Evidence map›Paper›PMID 41700534›Full record

Observational studyCNS neuroscience & therapeutics2026

Association of Sleep Duration With Intracranial Atherosclerosis and Cerebral Small Vessel Disease: A Mediation by Metabolic Factors.

Hongbin Chen, Anqi Zhang, Weiqi Chen, Xueli Cai, Mengyuan Zhou, Shan Li, Jing Jing, Tiemin Wei, Yongjun Wang, Yuesong Pan and 1 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03178448 (PolyvasculaR Evaluation for Cognitive Impairment and vaScular Events), which is not on this 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.

NCT03178448 unknown statusnot on this map

PolyvasculaR Evaluation for Cognitive Impairment and vaScular Events (PRECISE)

TypeobservationalSponsorBeijing Tiantan HospitalRan2017 to 2023Enrolled3,067ConditionsHealthy Subjects
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Hongbin ChenDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-3258-5886
Anqi ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0009-0008-4863-2636
Weiqi ChenDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xueli CaiDepartment of Neurology, The Fifth Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.
Mengyuan ZhouDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-2078-0767
Shan LiCerebrovascular Research Lab, The Fifth Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.
Jing JingDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-9822-5758
Tiemin WeiDepartment of Cardiology, The Fifth Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.ORCID https://orcid.org/0000-0002-5802-190X
Yongjun WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-9976-2341
Yuesong PanDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-3082-6789
Yilong WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Funding

AstraZeneca Investment (China) Co., LtdBeijing High-Level Public Health Technical Personnel Construction Project Disciplineleader-03-12Beijing Municipal Science & Technology Commission Z231100004823036Capital's Funds for Health Improvement and Research 2022-2-2045National Key R&D Program of China 2022YFC3602500National Key R&D Program of China 2022YFC3602505National Natural Science Foundation of China 82425101Zhejiang provincial program for the Cultivation of High-level Innovative Health talents
6 · The paper itself

Abstract

aimsThis study aimed to explore the relationship between sleep duration and intracranial atherosclerosis and cerebral small vessel disease (CSVD), and pinpoint the potential mediating factors.

methodsData were derived from the cross-sectional baseline survey of the PRECISE (Poly-vascular Evaluation for Cognitive Impairment and Vascular Events) study. Participants were divided into short sleep (< 7 h), normal sleep (7-9 h), and long sleep (> 9 h) groups. The associations of sleep duration with intracranial atherosclerotic plaque, intracranial atherosclerotic burden, total CSVD score, and CSVD imaging markers were evaluated.

resultsWe enrolled 3038 participants (53.5% women; mean age: 61.2 ± 6.7 years). A long sleep duration was correlated with a higher risk of intracranial atherosclerotic plaque (long vs. normal: odds ratio [OR], 1.40 [95% CI, 1.10-1.78]), intracranial atherosclerotic burden (long vs. normal: common OR, 1.38 [95% CI, 1.09-1.75]), enlarged perivascular space in the basal ganglia (BG-EPVS) (long vs. normal: OR, 1.45 [95% CI, 1.07-1.97]); a short sleep duration indicated a rise in lacune (short vs. normal: OR, 1.67 [95% CI, 1.06-2.63]) after adjustment for covariates. The association of a long sleep duration with intracranial atherosclerotic plaque, intracranial atherosclerotic burden, and BG-EPVS (mediation percentage: 35.4%, 34.0%, 20.3%, respectively) was partially mediated by metabolic factors of blood pressure and fasting plasma glucose.

conclusionAberrant sleep duration may increase the potential risk for intracranial atherosclerosis and CSVD, which can be partially mediated by blood pressure and fasting plasma glucose. These findings highlight the benefits of clinical management of metabolic factors for those with aberrant sleep duration to prevent intracranial atherosclerosis and CSVD.

trial registrationNCT03178448.

Indexed as

Cerebral Small Vessel DiseasesIntracranial ArteriosclerosisSleep DurationAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk Factorscerebral small vessel diseaseintracranial atherosclerosismediationmetabolic factorssleep duration

Identifiers

PMID41700534
PMCPMC12910520

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Registered trials

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.