Evidence map›Paper›PMID 35878753›Full record

ArticleSleep2022

Homeostatic response to sleep deprivation and circadian rhythmicity are intact in older adults with insomnia.

Eunjin Lee Tracy, Jun Zhang, Kristine Wilckens, Robert T Krafty, Brant P Hasler, Martica H Hall, Daniel J Buysse

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. Impact of sleep on chronobiology of micturition among healthy older adults.American journal of physiology. Renal physiology · 2023
    Article
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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

7 authors at 2 institutions in 1 country.

Eunjin Lee TracyDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-8610-1464
Jun ZhangDepartment of Biostatistics, University of Pittsburgh. Pittsburgh, PA, USA.
Kristine WilckensDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Robert T KraftyDepartment of Biostatics and Bioinformatics, Emory University, Atlanta, GA, USA.
Brant P HaslerDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-3123-1106
Martica H HallDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-0642-2098
Daniel J BuysseDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-3288-1864
University of Pittsburgh · USEmory University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
REDUCING STRESS /SLEEP DISTURBANCES IN CAREGIVERS OF ADP01AG020677 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BUYSSE, DANIEL J. · 2003 to 2015
$17.5M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
Translational Research Training in Sleep MedicineT32HL082610 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Daniel J. Buysse, PETER L FRANZEN · 2007 to 2026
$5.8M
A Statistical Framework for the Spectral Analysis of High-Dimensional Physiological Time Series SignalsR01GM113243 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KRAFTY, ROBERT T · 2014 to 2020
$2.0M
Slow-wave sleep and executive network function in older adultsK01AG049879 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WILCKENS, KRISTINE ANN · 2016 to 2020
$713k
NCATS NIH HHS UL1 TR001857NHLBI NIH HHS T32 HL082610NIA NIH HHS K01 AG049879NIA NIH HHS P01 AG020677NIGMS NIH HHS R01 GM113243NIH HHS AG020677NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

STUDY

objectivesWe examined whether homeostatic sleep drive and circadian rhythmicity differ in older adults with insomnia (OAI) compared to older good sleepers (GS).

methodsOAI (n = 37) and GS (n = 30) participated in a 60-h in-lab study with sleep deprivation and constant routine paradigms. Homeostatic sleep drive was assessed by examining the effect of sleep deprivation on delta EEG power and theta EEG power, and repeated sleep latency tests. Circadian rhythm was assessed with salivary melatonin (phase and amplitude), core body temperature (phase, amplitude, and mesor), and sleep latency during a constant routine paradigm. Mixed models were used to assess interactions of group (OAS vs GS) with homeostatic sleep and circadian effects.

resultsCompared to GS, OAI showed a greater linear increase in waking theta power during sleep deprivation, but the two groups did not show differential responses to sleep deprivation in delta EEG, or in repeated sleep latency tests. The two groups did not differ in circadian phase or amplitude of melatonin or core body temperature rhythms. OAI had a significantly elevated core body temperature mesor compared to GS.

conclusionsHomeostatic response to sleep deprivation was intact in OAI compared to GS; theta EEG power suggested a greater homeostatic response in OAI. Circadian rhythm amplitude and phase were similar in OAI compared to GS. Elevated body temperature mesor in OAI may indicate elevated physiological arousal. These findings suggest that effective treatments for insomnia in older adults may leverage intact sleep and circadian regulatory mechanisms, rather than repair defective sleep and circadian regulation.

Indexed as

MelatoninSleep Initiation and Maintenance DisordersAgedCircadian RhythmElectroencephalographyHumansSleepSleep DeprivationWakefulnessMelatonincircadian rhythmicityhomeostatic sleep driveIinsomniaolder adultssleep deprivation

Identifiers

PMID35878753
PMCPMC9453614
OpenAlexW4287832123

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.