Evidence map›Paper›PMID 40768169›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Association between skin temperature variability and sleep apnea severity: findings from a pilot study.

Gary Garcia Molina, Trevor Winger, Megha Rajam Rao, Leah McGhee, Nikhil Makaram, Pavlo Chernega, Yehor Shcherbakov, Vidhya Chellamuthu, Erwin Veneros, Rajasi Mills and 3 more

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 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. 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

13 authors.

Gary Garcia MolinaSleep Number, Minneapolis, MN, USA. gmgarcia@wisc.edu.ORCID 0000-0002-4621-4667
Trevor WingerSleep Number, Minneapolis, MN, USA.
Megha Rajam RaoSleep Number, Minneapolis, MN, USA.
Leah McGheeSleep Number, Minneapolis, MN, USA.
Nikhil MakaramSleep Number, Minneapolis, MN, USA.
Pavlo ChernegaGlobalLogic, Kyiv, Ukraine.
Yehor ShcherbakovGlobalLogic, Valencia, Spain.
Vidhya ChellamuthuSleep Number, Minneapolis, MN, USA.
Erwin VenerosNanami, Enumclaw, WA, USA.
Rajasi MillsSleep Number, Minneapolis, MN, USA.
Daniela GrimaldiCenter for Circadian and Sleep Medicine, Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Kathryn J ReidCenter for Circadian and Sleep Medicine, Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Phyllis C ZeeCenter for Circadian and Sleep Medicine, Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) may disrupt autonomic and vascular control, affecting skin temperature variability (STV). We aimed to assess whether STV (measured at distal and proximal sites) is associated with OSA severity (apnea-hypopnea index [AHI] and percent of sleep time with oxygen saturation below 90% [T90]) and if STV can aid in non-invasive OSA risk screening.

methodsEighteen participants underwent two nights of polysomnography with simultaneous distal and proximal skin temperature recording using iButtons. STV was calculated by standard deviation, median absolute deviation, and Poincaré plot analyses for sleep onset-to-offset, non-rapid eye movement (NREM), rapid eye movement (REM), and wake intervals. Linear mixed-effect models assessed relationships between STV and AHI/T90. Mediation analysis evaluated the role of body mass index (BMI), and receiving-operator-characteristic-curve (ROC)-based analysis assessed the screening potential of STV for moderate-to-severe OSA. All p-values were adjusted by the Benjamini-Hochberg False Discovery Rate (FDR).

resultsAHI showed a strong, negative association with distal STV during NREM sleep, especially median absolute deviation (fixed effect coefficient = - 8.16, FDR-adjusted p < 0.001). T90 was similarly associated (- 1.90, FDR-adjusted p < 0.01). No significant relationships were found during REM or wake. BMI did not mediate these associations. ROC analysis revealed high discriminative ability for moderate-to-severe OSA (AUC: 0.93-0.97).

conclusionReduced distal STV during NREM sleep independently signals OSA severity and may serve as a promising, non-invasive biomarker for screening OSA risk.

Indexed as

Skin TemperatureSleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedPilot ProjectsPolysomnographySeverity of Illness IndexAHIApnea severitySkin temperatureT90Variability

Identifiers

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Read underepoch 390

Registered trials

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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.