Evidence map›Paper›PMID 38327902›Full record

SynthesisFrontiers in endocrinology2023

Complex relationship between growth hormone and sleep in children: insights, discrepancies, and implications.

Marco Zaffanello, Angelo Pietrobelli, Paolo Cavarzere, Alessandra Guzzo, Franco Antoniazzi

Open access · goldAbstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
18.3field-weighted citation impact, top 1% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Sleep disturbances in anorexia nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
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  12. Long-term sleep disturbance following burn injury: Insights from the Burn Model System.Burns : journal of the International Society for Burn Injuries · 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

5 authors at 1 institution in 1 country.

Marco ZaffanelloDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.
Angelo PietrobelliDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.
Paolo CavarzereDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.
Alessandra GuzzoDepartment of Pathology and Diagnostics, School of Medicine, University of Verona, Verona, Italy.
Franco AntoniazziDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growth hormone (GH) is crucial to growth and development. GH secretion is regulated by a complex feedback system involving the pituitary gland, hypothalamus, and other organs, and predominantly occurs during deep sleep. Isolated and idiopathic growth hormone deficiency (GHD) is a condition characterized by GHD without any other signs or symptoms associated with a specific syndrome or disease. The aim of this narrative review was to evaluate the relationship between GH and sleep in children using published data. Various databases (Medline/PubMed, Scopus, and Web of Science) were systematically searched for relevant English language articles published up to April 2023. Search strategies included the terms 'children/pediatric', 'growth hormone', 'growth hormone deficiency' and 'sleep'. Data were extracted by two independent reviewers; 185 papers were identified of which 58 were duplicates and 118 were excluded (unrelated n=83, syndromic/genetic GHD n=17, non-English n=13, abstract n=1, case report n=1). Overall, nine studies (six clinical studies, two case series, and one survey) were included. GHD appears to have an adverse effect on sleep in children, and GH therapy has only been shown to have a beneficial effect on sleep parameters in some individuals. Notably, identified data were limited, old/poor quality, and heterogenous/inconsistent. Further research of GHD in pediatric populations is necessary to improve the understanding of GHD impact on sleep and its underlying mechanisms, and to determine the specific impacts of GH therapy on sleep in children.

Indexed as

Dwarfism, PituitaryHuman Growth HormoneHypopituitarismChildGrowth HormoneHumansSleepGrowth HormoneHuman Growth Hormonechildrengrowth hormonepediatricrecombinant growth hormonesleep quality

Identifiers

PMID38327902
PMCPMC10847528
OpenAlexW4391172291

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.