Evidence map›Paper›PMID 40330588›Full record

ArticleNature and science of sleep2025

Getting Up in the Morning and Chronotype in Relation to Polycystic Ovarian Syndrome: A Mendelian Randomization and Cross-Sectional Study.

Diliqingna Dilimulati, Jiayi Lu, Jinghua Li, Meili Cai, Yuqin Zhang, Xiaowen Shao, Haibing Chen, Qian Wan, Fang He, Chaoyan Yue and 2 more

Abstract read
In one paragraph

Article in Nature and science of sleep, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

12 authors.

Diliqingna Dilimulati *Department of Endocrinology and Metabolism, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Jiayi Lu *Department of Clinical Laboratory, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Jinghua Li *Department of Clinical Laboratory, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Meili CaiDepartment of Endocrinology and Metabolism, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Yuqin ZhangDepartment of Endocrinology and Metabolism, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Xiaowen ShaoDepartment of Obstetrics and Gynecology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Haibing ChenDepartment of Endocrinology and Metabolism, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Qian WanDepartment of Endocrinology and Metabolism, The First People's Hospital of Chenzhou, Chenzhou, Hunan, 423000, People's Republic of China.
Fang HeDepartment of Endocrinology and Metabolism, The First People's Hospital of Chenzhou, Chenzhou, Hunan, 423000, People's Republic of China.
Chaoyan YueDepartment of Laboratory Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, People's Republic of China.
Manna ZhangDepartment of Endocrinology and Metabolism, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.
Shen QuDepartment of Endocrinology and Metabolism, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.ORCID 0000-0003-0811-7070

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although a connection between circadian rhythm and polycystic ovarian syndrome (PCOS) has been shown in previous studies, the exact cause of this association is not well understood. Purpose: This study aimed to use Mendelian randomization (MR) method to analyze the potential association between getting up in the morning and chronotype with PCOS, and a cross-sectional study was conducted to further validate these results. Methods: Using summary information from large-scale genome-wide association studies (GWASs) in people of European ancestry, we conducted univariable MR (UVMR) and multivariable MR (MVMR) analyses to examine the causal effect of genetically determined getting up in the morning and chronotype on PCOS. We also investigated the association between wake-up time and sleep midpoint with the risk of PCOS and total testosterone (TT) levels in a cohort of 777 women of reproductive age. Results: Our findings indicate a causal relationship between the genetic prediction of getting up in the morning and chronotype with a reduced incidence of PCOS. In a cross-sectional study, a sleep midpoint of > 4:00 was linked to a higher risk of PCOS and increased TT levels than a sleep midpoint of < 3:30. In women with a BMI < 24 kg/m Conclusion: This study indicates that a genetic predisposition to getting up in the morning and chronotype are linked to a reduced risk of PCOS. Additionally, earlier wake-up times and sleep midpoints are associated with a lower risk of PCOS and decreased TT levels.

Indexed as

chronotypegetting up in the morningMendelian randomizationpolycystic ovarian syndrome

Identifiers

PMID40330588
PMCPMC12053777

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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.