apnea (loud snoring: 30%; sleep apnea: 2%-3%). Sleep difficulties are prevalent in children with FXS and, although they tend to be mild, they are associated with behavioral problems and negative impact to families. Because of its cross-sectional nature, clinic-origin, use of ad hoc data collection forms, and lack of treatment data, the present study should be considered foundational for future research aiming at better recognition and management of sleep problems in FXS.

Indexed as

Autism Spectrum DisorderFragile X SyndromeSleep Apnea SyndromesAgedChildCross-Sectional StudiesHumansMaleSnoringfragile X syndromeinsomniaproblem behaviorsquality of lifesleep apnea

Identifiers

PMID34889523
PMCPMC11057226
OpenAlexW4200540675

What OpenQuestion holds

Textmetadata
LicenceTDM
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.