Evidence map›Paper›PMID 36490360›Full record

ArticleAutism research : official journal of the International Society for Autism Research2023

Cardiovascular disease risk factors in autistic adults: The impact of sleep quality and antipsychotic medication use.

Lauren Bishop, Rebecca A Charlton, Kiley J McLean, Goldie A McQuaid, Nancy Raitano Lee, Gregory L Wallace

Open access · hybridAbstract read
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Beyond the Outburst: Charting a New Frontier for Understanding and Treating Irritability in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Epidemiology of Alzheimer Disease and Related Dementia Among Medicare and Medicaid Enrolled Autistic Adults, 2011-2019.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. 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

6 authors at 5 institutions in 2 countries.

Lauren BishopUniversity of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0003-1269-4129
Rebecca A CharltonGoldsmiths University of London, London, UK.ORCID 0000-0002-3326-8762
Kiley J McLeanUniversity of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0003-2196-5920
Goldie A McQuaidGeorge Mason University, Fairfax, Virginia, USA.ORCID 0000-0003-3614-616X
Nancy Raitano LeeDrexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6663-0713
Gregory L WallaceThe George Washington University, Washington, DC, USA.ORCID 0000-0003-0329-5054
University of Wisconsin–Madison · USDrexel University · USGeorge Mason University · USGeorge Washington University · USGoldsmiths University of London · GB

Funding

Waisman Intellectual and Developmental Disabilities Research Center Down Syndrome RegistryU54HD090256 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI POLLAK, SETH D · 2016 to 2020
$6.0M
Autism SpeaksEunice Kennedy Shriver National Institute of Child Health and Human DevelopmentFulbright AssociationNICHD NIH HHS U54 HD090256The George Washington University startup funds
6 · The paper itself

Abstract

Approximately 40% of American adults are affected by cardiovascular disease (CVD) risk factors (e.g., high blood pressure, high cholesterol, diabetes, and overweight or obesity), and risk among autistic adults may be even higher. Mechanisms underlying the high prevalence of CVD risk factors in autistic people may include known correlates of CVD risk factors in other groups, including high levels of perceived stress, poor sleep quality, and antipsychotic medication use. A sample of 545 autistic adults without intellectual disability aged 18+ were recruited through the Simons Foundation Powering Autism Research, Research Match. Multiple linear regression models examined the association between key independent variables (self-reported perceived stress, sleep quality, and antipsychotic medication use) and CVD risk factors, controlling for demographic variables (age, sex assigned at birth, race, low-income status, autistic traits). Overall, 73.2% of autistic adults in our sample had an overweight/obesity classification, 45.3% had high cholesterol, 39.4% had high blood pressure, and 10.3% had diabetes. Older age, male sex assigned at birth, and poorer sleep quality were associated with a higher number of CVD risk factors. Using antipsychotic medications was associated with an increased likelihood of having diabetes. Poorer sleep quality was associated with an increased likelihood of having an overweight/obesity classification. Self-reported CVD risk factors are highly prevalent among autistic adults. Both improving sleep quality and closely monitoring CVD risk factors among autistic adults who use antipsychotic medications have the potential to reduce risk for CVD.

Indexed as

Antipsychotic AgentsAutism Spectrum DisorderAutistic DisorderCardiovascular DiseasesDiabetes MellitusHypertensionAdolescentAdultAgedCholesterolFemaleHumansMaleMiddle AgedObesityOverweightAntipsychotic AgentsCholesterolantipsychotic medicationscardiovascular diseasehealthsex differencessleep quality

Identifiers

PMID36490360
PMCPMC10023317
OpenAlexW4311022740

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.