Evidence map›Paper›PMID 40672996›Full record

ArticleNature and science of sleep2025

Association Between Fractional Exhaled Nitric Oxide (FeNO) and Cognitive Function in Patients with Obstructive Sleep Apnea.

Qilin Zhu, Lili Huang, Licheng Zhu, Xiaobai Zhang, Honghua Ji, Donghua Niu, Wangfei Ji, Qingqing Ma, Rong Chen, Haiyan Shi and 2 more

Registry-linked trialAbstract 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. It is linked to trial NCT07606898 (Fractional Exhaled Nitric Oxide as Possible Non - Invasive Biomarker to Assess Obstructive Sleep Apnea Severity), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

NCT07606898 active not recruitingnot on this mapstarted 2026, after this paper: background citation

Fractional Exhaled Nitric Oxide as Possible Non - Invasive Biomarker to Assess Obstructive Sleep Apnea Severity

Typeobservational_patient_registrySponsorTanta UniversityRan2026 to 2026Enrolled200ConditionsObstructive Sleep Apnea (OSA)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A modifiable driver of dementia: cognitive impairment in primary aldosteronism.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  3. Article
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.

Qilin Zhu *Department of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Lili Huang *Department of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Licheng ZhuDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Xiaobai ZhangDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Honghua JiDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Donghua NiuDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.ORCID 0009-0004-0878-3801
Wangfei JiDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Qingqing MaDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Rong ChenDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Haiyan ShiDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.
Yihua WangBiological Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, SO17 1BJ, UK.ORCID 0000-0001-5561-0648
Lina XuDepartment of Respiratory and Critical Care Medicine, Affiliated Nantong Hospital 3 of Nantong University & Nantong Third People's Hospital, Nantong, Jiangsu, 226000, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Obstructive sleep apnea (OSA) is characterised by intermittent hypoxia and sleep fragmentation, both of which can impair cognition. This study aimed to investigate the association between fractional exhaled nitric oxide (FeNO), a non-invasive marker of airway inflammation, and memory performance in patients with OSA. Methods: A total of 102 participants were enrolled: 62 with moderate or severe OSA (apnea-hypopnea index, AHI≥15) and 40 with snoring or mild OSA (AHI <15). Memory was assessed with the Rey-Osterrieth Complex Figure Test (RCFT), Digit Ordering Test (DOT), and Logical Memory Test (LMT). FeNO was measured at 50mL/s (FeNO Results: Compared with the snoring or mild OSA group, participants with moderate or severe OSA had larger neck circumference, higher body-mass index, greater daytime sleepiness, and elevated FeNO Conclusion: Moderate or severe OSA is associated with impaired immediate and delayed visual memory. Higher FeNO

Indexed as

cognitive functionfractional exhaled nitric oxideobstructive sleep apneapolysomnography

Identifiers

PMID40672996
PMCPMC12266069

What OpenQuestion holds

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Registered trials

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.