Evidence map›Paper›PMID 40638589›Full record

ArticleAnnals of medicine2025

Nocturnal heart rate during sleep is associated with increased risk of type 2 diabetes mellitus in adults with obstructive sleep apnoea syndrome.

Liping Wang, Jiajia Ran, Jingfeng Zou, Shaotian Li, Chunhui Tian, Xin Yang, Yiting Liu, Jingjing Wan, Wen Peng

Abstract read
In one paragraph

Article in Annals of medicine, 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. Observational
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

9 authors.

Liping WangDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-1225-1427
Jiajia RanDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jingfeng ZouDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0009-0001-7305-7863
Shaotian LiDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Chunhui TianDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xin YangDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yiting LiuDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0009-0006-0620-3847
Jingjing WanDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0003-4083-5320
Wen PengDepartment of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0003-0566-0801

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFew studies have confirmed the relationship between nocturnal heart rate (HR) and the risk of type 2 diabetes mellitus (T2DM) in patients with obstructive sleep apnoea syndrome (OSAS), and the aim of this study was to investigate this relationship.

methodsThe study retrospectively collected and cross-sectionally analyzed the clinical data of 1104 OSAS patients who met the study inclusion and exclusion criteria in the electronic medical record system of Wuhan Union Hospital. All patients underwent polysomnography and an apnea-hypoventilation index ≥5 was considered OSAS. Logistic regression and restricted cubic spline (RCS) regression were used to analyze the association between nocturnal HR and risk of T2DM. The predictive ability of HR for T2DM was analyzed using receiver operating characteristic (ROC) curves. The study was also analyzed in subgroups by age. HR was also classified into three groups, and the associations between different HR levels and T2DM risk were assessed using three logistic regression models.

resultsThe mean age of the subjects was 54.49 (±9.95) years, and 374 subjects had T2DM. Nocturnal HR levels were higher in the T2DM group compared to the non-T2DM group. Multifactorial logistic regression analysis showed that nocturnal HR was significantly associated with the risk of T2DM (OR = 1.02,

conclusionNocturnal HR was positively correlated with the risk of T2DM in the population with OSAS.

Indexed as

Diabetes Mellitus, Type 2Heart RateSleepSleep Apnea, ObstructiveAdultAgedChinaCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedPolysomnographyRetrospective StudiesRisk FactorsHeart rateobstructive sleep apnoea syndrometype 2 diabetes mellitus

Identifiers

PMID40638589
PMCPMC12247095

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.