Evidence map›Paper›PMID 39167428›Full record

SynthesisJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2024

Associations between insomnia and cardiovascular diseases: a meta-review and meta-analysis of observational and Mendelian randomization studies.

Xuejiao Zhang, Yujing Sun, Shuo Ye, Qingqing Huang, Rui Zheng, Zhexi Li, Feng Yu, Chenhao Zhao, Min Zhang, Guoan Zhao and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Sleep, Neural Circulatory Control, and Cardiovascular Disease: A Mechanistic Review.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  5. Observational
  6. Article
  7. The promise and peril of data-driven approaches: interpreting the association of insomnia, sleep apnea, and COMISA with mortality in US veterans.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  8. Insomnia disorder.Nature reviews. Disease primers · 2026
    Review
  9. Review
  10. Mechanisms Linking Insomnia and Cardiometabolic Disease Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  11. Article
  12. Article
  13. Pitfalls of insomnia management in the elderly: A narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

11 authors.

Xuejiao ZhangDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Yujing SunDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Shuo YeDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Qingqing HuangDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Rui ZhengCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Zhexi LiDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Feng YuDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Chenhao ZhaoDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Min ZhangSchool of Cardiovascular and Metabolic Medicine and Sciences, King's College London British Heart Foundation Centre of Research Excellence, London, United Kingdom.
Guoan ZhaoDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
Sizhi AiDepartment of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesObservational studies suggest associations between insomnia and cardiovascular diseases (CVDs), but the causal mechanism remains unclear. We investigated the potential causal associations between insomnia and CVDs by a combined systematic meta-review and meta-analysis of observational and Mendelian randomization studies.

methodsWe searched PubMed, Web of Science, and Embase for English-language articles from inception to July 11, 2023. Two reviewers independently screened the articles to minimize potential bias. We summarized the current evidence on the associations of insomnia with coronary artery disease, atrial fibrillation, heart failure, myocardial infarction, hypertension, and stroke risk by combining meta-analyses of observational and Mendelian randomization studies.

resultsFour meta-analyses of observational studies and 9 Mendelian randomization studies were included in the final data analysis. A systematic meta-review of observational studies provided strong evidence that insomnia is an independent risk factor for many CVDs, including atrial fibrillation, myocardial infarction, and hypertension. A meta-analysis of Mendelian randomization studies revealed that insomnia may be potentially causally related to coronary artery disease (odds ratio [OR] = 1.14, 95% confidence interval [CI] = 1.10-1.19, I

conclusionsOur results provide strong evidence supporting a possible causal association between insomnia and CVD risk. Strategies to treat insomnia may be promising targets for preventing CVDs. CITATION: Zhang X, Sun Y, Ye S, et al. Associations between insomnia and cardiovascular diseases: a meta-review and meta-analysis of observational and Mendelian randomization studies.

Indexed as

Cardiovascular DiseasesMendelian Randomization AnalysisObservational Studies as TopicSleep Initiation and Maintenance DisordersHumansRisk FactorscardiovascularinsomniaMendelian randomizationmeta-reviewobservational study

Identifiers

PMID39167428
PMCPMC11609828

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.