Evidence map›Paper›PMID 41804490›Full record

ArticleHealth science reports2026

Insomnia-Driven Hippocampal Atrophy: Evidence From Bidirectional Mendelian Randomization.

Dandan Han, Xiang Li, Shaohua Zhao, Jiayin Liu, Xiaojiang Wang, Yu Jiang, Junrong Ding, Baojing Wang, Erfeng Cui, Ding Huang

Abstract read
In one paragraph

Article in Health science reports, 2026. 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

10 authors.

Dandan HanMedical Imaging Center, Xuchang Central Hospital Affiliated to Henan University of Science and Technology Xuchang P.R. China.
Xiang LiDepartment of Lower Extremity Orthopedics Ⅱ Zhengzhou Orthopedic Hospital Zhengzhou P.R. China.
Shaohua ZhaoDepartment of Plastic Surgery Xuchang Central Hospital Affiliated to Henan University of Science and Technology Xuchang P.R. China.
Jiayin LiuMedical Imaging Center, Xuchang Central Hospital Affiliated to Henan University of Science and Technology Xuchang P.R. China.
Xiaojiang WangMedical Imaging Center, Xuchang Central Hospital Affiliated to Henan University of Science and Technology Xuchang P.R. China.
Yu JiangDepartment of Neurology The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an P.R. China.
Junrong DingIntensive Care Unit, Department of Thoracic Surgery Shanghai Pulmonary Hospital, Tongji University School of Medicine Shanghai P.R. China.ORCID https://orcid.org/0009-0000-9337-9109
Baojing WangMedical Imaging Center, Xuchang Central Hospital Affiliated to Henan University of Science and Technology Xuchang P.R. China.
Erfeng CuiNuclear Medicine Department Xuchang Central Hospital Affiliated to Henan University of Science and Technology Xuchang P.R. China.
Ding HuangIntensive Care Unit, Department of Thoracic Surgery Shanghai Pulmonary Hospital, Tongji University School of Medicine Shanghai P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Observational studies link insomnia to hippocampal atrophy, yet causal inference remains limited by confounding and reverse causality. While Mendelian randomization (MR) studies have explored sleep-brain associations, bidirectional causality between insomnia and hippocampal subfield volumes remains unaddressed. Methods: We conducted bidirectional two-sample MR using genome-wide association study (GWAS) summary data. Genetic instruments for insomnia ( Results: Forward MR revealed inverse associations between genetically proxied insomnia and six of eight hippocampal phenotypes: T1 left hippocampus volume (OR = 0.62, 95% CI = 0.43-0.89; Conclusions: Genetically proxied insomnia shows strong genetic evidence consistent with a causal reduction in hippocampal volumes. Clinically, early intervention in insomnia, particularly through cognitive-behavioral therapy for insomnia, may help preserve hippocampal health. This study highlights the importance of addressing insomnia as a public health priority. Future research should investigate the underlying biological mechanisms and incorporate more diverse cohorts to enhance the generalizability of these findings.

Indexed as

brain imaginggenome‐wide association studyhippocampal volumeinsomniaMendelian randomization

Identifiers

PMID41804490
PMCPMC12967480

What Socratic 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 Socratic graph.