{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:46:09Z","timestamp":1792097169587,"version":"4.4.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes and Vascular Disease Research"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep insufficiency is known to negatively impact on glucose metabolism. Consequently, there is interest in determining the impact of improving sleep on glucose metabolism. We conducted a meta-analysis of studies that aimed at improving sleep using cognitive behavioural therapy for insomnia (CBT-I) and\/or sleep hygiene or sleep extension on glucose metabolism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Searches were performed on MEDLINE, EMBASE, CINAHL and Cochrane. We included studies featuring adults\u226518years, a sleep intervention and glycaemic measurements. The pooled mean differences were calculated by the inverse variance method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      24 studies (15 CBT-I and\/or sleep hygiene; 9 sleep extension) were included. Meta-analysis of 12 studies ( n = 2,044) of CBT-I and\/or sleep hygiene demonstrated a significant reduction in HbA1c of 0.27% (95% CI 0.07, 0.47, I\n                      <jats:sup>2<\/jats:sup>\n                      74%, p = 0.008) compared to control. In T2DM ( n = 1,911; 9 studies), HbA1c level decrease was 0.43% (0.19, 0.67, I\n                      <jats:sup>2<\/jats:sup>\n                      59%, p = 0.0004). There were no significant changes in fasting blood glucose analyses nor in any sleep extension intervention. For quality assessment, only 9 studies had low concern.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using CBT-I and\/or sleep hygiene interventions led to significant reductions in HbA1c levels, which were clinically meaningful in T2DM. Addressing sleep insufficiency should be an integral part of diabetes care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>PROSPERO Identification number: CRD42022376606.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14791641241307367","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T02:03:58Z","timestamp":1737684238000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["The effect of non-pharmacological sleep interventions on glycaemic measures in adults with sleep disturbances and behaviours: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0415-7908","authenticated-orcid":false,"given":"Samiul A","family":"Mostafa","sequence":"first","affiliation":[{"name":"Department of Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"},{"name":"Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK"},{"name":"Centre of Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasim","family":"Hanif","sequence":"additional","affiliation":[{"name":"Department of Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"},{"name":"Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK"},{"name":"Centre of Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Crowe","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Balanos","sequence":"additional","affiliation":[{"name":"Department of Sportex, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishnarajah","family":"Nirantharakumar","sequence":"additional","affiliation":[{"name":"Centre of Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham, UK"},{"name":"Institute of Applied Health Research, University of Birmingham, Birmingham, UK"},{"name":"Midlands Health Data Research UK, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason G","family":"Ellis","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Northumbria, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abd A","family":"Tahrani","sequence":"additional","affiliation":[{"name":"Department of Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"},{"name":"Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK"},{"name":"Centre of Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"bibr1-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2009.23"},{"key":"bibr2-14791641241307367","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1124"},{"key":"bibr3-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1177\/14791641221088824"},{"key":"bibr4-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.02.001"},{"key":"bibr5-14791641241307367","volume-title":"Type 2 diabetes in adults: management"},{"key":"bibr6-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.11.035"},{"key":"bibr7-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab055"},{"key":"bibr8-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2014.10.018"},{"key":"bibr9-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-017-0352-x"},{"key":"bibr10-14791641241307367","volume-title":"A systematic review and meta- analysis assessing the effectiveness of pragmatic lifestyle interventions for the prevention of type 2 diabetes mellitus in routine practice","author":"Ashra N","year":"2015"},{"key":"bibr11-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"bibr12-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"bibr13-14791641241307367","volume-title":"Cochrane handbook for systematic reviews of interventions version 6.4","author":"Higgins JPT","year":"2023"},{"key":"bibr14-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"bibr15-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2020.1831501"},{"key":"bibr16-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-020-00612-6"},{"issue":"1","key":"bibr17-14791641241307367","first-page":"S337","volume":"65","author":"Cheung J","year":"2022","journal-title":"Diabetologia"},{"key":"bibr18-14791641241307367","doi-asserted-by":"publisher","DOI":"10.3390\/biology11060893"},{"key":"bibr19-14791641241307367","doi-asserted-by":"publisher","DOI":"10.5603\/DK.a2022.0046"},{"key":"bibr20-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1089\/met.2017.0069"},{"key":"bibr21-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsy061.1051"},{"key":"bibr22-14791641241307367","volume":"10","author":"Pereira FH","year":"2018","journal-title":"Diabetol Metab Syndrome"},{"key":"bibr23-14791641241307367","first-page":"A219","volume":"36","author":"Tannas CL","year":"2013","journal-title":"Sleep"},{"key":"bibr24-14791641241307367","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v12.i3.292"},{"key":"bibr25-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2020.06.024"},{"key":"bibr26-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2019.1613995"},{"key":"bibr27-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2015.02.010"},{"key":"bibr28-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1177\/0145721720943128"},{"key":"bibr29-14791641241307367","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176200"},{"key":"bibr30-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqx030"},{"key":"bibr31-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2016-0110"},{"key":"bibr32-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0104176"},{"key":"bibr33-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13469"},{"key":"bibr34-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12747"},{"key":"bibr35-14791641241307367","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4660"},{"key":"bibr36-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2023.10.006"},{"key":"bibr37-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-022-01076-2"},{"key":"bibr38-14791641241307367","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7758"},{"key":"bibr39-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1530\/JOE-21-0155"},{"key":"bibr40-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0083-2023"},{"key":"bibr41-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2024.05.029"},{"key":"bibr42-14791641241307367","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2013.06.130064"},{"key":"bibr43-14791641241307367","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"}],"container-title":["Diabetes and Vascular Disease Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14791641241307367","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14791641241307367","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14791641241307367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:20:13Z","timestamp":1777400413000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14791641241307367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1177\/14791641241307367"],"URL":"https:\/\/doi.org\/10.1177\/14791641241307367","relation":{},"ISSN":["1479-1641","1752-8984"],"issn-type":[{"value":"1479-1641","type":"print"},{"value":"1752-8984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"14791641241307367"}}