Science Forum: Sex differences and sex bias in human circadian and sleep physiology research

  1. Manuel Spitschan  Is a corresponding author
  2. Nayantara Santhi  Is a corresponding author
  3. Amrita Ahluwalia
  4. Dorothee Fischer
  5. Lilian Hunt
  6. Natasha A Karp
  7. Francis Lévi
  8. Inés Pineda-Torra
  9. Parisa Vidafar
  10. Rhiannon White
  1. Department of Sport and Health Sciences, Technical University of Munich, Germany
  2. Translational Sensory & Circadian Neuroscience, Max Planck Institute for Biological Cybernetics, Germany
  3. Department of Experimental Psychology, University of Oxford, United Kingdom
  4. Department of Psychology, Northumbria University, United Kingdom
  5. William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, United Kingdom
  6. German Aerospace Center, Institute of Aerospace Medicine, Sleep and Human Factors Research, Germany
  7. Wellcome Trust, United Kingdom
  8. Equality, Diversity and Inclusion in Science and Health Group, United Kingdom
  9. Data Sciences and Quantitative Biology, Discovery Science, R&D, AstraZeneca, United Kingdom
  10. Warwick Medical School, University of Warwick, United Kingdom
  11. Hepatobiliary Center, Hospital Paul Brousse (AP-HP), France
  12. UPR Chronotherapy, Cancer and Transplantation, Medical School, Paris-Saclay University, France
  13. Centre for Cardiometabolic and Vascular Science, Division of Medicine, University College London, United Kingdom
  14. Sleep and Circadian Research Laboratory, Department of Psychiatry, University of Michigan, United States
  15. School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Australia
2 figures, 1 table and 1 additional file

Figures

A review of the literature on the non-visual effects of light reveals a sex bias.

We analyzed a sample of the existing literature on the non-visual effects of light as a starting point for understanding the sex bias in the field. The sample included a total of 180 articles, and the breakdown of participant sex was then obtained in 166 articles. Binomial tests were conducted to evaluate the possibility that deviations from an even 50:50 sex distribution were attributable to chance alone. We implemented the Benjamini-Hochberg correction for multiple comparisons to control false-discovery rate (FDR). The proportion of female volunteers in each paper (represented by a dot) was plotted against the year of publication. Samples for which the proportion of female patients deviated significantly from 0.5 (P ≤ 0.05) were determined to be biased and colour-coded as orange. The marginal histograms show the numbers of papers irrespective of publication year (histogram on the right y axis), or irrespective of proportion (histogram on top x axis). Methods for paper selection are included in Methods.

Suggested actions to close the sex data gap in sleep and circadian research for actors across the ecosystem.

These actions were derived from an interactive session with attendees (n = 38) during Workshop 3.

Tables

Table 1
Articles included in the meta-analysis.
DatabaseSearch strategySource paperArticles consideredArticles included
Brown, 20201918
Lok et al., 20182020
Souman et al., 20184945
SCOPUSCitation count-35994
Cochrane(light AND circadian OR sleep OR alertness)”Pachito et al., 201850
Forbes et al., 2014130
Montgomery and Dennis, 200200
Tuunainen et al., 2004493
Slanger et al., 2016210
Dennis and Dowswell, 2013100
545180

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  1. Manuel Spitschan
  2. Nayantara Santhi
  3. Amrita Ahluwalia
  4. Dorothee Fischer
  5. Lilian Hunt
  6. Natasha A Karp
  7. Francis Lévi
  8. Inés Pineda-Torra
  9. Parisa Vidafar
  10. Rhiannon White
(2022)
Science Forum: Sex differences and sex bias in human circadian and sleep physiology research
eLife 11:e65419.
https://doi.org/10.7554/eLife.65419