Can acupuncture improve sleep quality and anxiety among women during perimenopause?A protocol for systemic review and meta-analysis

Abstract Background: Sleep is recognized as an all-important physiological process, which also contributes to maintaining several bodily functions and systems. Insufficient sleep can induce many serious side effects and have an impact on human health in general. There are five consequences of lack of sleep, including an increased chance of morbidity and mortality, poor judgment, increased risk of accidents and injuries, reduced level of functioning, and an inferior quality of life. According to the Pittsburgh Sleep Quality Index (PSQI), also known as the most widely used tool in the field of subjective assessment of self-perceived sleep quality, a combination of acupoints could be more effective than single acupoint treatment in improving sleep quality. Methods: This study has been proved based on a previous meta-analysis that consisted of some relevant studies. The present study was based on the extracted randomized control trials (RCTs) rooted in a previous meta-analysis that worked on the basis of association rule mining and examined the potential kernel acupoint combinations for improving sleep quality. Results: Depending on the Apriori algorithm, we summarized 26 acupoints as binary data from the 32 eligible RCTs and analyzed them. The top 10 most frequently selected acupoints were HT7, SP6, PC6, KI1, GV20, Taiyang, Yintang, Anmian, KI3, and Ear Shenmen. Furthermore, as deduced from 21 association rules, the primary relevant rules in the combination of acupoints are {Yintang, Anmian}=>{GV20} and {HT7, KI1}=>{PC6}. Conclusions: In order to use acupuncture to improve sleep quality, integrating {Yintang, Anmian, GV20} with {HT7, KI1, PC6} acupoints could be deemed as the kernel acupoint combination.

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An Association Rule Analysis of the Acupressure Effect on Sleep Quality

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2021/1399258 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Chih-Hung Lin ◽

Ya-Hsuan Lin ◽

I-Shiang Tzeng ◽

Chan-Yen Kuo

Keyword(s):

Sleep Quality ◽

Association Rule ◽

Binary Data ◽

Meta Analysis ◽

Subjective Assessment ◽

Rule Mining ◽

Rule Analysis ◽

Improve Sleep Quality ◽

Important Physiological Process ◽

Perceived Sleep Quality

Background. Sleep is recognized as an all-important physiological process, which also contributes to maintaining several bodily functions and systems. According to the Pittsburgh Sleep Quality Index (PSQI), also known as the most widely used tool in the field of subjective assessment of self-perceived sleep quality, a combination of acupoints could be more effective than single acupoint treatment in improving sleep quality. Methods. The present study was based on the extracted eligible studies rooted in a previous meta-analysis that worked on the basis of association rule mining and examined the potential kernel acupoint combinations for improving sleep quality. Results. Depending on the Apriori algorithm, we summarized 26 acupoints as binary data from the 32 eligible studies based on a previous meta-analysis and analyzed them. The top 10 most frequently selected acupoints were HT7, SP6, PC6, KI1, GV20, EM5, EX-HN3, EX-HN16, KI3, and MA-TF1. Furthermore, as deduced from 21 association rules, the primary relevant rules in the combination of acupoints are (EX-HN3, EX-HN16)=>(GV20) and (HT7, KI1)=>(PC6). Conclusions. In order to use acupuncture to improve sleep quality, integrating (EX-HN3, EX-HN16, GV20) with (HT7, KI1, PC6) acupoints could be deemed as the kernel acupoint combination.

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Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2020-139319 ◽

2021 ◽

pp. postgradmedj-2020-139319

Author(s):

Vicky Chan ◽

Kenneth Lo

Keyword(s):

Amino Acids ◽

Vitamin D ◽

Sleep Quality ◽

Dietary Supplements ◽

Meta Analysis ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Nitrate Supplementation ◽

Improve Sleep Quality ◽

Randomised Controlled

PurposeDifferent dietary supplements aimed at improving sleep quality are available on the market, but there has not been a comprehensive review to evaluate the efficacy of these dietary supplements on subjective sleep quality. We aimed to summarise up-to-date research evidence and to identify the types of dietary supplement that improve subjective sleep quality.MethodsMultiple databases (Ovid Emcare, Ovid MEDLINE (R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and APA PsycInfo) were used for searching papers published until August 2020. The changes in sleep quality indices, intervention duration and sample size were extracted from every paper. To analyse the effect of dietary supplements on sleep quality, a random effects model with mean difference (MD) and 95% CI was adopted. The heterogeneity across studies was measured by I2 statistics. The quality of included studies was evaluated by Cochrane’s risk of bias tool.ResultsThirty-one randomised controlled trials of dietary supplements were included. Subjective sleep quality was significantly improved by supplementation of amino acids (MD −1.27, 95% CI −2.35 to –0.20; I2=0%), melatonin (MD −1.21, 95% CI −2.17 to –0.24; I2=79%) and vitamin D (MD −1.63, 95% CI −3.15 to –0.10; I2=85%). Although not all studies provided adequate data for meta-analysis, we also discussed how magnesium, zinc, resveratrol and nitrate supplementation may improve sleep quality.ConclusionsAmino acids, vitamin D and melatonin supplements were significantly beneficial to improve sleep quality. However, high heterogeneity and wide confidence levels were observed in vitamin D and melatonin. Further research on the effect of magnesium, zinc, resveratrol and nitrate supplementation on improving sleep quality is required.

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Music-assisted relaxation to improve sleep quality: meta-analysis

Journal of Advanced Nursing ◽

10.1111/j.1365-2648.2009.04982.x ◽

2009 ◽

Vol 65 (7) ◽

pp. 1356-1364 ◽

Cited By ~ 81

Author(s):

Gerrit de Niet ◽

Bea Tiemens ◽

Bert Lendemeijer ◽

Giel Hutschemaekers

Keyword(s):

Sleep Quality ◽

Meta Analysis ◽

Improve Sleep Quality

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Effect of Foot Reflexology Intervention on Depression, Anxiety, and Sleep Quality in Adults: A Meta-Analysis and Metaregression of Randomized Controlled Trials

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2020/2654353 ◽

2020 ◽

Vol 2020 ◽

pp. 1-21

Author(s):

Wei-Li Wang ◽

Hao-Yuan Hung ◽

Ying-Ren Chen ◽

Kuang-Huei Chen ◽

Szu-Nian Yang ◽

...

Keyword(s):

Sleep Quality ◽

Randomized Controlled Trials ◽

Meta Analysis ◽

Cochrane Library ◽

Controlled Trials ◽

Randomized Controlled ◽

Adult Depression ◽

Long Term Follow Up ◽

Improve Sleep Quality ◽

Meta Analyses

Objectives. The aim of this study was to conduct a systematic review, meta-analysis, and metaregression to determine the current best available evidence of the efficacy and safety of foot reflexology for adult depression, anxiety, and sleep quality. Methods. Electronic databases (PubMed, ClinicalKey, ScienceDirect, EMBASE, PsycINFO, and the Cochrane Library) were searched till August, 10, 2020, and the validity of the eligible studies was critically appraised. Randomized controlled trials comparing foot reflexology groups with control groups for adult depression, anxiety, and sleep quality were included. Twenty-six eligible studies were included to assess the effect of foot reflexology intervention on the reducing symptoms of depression and anxiety and improving quality of sleep, respectively, as the primary outcome. Results. Twenty-six randomized controlled trials involving 2,366 participants met the inclusion criteria. The meta-analyses showed that foot reflexology intervention significantly improved adult depression (Hedges’ g = −0.921; 95% CI: −1.246 to −0.595; P < 0.001), anxiety (Hedges’ g = −1.237; 95% CI −1.682 to −0.791; P < 0.001), and sleep quality (Hedges’ g = −1.665; 95% CI −2.361 to −0.970; P < 0.001). Metaregression reveals that an increase in total foot reflexology time (P = 0.002) and duration (P = 0.01) can significantly improve sleep quality. Conclusions. Foot reflexology may provide additional nonpharmacotherapy intervention for adults suffering from depression, anxiety, or sleep disturbance. However, high quality and rigorous design RCTs in specific population, along with an increase in participants, and a long-term follow-up are recommended in the future.

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Exercise can improve sleep quality: a systematic review and meta-analysis

PeerJ ◽

10.7717/peerj.5172 ◽

2018 ◽

Vol 6 ◽

pp. e5172 ◽

Cited By ~ 31

Author(s):

Masahiro Banno ◽

Yudai Harada ◽

Masashi Taniguchi ◽

Ryo Tobita ◽

Hiraku Tsujimoto ◽

...

Keyword(s):

Systematic Review ◽

Adverse Effects ◽

Sleep Quality ◽

Selection Bias ◽

Meta Analysis ◽

Intervention Group ◽

Controlled Trials ◽

Cochrane Central Register ◽

Improve Sleep Quality ◽

Quality Evidence

BackgroundInsomnia is common. However, no systematic reviews have examined the effect of exercise on patients with primary and secondary insomnia, defined as both sleep disruption and daytime impairment. This systematic review and meta-analysis aimed to examine the effectiveness/efficacy of exercise in patients with insomnia.MethodsWe searched the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, PsycINFO, World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov to identify all randomized controlled trials that examined the effects of exercise on various sleep parameters in patients with insomnia. All participants were diagnosed with insomnia, using standard diagnostic criteria or predetermined criteria and standard measures. Data on outcome measures were subjected to meta-analyses using random-effects models. The Cochrane Risk of Bias Tool and Grading of Recommendations, Assessment, Development, and Evaluation approach were used to assess the quality of the individual studies and the body of evidence, respectively.ResultsWe included nine studies with a total of 557 participants. According to the Pittsburgh Sleep Quality Index (mean difference [MD], 2.87 points lower in the intervention group; 95% confidence interval [CI], 3.95 points lower to 1.79 points lower; low-quality evidence) and the Insomnia Severity Index (MD, 3.22 points lower in the intervention group; 95% CI, 5.36 points lower to 1.07 points lower; very low-quality evidence), exercise was beneficial. However, exercise interventions were not associated with improved sleep efficiency (MD, 0.56% lower in the intervention group; 95% CI, 3.42% lower to 2.31% higher; moderate-quality evidence). Only four studies noted adverse effects. Most studies had a high or unclear risk of selection bias.DiscussionOur findings suggest that exercise can improve sleep quality without notable adverse effects. Most trials had a high risk of selection bias. Higher quality research is needed.

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