Evidence map›Paper›PMID 36450759›Full record

ArticleScientific reports2022

Blunted rest-activity circadian rhythm increases the risk of all-cause, cardiovascular disease and cancer mortality in US adults.

Yanyan Xu, Shaoyong Su, Xinyue Li, Asifhusen Mansuri, William V McCall, Xiaoling Wang

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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.

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

25 citing papers in PubMed.

  1. Trial
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  5. Association of physical activity and rest-activity rhythm with sustained attention and melatonin among community-dwelling older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
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  10. Observational
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  15. Review
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  20. Reliable measures of rest-activity rhythm fragmentation: how many days are needed?European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    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

6 authors.

Yanyan XuGeorgia Prevention Institute, Medical College of Georgia, Augusta University, Building HS-1715, Augusta, GA, 30912, USA.
Shaoyong SuGeorgia Prevention Institute, Medical College of Georgia, Augusta University, Building HS-1715, Augusta, GA, 30912, USA.
Xinyue LiSchool of Data Science, City University of Hong Kong, Hong Kong, China.
Asifhusen MansuriDivision of Pediatric Nephrology and Hypertension, Children's Hospital of Georgia, Medical College of Georgia, Augusta University, Augusta, GA, USA.
William V McCallDepartment of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA, USA.
Xiaoling WangGeorgia Prevention Institute, Medical College of Georgia, Augusta University, Building HS-1715, Augusta, GA, 30912, USA. xwang@augusta.edu.

Funding

Role of Skeletal Muscle Health on Poor LIfestyle Related Type 2 Diabetes and Cardiovascular Disease RiskR01DK117365 · NIDDK · AUGUSTA UNIVERSITY · PI HARRIS, RYAN A, WANG, XIAOLING · 2018 to 2022
$3.3M
Psychosocial stress, epigenetics and health disparity in hypertensionR01MD013307 · NIMHD · AUGUSTA UNIVERSITY · PI SU, SHAOYONG · 2019 to 2023
$3.0M
Pediatric Ambulatory Blood Pressure Trajectory and Brain Health in MidlifeR01HL143440 · NHLBI · AUGUSTA UNIVERSITY · PI MCDOWELL, JENNIFER E, SU, SHAOYONG · 2019 to 2022
$2.8M
NHLBI NIH HHS R01 HL143440NIDDK NIH HHS R01 DK117365NIMHD NIH HHS R01 MD013307
6 · The paper itself

Abstract

To examine whether rest-activity circadian rhythm parameters can predict all-cause, cardiovascular disease and cancer mortality in a general adult population of the US. We further compared the mortality predictive performance of these parameters with that of traditional risk factors. This study included 7,252 adults from US National Health and Nutrition Examination Surveys (NHANES) 2011-2014, who had wrist accelerometer data obtained at baseline and follow-up status linked to the National Death Index records (2011-2019). During a median of 81 months (interquartile range, 69-94 months) of follow-up, 674 (9.3%) deaths occurred. There were inverse associations between relative amplitude (RA) and all-cause mortality, cardiovascular disease and cancer mortality with increased quartiles RA associated with lower mortality risk (all P < 0.05). The Hazard Ratios ranged from 0.61 to 0.79. Furthermore, RA outperformed all the tested traditional predictors of all-cause mortality with the exception of age. This study suggests that participants with blunted rest-activity circadian rhythms had a higher risk of all-cause, cardiovascular disease and cancer mortality. Future studies will be needed to test whether interventions that regulate rest-activity circadian activity rhythms will improve health outcomes.

Indexed as

Cardiovascular DiseasesNeoplasmsAdultCircadian RhythmHumansNutrition SurveysRest

Identifiers

PMID36450759
PMCPMC9712599

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Registered trials

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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.