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Vitamin D Supplementation and Sleep: A Systematic Review and Meta-Analysis of Intervention Studies.

Nutrients
January 1, 1970
Myriam Abboud
Journal ArticleMeta-AnalysisReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to systematically review and meta-analyze the effects of Vitamin D supplementation on sleep quality, quantity, and disorders.

Results Summary

Vitamin D supplementation significantly improved sleep quality, as shown by a decrease in the Pittsburgh Sleep Quality Index, but its effects on sleep quantity and disorders were inconclusive. The evidence had moderate certainty.

Population

Not specified (general human interventions studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
vitamin D supplementation (VDS)
increase
sleep quality
-
-
significant improvement
#1
vitamin D supplementation (VDS)
decrease
Pittsburgh Sleep Quality Index
-
mean difference, −2.33 (95% CI, −3.09, −1.57)
statistically significant decrease
#2
vitamin D supplementation (VDS)
no change
sleep-related impairment
-
-
not unanimous
#3
vitamin D supplementation (VDS)
no change
sleep-related difficulty
-
-
not unanimous
#4
vitamin D supplementation (VDS)
no change
sleep-related disorders
-
-
not unanimous
#5
vitamin D supplementation (VDS)
no change
sleepiness
-
-
not unanimous
#6
vitamin D supplementation (VDS)
no change
restless legs syndrome
-
-
not unanimous
#7
Abstract

Background: Vitamin D deficiency is associated with sleep disorders and poor sleep quality. Whether vitamin D supplementation (VDS) helps resolve these problems remains unclear. Objective: To systematically review the effect of VDS on sleep quantity, quality, and disorders, and perform a meta-analysis of available data. Methods: The reporting of this review followed the PRISMA statement. VDS human interventions studies that reported on sleep quality, quantity, or disorders were included. Medline, CINAHL, EMBASE, PsycInfo, the Cochrane Library, Clinicaltrials.gov, and the ICTRP were searched, in addition to the references of the included articles and previous relevant reviews, without language or time restrictions. Included studies were critically appraised, findings were narratively synthesized, and a meta-analysis was conducted. Furthermore, the overall certainty of the evidence was assessed. Results: A total of 19 studies were included (13 randomized controlled trials (RCTs), 1 opportunistic addition to an RCT, 4 pre−post studies, and 1 pre−post study analyzed as a case series); 3 RCTs were meta-analyses. The risk of bias was generally low. Pre−post studies showed a significant improvement in sleep quality with VDS. Similarly, the results of the meta-analysis revealed a statistically significant decrease in the Pittsburgh Sleep Quality Index with VDS compared with placebo (mean difference, −2.33 (95% CI, −3.09, −1.57); p < 0.001; I2 = 0%), with a moderate certainty of evidence. The results regarding the effect of VDS on sleep-related impairment, difficulty, and disorders, as well as sleepiness and restless legs syndrome, were not unanimous. Conclusions: VDS is promising in improving sleep quality; however, its effect on sleep quantity and disorders needs to be further investigated.

Medical Subject Headings (MeSH)
Dietary SupplementsHumansRandomized Controlled Trials as TopicSleepSleep Wake DisordersVitamin DVitamin D Deficiency
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations29
Citations/Year9.7
Relative Citation Ratio4.81
NIH Percentile92.6%
Research Impact Scores
APT Score0.95
Weight Score1.86
Normalized Score0.67
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