Evidence map›Paper›PMID 40906257›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Association of cerebrospinal fluid FGF21 with sleep quality in Chinese adults.

Lingling Chen, Siyuan Li, Xiyi Chen, Yu-Hsin Chen, Xingguang Luo, Weiming Hu, Yimin Kang, Li Chen, Fan Wang, Xiaokun Li and 2 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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lingling Chen *School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
Siyuan Li *School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
Xiyi Chen *School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
Yu-Hsin ChenSchool of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
Xingguang LuoDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA.
Weiming HuDepartment of Psychiatry, The Third Hospital of Quzhou, Quzhou, China.
Yimin KangPsychosomatic Medicine Research Division, Inner Mongolia Medical University, Hohhot, China.
Li ChenSchool of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
Fan WangBeijing Huilongguan Hospital, Peking University, Beijing, China.
Xiaokun LiSchool of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, China. xiaokunli@wmu.edu.cn.
Yanlong LiuSchool of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China. benjaminlyl@wmu.edu.cn.
Caixia TongDepartment of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China. tcx28256@163.com.

Funding

Natural Science Foundation of Beijing Municipality 7152074Natural Science Foundation of Xinjiang Uygur Autonomous Region 2018D01C239Tianshan Youth Project - Outstanding Youth Science and Technology Talents of Xinjiang 2017Q007
6 · The paper itself

Abstract

objectiveThis study aimed to examine whether FGF21 levels in cerebrospinal fluid (CSF) and plasma are associated with sleep quality, as measured by the Pittsburgh Sleep Quality Index (PSQI) scores, and to assess the correlation between FGF21 levels and sleep disorder severity.

methodsWe recruited 90 Chinese adult males undergoing anterior cruciate ligament reconstruction surgery, gathering sociodemographic and clinical characteristics. Sleep quality was assessed using the PSQI, and CSF samples were obtained for FGF21 analysis.

resultsSpearman's correlation analysis showed that CSF FGF21 levels were positively correlated with PSQI global scores (r = 0.51, p < 0.001), as well as with specific components, including sleep quality (r = 0.32, p < 0.01), sleep latency (r = 0.46, p < 0.001), sleep disturbances (r = 0.53, p < 0.001), and daytime dysfunction (r = 0.55, p < 0.001). CSF FGF21 levels also positively correlated with APOA1 levels. However, plasma FGF21 levels showed no correlation with these sleep parameters. Elevated CSF FGF21 levels were associated with higher PSQI scores and increased prevalence of prolonged sleep latency, sleep disturbances, and daytime dysfunction. The association between CSF FGF21 levels and sleep disorders remained significant after adjusting for age, BMI, education, living situation, marital status, and biochemical markers.

conclusionsThis study identifies a novel positive association between CSF FGF21 levels, rather than plasma FGF21, and sleep quality, as assessed by PSQI scores, particularly in subcategories including low sleep quality, prolonged sleep latency, severe sleep disturbances, and marked daytime dysfunction in healthy adults.

Indexed as

Fibroblast Growth FactorsSleep QualitySleep Wake DisordersAdultChinaEast Asian PeopleHumansMaleMiddle AgedYoung AdultFGF21 protein, humanfibroblast growth factor 21Fibroblast Growth FactorsCerebrospinal fluidFGF21PSQISleep

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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.