Evidence map›Paper›PMID 41071097›Full record

ArticleSleep2026

Metabolomic biomarkers of rest-activity rhythms in older women: results from the Women's Health Initiative study.

Lingxiao Zhang, Chris Ho Ching Yeung, Kyoung A Viola Lee, Aladdin H Shadyab, Andrea LaCroix, Katie L Stone, Kristine Yaffe, Kathleen M Hayden, Ramon Casanova, Stephen R Rapp and 5 more

Abstract read
In one paragraph

Article in Sleep, 2026. 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

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

2 citing papers in PubMed.

  1. Review
  2. Fluctuations in Sleep Duration and Timing and Cardiometabolic Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
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

15 authors.

Lingxiao ZhangDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, United States.
Chris Ho Ching YeungDepartment of Epidemiology, University of Texas Health Sciences Center, Houston, TX, United States.ORCID 0000-0003-2753-1728
Kyoung A Viola LeeDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, United States.
Aladdin H ShadyabHerbert Wertheim School of Public Health and Human Longevity Science and Division of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, University of California San Diego, La Jolla, CA, United States.
Andrea LaCroixHerbert Wertheim School of Public Health and Human Longevity Science and Division of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, University of California San Diego, La Jolla, CA, United States.ORCID 0000-0002-9532-976X
Katie L StoneCalifornia Pacific Medical Center Research Institute, San Francisco, CA, United States.
Kristine YaffeDepartments of Psychiatry, Neurology and Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States.
Kathleen M HaydenDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, United States.ORCID 0000-0002-7745-3513
Ramon CasanovaDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
Stephen R RappDepartment of Psychiatry & Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
Jiu-Chiuan ChenDepartment of Preventive Medicine, University of Southern California, Keck School of Medicine, Los Angeles, CA, United States.
Laura BakerDepartment of Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
JoAnn E MansonBrigham and Women's Hospital, Division of Preventive Medicine, Harvard Medical Scho,ol, and Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Yuan HuangDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, United States.ORCID 0000-0002-8011-3034
Qian XiaoDepartment of Epidemiology, University of Texas Health Sciences Center, Houston, TX, United States.ORCID 0000-0002-8388-1178

Funding

WOMEN'S HEALTH INITIATIVE - CLINICAL COORDINATING CENTER: TASK AREA B - LONG LIFE STUDY VISIT 2 LIMITED HOME VISIT75N92021D00001 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, GARNET L. · 2021 to 2025
$52.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC): TASK AREA A AND A275N92021D00002 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WACTAWSKI-WENDE, JEAN · 2021 to 2025
$6.9M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00004 · NHLBI · STANFORD UNIVERSITY · PI STEFANICK, MARCIA · 2021 to 2025
$6.5M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00003 · NHLBI · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA · 2021 to 2025
$5.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI VITOLINS, MARA · 2021 to 2025
$4.2M
Twenty-four hour patterns of light and activity and Alzheimer's Disease and Related Dementia: interplay with multi-omics biomarkers and AD pathogenesis pathwaysR01AG063946 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Qian Xiao · 2020 to 2026
$3.3M
American Academy of Sleep Medicine Foundation Strategic AwardNational Institute of Aging R01AG063946National Institute of Aging RF1AG074345National Institute of Aging RF1AG079149NHLBI NIH HHSNHLBI NIH HHS 75N92021D00001NHLBI NIH HHS 75N92021D00002NIA NIH HHS R01 AG063946NIH HHSWHI NIH HHS 75N92021D00003WHI NIH HHS 75N92021D00004WHI NIH HHS 75N92021D00005
6 · The paper itself

Abstract

STUDY

objectivesPrior research has suggested that disrupted and weakened rest-activity rhythms measured by accelerometry may be associated with risks of many diseases, including cardiometabolic diseases, cancer, and dementia, but the mechanisms underlying this are not fully understood. This study is the second of two studies aimed at using an untargeted approach to identify metabolomic markers associated with rest-activity rhythm characteristics and focuses on older women.

methodsThe analysis included 688 women in the Women's Health Initiative. Rest-activity rhythms were characterized by parametric and non-parametric algorithms applied to accelerometry data. Metabolomics data were measured from fasting serum samples with ultra high-performance liquid-phase chromatography and gas chromatography coupled with mass spectrometry and tandem mass spectrometry. Associations between rest-activity rhythms and metabolomics were determined by multiple linear regression models and Ingenuity Pathway Analysis.

resultsOf the 934 metabolites included, 280 showed an association (false discovery rate < 0.1) with one of the three primary rest-activity variables (pseudo F-statistic, intradaily variability, and interdaily stability). These metabolites represent a wide range of biochemical classes and metabolic pathways, including sulfur amino acids, fibrinopeptides, plasmalogens, amino sugar metabolites, and nucleotides. The PEX5 gene network was identified by the Ingenuity Pathway Analysis as the most significantly enriched genetic pathway in relation to rest-activity rhythms.

conclusionsWe found numerous metabolites and pathways that were associated with rest-activity rhythm variables in older women, suggesting a potentially wide-reaching role of diurnal behaviors in human metabolism and health. Statement of Significance In this metabolomics study in older women, we found a large number of metabolites that were associated with rest-activity rhythms. These metabolites represented a wide range of biochemical classes and metabolic pathways. This analysis also confirmed numerous metabolite associations we have recently found in a sample of older men in the Osteoporotic Fractures in Men study, lending further support to a wide-reaching role of circadian rhythms and diurnal behaviors in human health. To the best of our knowledge, our two studies were the first metabolomics investigations focusing on rest-activity rhythm characteristics. With further validation studies, we anticipate that findings from these studies will contribute to the broader endeavor to understand, diagnose, and treat circadian rhythm-related disorders, with potential benefits for human health.

Indexed as

MetabolomicsRestWomen's HealthAccelerometryAgedBiomarkersFemaleHumansMiddle AgedBiomarkersactigraphyagingbiomarkerscircadian rhythmsepidemiologymetabolomicsolder adults

Identifiers

PMID41071097
PMCPMC12795739

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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.