Evidence map›Paper›PMID 40862598›Full record

Observational studyBrain and behavior2025

Sleep Disturbances Associated With Hidden Hearing Loss: Insights From Human Data and a Mouse Model of Sleep Fragmentation.

Xiaodi Wang, Bo Su, Jiaxin Zhang, Yingqiang Li, Liangqiang Zhou, Zhihui Du, Hanqi Chu, Huifang Liang, Dan Bing

Abstract readObservational Study
In one paragraph

Observational study in Brain and behavior, 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

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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
  2. 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.

Xiaodi WangDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Bo SuDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.ORCID https://orcid.org/0000-0002-4832-1837
Jiaxin ZhangDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Yingqiang LiDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Liangqiang ZhouDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Zhihui DuDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Hanqi ChuDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Huifang LiangHepatic Surgery Centre, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, P. R. China.
Dan BingDepartment of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.ORCID https://orcid.org/0000-0003-4094-0075

Funding

Hubei Provincial Key Research and Development Program 2022BCA006key project of Tongji Hospital Scientific Research Fund 2023A01Natural Science Foundation of Hubei Province 2022CFB282Research Fund of Tongji Hospital 2022B07Wuhan Knowledge Innovation Project 2022022101015011
6 · The paper itself

Abstract

backgroundSleep disorders have been associated with auditory dysfunction. However, the specific effects of sleep fragmentation (SF) on the peripheral auditory system and the underlying mechanisms remain unclear.

methodsData from the National Health and Nutrition Examination Survey (NHANES) were analyzed to examine the association between sleep disturbances and difficulties in speech perception in noisy environments among participants with normal audiograms. Additionally, an SF mouse model was used to assess the impact of sleep disruption on auditory function and cochlear pathology. Auditory brainstem response (ABR) testing, immunofluorescence staining, and transmission electron microscopy were performed to evaluate the auditory system.

resultsNHANES data revealed that individuals with sleep disorders, even with normal audiograms, were more likely to experience difficulties in speech perception in noisy environments. In the mouse model, chronic SF led to a significant decrease in the amplitude and a prolonged latency of ABR wave I, without detectable changes in hearing thresholds. Immunofluorescence staining revealed a significant decrease in the number of ribbon synapses in inner hair cells and an increase in orphan ribbons. Moreover, electron microscopy demonstrated myelin damage in the auditory nerve fibers.

conclusionsSleep fragmentation induces subtle damage to the auditory system, particularly affecting inner hair cell synapses and auditory nerve fibers, which may underlie difficulties in speech recognition in noisy environments, a potential indicator of hidden hearing loss.

Indexed as

Hearing Loss, HiddenSleep Wake DisordersSpeech PerceptionAdultAgedCochleaDisease Models, AnimalEvoked Potentials, Auditory, Brain StemFemaleHumansMaleMice, Inbred C57BLMicroscopy, ElectronMiddle AgedNoiseNutrition Surveysauditory nervehidden hearing lossinner hair cellribbon synapsesleep fragmentation

Identifiers

PMID40862598
PMCPMC12381955

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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.