Evidence mapPaperPMID 34180998Full record

Trial reportThe Journal of clinical endocrinology and metabolism2021

Sleep Habits of Women With Infertility.

Esther Eisenberg, Richard S Legro, Michael P Diamond, Hao Huang, Louise M O'Brien, Yolanda R Smith, Christos Coutifaris, Karl R Hansen, Nanette Santoro, Heping Zhang

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 2% of its field
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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Sleep Habits of Women With Infertility.The Journal of clinical endocrinology and metabolism · 2021
    Trial
  5. Mediating role of sleep disorders in the association between depression and infertility: A cross-sectional study using the National Health and nutrition examination survey.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Metabolic and endocrine status associate with obstructive sleep apnea risk among patients with polycystic ovary syndrome.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  16. Article
  17. Sleep and obstructive sleep apnea in women with infertility.Sleep & breathing = Schlaf & Atmung · 2023
    Article
  18. Article
  19. Review
  20. 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

10 authors at 8 institutions in 1 country.

Esther EisenbergFertility and Infertility Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20817, USA.ORCID 0000-0003-3033-6384
Richard S LegroDepartment of Obstetrics and Gynecology, Pennsylvania State University, Hershey, PA 16802, USA.
Michael P DiamondDepartment of Obstetrics and Gynecology, Augusta University, Augusta, GA 30912, USA.
Hao HuangDepartment of Biostatistics, Yale University School of Public Health, New Haven, CT 06520, USA.
Louise M O'BrienDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA.
Yolanda R SmithDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA.
Christos CoutifarisDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Karl R HansenDepartment of Obstetrics and Gynecology, University of Oklahoma College of Medicine, Oklahoma City, OK 73104, USA.
Nanette SantoroDepartment of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver, CO 80204, USA.
Heping ZhangDepartment of Biostatistics, Yale University School of Public Health, New Haven, CT 06520, USA.ORCID 0000-0002-0688-4076
University of Michigan · USYale University · USAugusta University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USPennsylvania State University · USUniversity of Colorado Denver · USUniversity of Oklahoma · USUniversity of Pennsylvania · US

Funding

Yale Clinical and Translational Science AwardUL1TR001863 · YALE UNIVERSITY · 2025 to 2025
$9.9M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD039005 · WAYNE STATE UNIVERSITY · 2000 to 2004
$1.4M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD027049 · UNIVERSITY OF PENNSYLVANIA · 1990 to 2004
$1.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038992 · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · 2000 to 2004
$1.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038998 · UNIVERSITY OF COLORADO DENVER · 2000 to 2004
$991k
Pilot and Feasibility ProgramP30DK092926 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$779k
Eunice Kennedy Shriver National Institute of Child Health and Human Development U10 HD39005NCATS NIH HHS UL1 TR001863NICHD NIH HHS U10 HD027049NICHD NIH HHS U10 HD038992NICHD NIH HHS U10 HD038998NICHD NIH HHS U10 HD039005NICHD NIH HHS U10 HD055925NICHD NIH HHS U10 HD055936NICHD NIH HHS U10 HD055944NICHD NIH HHS U10 HD077680NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

contextSleep plays important roles in metabolic and reproductive function, and polycystic ovary syndrome (PCOS) is associated with sleep disturbances, including increased prevalence of obstructive sleep apnea.

objectiveWe sought to evaluate sleep parameters in infertile women with PCOS compared with women with unexplained infertility (UI) and identify risk factors for disturbed sleep.

methodsAt private and academic ambulatory gynecology and infertility practices, we evaluated a prospective cohort of women diagnosed with PCOS or UI from 2 randomized clinical trials. We included 1603 infertile women enrolled in 2 concurrent randomized clinical trials. The main outcome measures were self-reported sleep measures.

resultsSleep duration <6 hours (6.1% vs 2.7%; P < .001), habitual snoring (37.8% vs 19.0%; P < .001), and clinical sleepiness (12.0% vs 8.6%; P < .026) were more common in women with PCOS than those with UI. After adjusting for covariates, PCOS and elevated fasting insulin were associated (P = .010) with clinical symptoms of obstructive sleep apnea (OSA) diagnosis, whereas PCOS, elevated insulin (P = .003), WC >88 cm (P = .003), and current smoking (P = .012) were associated with habitual snoring. Clinical depression score (P < .001) and PCOS diagnosis (P = .002) were associated with perceived daytime sleepiness. Short sleep duration and clinical symptoms of OSA were not associated with conception and live birth rates.

conclusionInfertile women with PCOS more commonly report sleep disturbances than those with UI. Markers of insulin resistance are associated with previous diagnosis of OSA, habitual snoring, and short sleep duration. The presence of clinical symptoms of OSA or short sleep duration does not affect fertility treatment response.

Indexed as

AdultCohort StudiesFemaleHumansInfertility, FemaleInsulin ResistancePolycystic Ovary SyndromePregnancyPregnancy OutcomeProspective StudiesReproductive Techniques, AssistedSleepSleep Apnea, ObstructiveSleep Wake DisordersSnoringSurveys and QuestionnairesPCOSsleep apneasleep-disordered breathingsnoringunexplained infertility

Identifiers

PMID34180998
PMCPMC8530742
OpenAlexW3174685447

What Socratic holds

Textmetadata
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 Socratic graph.