Evidence map›Paper›PMID 40491038›Full record

ArticleJournal of oral rehabilitation2025

Association Between Cardiovascular Autonomic Function and Temporomandibular Disorders.

Niklas Kakko, Auli Suominen, Atte Somero, Mikko Tulppo, Satu Lahti, Vesa Pohjola, Mika Ogawa, Kirsi Sipilä

Abstract read
In one paragraph

Article in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Niklas KakkoResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.
Auli SuominenDepartment of Community Dentistry, University of Turku, Turku, Finland.
Atte SomeroDepartment of Community Dentistry, University of Turku, Turku, Finland.
Mikko TulppoResearch Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Satu LahtiDepartment of Community Dentistry, University of Turku, Turku, Finland.
Vesa PohjolaResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.
Mika OgawaDepartment of Community Dentistry, University of Turku, Turku, Finland.
Kirsi SipiläResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-2456-5036

Funding

European Regional Development FundEuropean Union´s Horizon Europe Framework.Oulun YliopistoOulun Yliopistollinen Sairaalauropean Union´s Horizon Europe Framework.
6 · The paper itself

Abstract

backgroundStudies have shown that elevated stress levels associate with TMD-related pain, which suggests that alterations in autonomic tone may contribute to this pain condition.

objectiveThe aim of the study was to evaluate the sex-specific associations between autonomic nervous system (ANS) activity and TMD pain-related diagnoses in a population-based study.

methodsThe study was part of the Northern Finland Birth Cohort 1966. Of the cohort members, 1964 (62.3% of those invited to oral health examination) were clinically examined as part of the 46-year follow-up. ANS activity was assessed by means of heart rate variability (HRV) and baroreflex sensitivity (BRS). A total of 5 TMD diagnoses were based on the modified protocol of DC/TMD (Diagnostic Criteria for TMD). Of those, pain-related diagnoses, i.e., myalgia and arthralgia, were used. In logistic regression analyses stratified by sex assigned at birth, potential confounders, i.e., education, body mass index, and number of body pain sites, were considered.

resultsThose with TMD myalgia (n = 97) or arthralgia diagnoses (n = 102) had lower values of BRS while standing when adjusted for covariates among females (for myalgia OR 0.847, 95% Cl 0.744-0.964, p = 0.012) and for arthralgia (OR 0.871, 95% Cl 0.775-0.970, p = 0.021).

conclusionThe results suggest that lowered baroreflex sensitivity, indicating increased sympathetic tone, associates with TMD pain, at least to some extent, in females. These findings refer to the association of stress response with TMD.

Indexed as

ArthralgiaAutonomic Nervous SystemBaroreflexHeart RateMyalgiaTemporomandibular Joint DisordersAdultCohort StudiesFemaleFinlandHumansMaleMiddle AgedSex Factorsautonomic nervous system activitycardiovascular autonomic functionpopulation‐basedtemporomandibular disorders

Identifiers

PMID40491038
PMCPMC12516008

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.