Evidence map›Paper›PMID 41398875›Full record

SynthesisMedicine2025

Assessment of bidirectional relationships between sleep traits and frailty: A bidirectional Mendelian randomization study.

Ling-Yu Gao, Jia-Hui Huang, Wei Zhao, Ying-Fan Chang, Xin-Yu Wang, Xi-Ya Wang, Hong-Xu Jin

Abstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 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

7 authors.

Ling-Yu GaoDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Jia-Hui HuangDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Wei ZhaoDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Ying-Fan ChangDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Xin-Yu WangDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Xi-Ya WangDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.
Hong-Xu JinDepartment of Anesthesiology, Harrison International Peace Hospital, Hengshui, Hebei Province, China.ORCID 0000-0002-8851-7543

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to investigate the bidirectional causal relationship between sleep traits and frailty via 2-sample Mendelian randomization (MR) approach. Genetic data for sleep traits, including sleep duration, short sleep, long sleep, daytime naps, morning preference, and chronotype, were obtained from large-scale genome-wide association studies. Frailty Index (FI) data were sourced from a meta-analysis of European participants. MR analysis was used to examine causal relationships. Sensitivity analyses, including MR-Egger and MR-PRESSO, were conducted to assess pleiotropy, with heterogeneity tested using Cochran Q test. The Steiger test was used to rule out reverse causality. The results revealed a bidirectional causal relationship between short sleep (≤7 hours) and frailty. Short sleep was associated with a higher FI (β: 0.886, P = 1.24 × 10⁻10), and higher frailty increased the likelihood of short sleep (OR: 1.041, P = .015). No significant associations were found between FI and other sleep traits. Sensitivity analyses confirmed the robustness of these results, with no evidence of pleiotropy or heterogeneity. The Steiger test confirmed the absence of reverse causality. This study demonstrates a strong bidirectional link between short sleep and frailty, underscoring the importance of managing sleep disturbances to prevent frailty in older adults. Monitoring and addressing sleep issues may play a key role in improving health outcomes in aging populations.

Indexed as

FrailtySleepSleep Wake DisordersAgedFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisagingfrailtyMendelian randomizationshort sleepsleep traits

Identifiers

PMID41398875
PMCPMC12708208

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.