Evidence map›Paper›PMID 35670313›Full record

ReviewJournal of sleep research2022

The circadian system, sleep, and the health/disease balance: a conceptual review.

Till Roenneberg, Russell G Foster, Elizabeth B Klerman

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of sleep research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06246214 (Innovations in Biological Rhythms in the Context of Mental Health), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 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.

NCT06246214 narecruitingnot on this mapstarted 2024, after this paper: background citation

Innovations in Biological Rhythms in the Context of Mental Health: Effectiveness of New Technologies and Exposure to Different Lighting Patterns in Women During the Postpartum Period

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2024 to 2027Enrolled150ConditionsDepression, Postpartum, Anxiety StateArmsBlue Light Therapy, ControlLT
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Sleep and activity patterns in autism.Autism : the international journal of research and practice · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The economic costs and consequences of (insufficient) sleep: a case study from Latin America.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Observational
  17. Review
  18. Review
  19. Review
  20. The sleep-circadian interface: A window into mental disorders.Proceedings of the National Academy of Sciences of the United States of America · 2024
    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

3 authors.

Till RoennebergInstitute of Medical Psychology and Institute for Occupational, Social and Environmental Medicine, Munich, Germany.ORCID 0000-0003-2939-0332
Russell G FosterSir Jules Thorn Sleep and Circadian Neuroscience Institute (SCNi), Nuffield Department of Clinical Neurosciences, New Biochemistry Building, University of Oxford, Oxford, UK.ORCID 0000-0001-6055-2067
Elizabeth B KlermanDepartment of Neurology, Massachusetts General Hospital, Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-7402-3171

Funding

The roles of NK3RMnPO and KNDy neurons in vasomotor symptoms, sleep, and cognition in E2 depleted mice.U54AG062322 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI HADINE JOFFE · 2020 to 2026
$13.7M
A Dose Selection Trial of Light Therapy for Impaired Sleep in Parkinson's DiseaseU01NS114001 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI VIDENOVIC, ALEKSANDAR · 2019 to 2021
$6.5M
Molecular and Physiological Mechanisms of Hypertensive Cerebral MicroangiopathyR01NS114526 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GUROL, MAHMUT EDIP · 2020 to 2024
$4.4M
Bright light modulation of non-motor symptoms in Parkinson's diseaseR01NS099055 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI VIDENOVIC, ALEKSANDAR · 2017 to 2021
$3.0M
Testing Effects of Melatonin on Uterine Contractions in WomenR01HD107064 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI KLERMAN, ELIZABETH B. · 2022 to 2025
$3.0M
Treatment of Restless Legs Symptoms with Pramipexole to Improve the Outcomes of Protracted Opioid Withdrawal in OUD: A Pilot Double-blind, Randomized Clinical TrialR21DA052861 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI WINKELMAN, JOHN W · 2021 to 2022
$462k
Fondation Leducq 21CVD04; BBSRC: BB/S015817/1NIA NIH HHS U54 AG062322NICHD NIH HHS R01 HD107064NIDA NIH HHS R21 DA052861NINDS NIH HHS R01 NS099055NINDS NIH HHS R01 NS114526NINDS NIH HHS U01 NS114001US NIH U01NS1Wellcome TrustWellcome Trust 106174/Z/14/AWellcome Trust 106174/Z/14/ZWellcome Trust 20650Wellcome Trust 214571/Z/18/Z
6 · The paper itself

Abstract

The field of "circadian medicine" is a recent addition to chronobiology and sleep research efforts. It represents a logical step arising from the increasing insights into the circadian system and its interactions with life in urbanised societies; applying these insights to the health/disease balance at home and in the medical practice (outpatient) and clinic (inpatient). Despite its fast expansion and proliferating research efforts, circadian medicine lacks a formal framework to categorise the many observations describing interactions among the circadian system, sleep, and the health/disease balance. A good framework allows us to categorise observations and then assign them to one or more components with hypothesised interactions. Such assignments can lead to experiments that document causal (rather than correlational) relationships and move from describing observations to discovering mechanisms. This review details such a proposed formal framework for circadian medicine and will hopefully trigger discussion among our colleagues, so that the framework can be improved and expanded. As the basis of the framework for circadian medicine, we define "circadian health" and how it links to general health. We then define interactions among the circadian system, sleep, and the health/disease balance and put the framework into the context of the literature with examples from six domains of health/disease balance: fertility, cancer, immune system, mental health, cardiovascular, and metabolism.

Indexed as

Circadian RhythmSleep Wake DisordersHumansMental HealthSleepcircadiancircadian medicineconditional process modelhealthhumans

Identifiers

PMID35670313
PMCPMC9352354

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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.