Evidence mapPaperPMID 41500519Full record

ReviewPhysiological reviews2026

Unlocking the potential of circadian biology for cardiovascular health.

Steven A Shea, Frank A J L Scheer, Michelle L Gumz, Sophia A Eikenberry, Jingyi Qian, Saurabh S Thosar, Michael J Sole, Tami A Martino

Abstract readReview
In one paragraph

Review in Physiological reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Light therapy in medicine: where do we stand?Annals of translational medicine · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. 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

8 authors.

Steven A SheaOregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon, United States.ORCID 0000-0003-1949-0954
Frank A J L ScheerMedical Chronobiology Program, Division of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Michelle L GumzDepartment of Physiology and Aging, University of Florida, Gainesville, Florida, United States.ORCID 0000-0002-1342-0878
Sophia A EikenberryDepartment of Physiology and Aging, University of Florida, Gainesville, Florida, United States.
Jingyi QianMedical Chronobiology Program, Division of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Saurabh S ThosarOregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon, United States.ORCID 0000-0002-5075-4340
Michael J SolePeter Munk Cardiac Centre, Toronto General Hospital Research Institute, Toronto, Ontario, Canada.
Tami A MartinoCentre for Cardiovascular Investigations, Department of Biomedical Sciences, University of Guelph, Guelph, Ontario, Canada.ORCID 0000-0003-1913-8416

Funding

Coordinating Unit for the Innovative Science Accelerator ProgramU24DK128851 · AUGUSTA UNIVERSITY · 2025 to 2025
$1.2M
Endogenous circadian mechanisms underlying cardiovascular riskR35HL155681 · OREGON HEALTH & SCIENCE UNIVERSITY · 2025 to 2025
$924k
Effect of high fat diet on the circadian system and on circadian rhythms in energy intake and expenditureR01HL167746 · BRIGHAM AND WOMEN'S HOSPITAL · 2025 to 2025
$806k
Effect of temporal distribution of macronutrient intake on metabolismR01HL164454 · BRIGHAM AND WOMEN'S HOSPITAL · 2025 to 2025
$805k
Food Timing to Mitigate Adverse Consequences of Night WorkR01HL153969 · BRIGHAM AND WOMEN'S HOSPITAL · 2025 to 2025
$758k
Sleep and circadian mechanisms in hypertensionR01HL163232 · OREGON HEALTH & SCIENCE UNIVERSITY · 2025 to 2025
$609k
Timing of Physical Activity on Cardiometabolic Health OutcomesR00HL148500 · BRIGHAM AND WOMEN'S HOSPITAL · 2025 to 2025
$249k
American Heart Association (AHA) 19EIA34660135American Heart Association (AHA) Predoctoral Fellowship to SAECanadian Institutes of Health Research (CIHR) PJT 197991Heart and Stroke Foundation of Canada (HSF) GIA 055970HHS | National Institutes of Health (NIH) U24 DK128851 Subaward 36350-9NHLBI NIH HHS R00 HL148500NHLBI NIH HHS R01 HL153969NHLBI NIH HHS R01 HL163232NHLBI NIH HHS R01 HL164454NHLBI NIH HHS R01 HL167746NHLBI NIH HHS R35 HL155681NIDDK NIH HHS U24 DK128851
6 · The paper itself

Abstract

Circadian rhythms, governed by the body's endogenous clock mechanism, regulate daily fluctuations in cardiovascular function, optimizing physiological processes like blood pressure regulation, cardiac metabolism, and myocardial repair. Rhythms also align cardiovascular reactivity with predictable environmental and behavioral cycles, enabling normal function and affecting disease susceptibility. Major adverse cardiovascular events, including myocardial infarction, ventricular arrhythmias, and stroke, exhibit a distinct morning peak, with evidence for circadian regulation in cardiovascular health. Indeed, controlled human laboratory studies demonstrate that beyond the influences of sleep and other behaviors, endogenous circadian rhythms independently regulate blood pressure, autonomic nervous system activity, blood clotting, vascular tone, and metabolic function. Additionally, the kidney plays a critical role in circadian sodium handling, fluid balance, and blood pressure control, with disruptions in renal circadian rhythms contributing to hypertension and progression to heart failure. Chronic circadian misalignment resulting from shift work, irregular sleep-wake cycles, or misaligned lifestyle habits is strongly associated with increased cardiovascular risk and disease progression. The emerging field of Circadian Medicine applies circadian principles to clinical care, leveraging interventions such as optimizing light exposure, meal timing, and physical activity to restore biological alignment. Chronotherapy, the strategic timing of medications or procedures to align with a patient's diurnal or circadian rhythms, offers further potential for enhancing treatments and reducing adverse effects. By integrating circadian biology into cardiovascular medicine, novel strategies are emerging to help prevent disease, improve patient outcomes, and enhance therapeutic precision. Understanding the interplay between circadian regulation and cardiovascular physiology provides a foundation for advancing cardiovascular prevention and treatment strategies.

Indexed as

Cardiovascular DiseasesCardiovascular Physiological PhenomenaCardiovascular SystemCircadian ClocksCircadian RhythmAnimalsHumansbiological clockcardiovascular diseasechronotherapycircadian medicinecircadian rhythm

Identifiers

PMID41500519
PMCPMC12882775

What Socratic holds

Textmetadata
LicenceTDM
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.