Evidence map›Paper›PMID 36467458›Full record

ArticleEClinicalMedicine2022

Chronotype and cognitive function: Observational study and bidirectional Mendelian randomization.

Jiao Wang, Ying Ru Li, Chao Qiang Jiang, Wei Sen Zhang, Tong Zhu, Feng Zhu, Ya Li Jin, Tai Hing Lam, Kar Keung Cheng, Lin Xu

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

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  7. Optimal sleep timing revealed: a new perspective on reducing all-cause mortality and cardiovascular disease-cause mortality in older adults.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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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

10 authors at 4 institutions in 3 countries.

Jiao WangSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Ying Ru LiSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Chao Qiang JiangGuangzhou Twelfth People's Hospital, Guangzhou, China.
Wei Sen ZhangGuangzhou Twelfth People's Hospital, Guangzhou, China.
Tong ZhuGuangzhou Twelfth People's Hospital, Guangzhou, China.
Feng ZhuGuangzhou Twelfth People's Hospital, Guangzhou, China.
Ya Li JinGuangzhou Twelfth People's Hospital, Guangzhou, China.
Tai Hing LamSchool of Public Health, The University of Hong Kong, Hong Kong, China.
Kar Keung ChengInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Lin XuSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Twelfth Guangzhou City People's Hospital · CNSun Yat-sen University · CNUniversity of Birmingham · GBUniversity of Hong Kong · HK

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

Background: Association has been found between chronotype and cognitive function in conventional observational studies but whether this association is causal and if so, its direction, is uncertain. There are also concerns among people with later chronotype that their habits may be detrimental to cognitive function. Methods: We analyzed the association between chronotype (measured as sleep midpoint) and cognitive function (measured by Mini-Mental Status Examination (MMSE) and Delayed Word Recall Test (DWRT)) using multivariable linear regression on 14,582 participants in the Guangzhou biobank cohort study (GBCS) from 2008 to 2012. Using bidirectional Mendelian randomization, we used 207 single nucleotide polymorphisms (SNPs) associated with chronotype from the combination of UK Biobank and 23andMe (n = 697,828), and 127 SNPs associated with cognitive function from the combination of UK Biobank and COGENT consortium (n = 257,841). Findings: Observationally in GBCS, later chronotype was associated with better cognitive function (MMSE scores: β = 0.14 per hour; 95% confidence interval (CI), 0.09-0.19; DWRT scores: β = 0.07 per hour; 95% CI, 0.04-0.11). Bidirectional MR showed genetic predisposition to early, versus later, chronotype was not associated with cognitive function using inverse-variance weighted (β = -0.02; 95% CI, -0.05 to 0.01). However, better cognitive function was associated with decreased odds of early chronotype (UK Biobank: odds ratio = 0.88 per standardized score; 95% CI, 0.83-0.93; 23andMe: 0.87 per standardized score; 95% CI, 0.80-0.95). Interpretation: It is a reassuring finding for adults with later chronotype who may be concerned if such a habit has a negative impact on cognitive function. Funding: The National Natural Science Foundation of China; Natural Science Foundation of Guangdong; The University of Hong Kong Foundation for Educational Development and Research; The Health Medical Research Fund in Hong Kong; The University of Birmingham, UK.

Indexed as

CausalityChronotypeCognitive functionOlder people

Identifiers

PMID36467458
PMCPMC9716330
OpenAlexW4308036208

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.