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Meta-analysis affirms value of adding nutrients to the diet for better sleep

Woman reaching for a glass of water during bedtime

A systematic review and meta-analysis of 28 clinical trials concluded that omega-3 polyunsaturated fatty acids, vitamin D, tryptophan, zinc and antioxidants support sleep in men and women with sleep disorders.1 The authors determined that sleep efficiency, total sleep time, sleep latency (time it takes to fall asleep) and waking after sleep onset improved in association with the intake of various nutrients.

“This systematic review and meta-analysis suggested that dietary interventions may improve a set of sleep measures in patients with sleep disorders when compared to placebo,” Meijuan Mei of South China Agricultural University and colleagues concluded.

Mei and associates noted that prescription drugs are often the mainstay of sleep disorder therapies; however, these medications are associated with adverse reactions, including agitation, cognitive impairment, confusion and depression. Use of the drugs also carries a risk of dependence and addiction. Other sleep therapies, including physical therapy and cognitive behavioral therapy, may be impractical or not suitable for everyone. “There is a growing interest in dietary nutrition due to its favorable safety profile,” Mei and colleagues observed.

Nutrients investigated in the clinical trials included amino acids and derivatives, vitamins, trace elements, unsaturated fatty acids, natural extracts and proteins. The majority of participants were between the ages of 20 and 65 years. Sleep efficiency, sleep latency, total sleep time, wake after sleep onset, the number of awakenings after sleep onset and/or Pittsburgh Sleep Quality Index were assessed at the beginning and end of the trials.



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Apply What You’ve Learned: Sleep

  • Obtaining a good night’s sleep is one of the pillars of good health. Research indicates that seven to nine hours of sleep per night is optimal.2
  • The brain is particularly sensitive to a lack of quality sleep. Psychiatric disorders as well as degenerative brain diseases that include Alzheimer’s and Parkinson’s disease are adversely affected by poor sleep.3-5
  • Sleep hygiene is a behavioral approach to sleep that involves having a regular bedtime routine and a consistent sleep schedule, limiting light exposure before bedtime, participating in regular physical activity and other factors. Caffeine, alcohol and heavy meal consumption late in the day should also be avoided.6
  • Melatonin is a hormone produced by the brain’s pineal gland and elsewhere in the body. The production of melatonin declines with aging and may be a factor in the increased incidence of insomnia experienced by older individuals. Consuming a small amount of melatonin before sleep can reduce the time it takes to fall asleep, increase sleep time and improve the quality of sleep.7
  • Ashwagandha and other herbs and/or nutrients also support quality sleep.8

References

  1. Mei M, Zhou Q, Gu W, et al. Dietary supplement interventions and sleep quality improvement: a systematic review and meta-analysis. Nutrients. 2025 Dec 17;17(24):3952. doi: 10.3390/nu17243952.
  2. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health . Dec 2015;1(4):233-243. doi:10.1016/j.sleh.2015.10.004.
  3. Irwin MR, Vitiello MV. Implications of sleep disturbance and inflammation for Alzheimer's disease dementia. Lancet Neurol. 2019 Mar;18(3):296-306. doi: 10.1016/S1474-4422(18)30450-2.
  4. Bishir M, Bhat A, Essa MM, et al. Sleep Deprivation and Neurological Disorders. Biomed Res Int. 2020 Nov 23;2020:5764017. doi: 10.1155/2020/5764017.
  5. Gottesman RF, Lutsey PL, Benveniste H, et al. Impact of sleep disorders and disturbed sleep on brain health: a Scientific Statement From the American Heart Association. Stroke. 2024 Mar;55(3):e61-e76. doi: 10.1161/STR.0000000000000453.
  6. Baranwal N, Yu PK, Siegel NS. Sleep physiology, pathophysiology, and sleep hygiene. Prog Cardiovasc Dis. 2023 Mar-Apr:77:59-69. doi: 10.1016/j.pcad.2023.02.005.
  7. Ferracioli-Oda E, Qawasmi A, Block MH. Meta-analysis: melatonin for the treatment of primary sleep disorders. PLoS One. 2013 May 17;8(5):e63773. doi: 10.1371/journal.pone.0063773.
  8. Deshpande A, Irani N, Balkrishnan R, et al. A randomized, double blind, placebo controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults. Sleep Med. 2020 Aug:72:28-36. doi: 10.1016/j.sleep.2020.03.012.

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