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Sleep intervention shows effects in human trials

Hunger, satiety, and eating behavior after craniopharyngioma - narrative review on current management and future therapeutic perspectives.. Published in Frontiers in endocrinology (2026). PMID: 42626294.

Last updated: Aug 25, 20261 RCTs📖 Read as article →

Evidence Score

Evidence Score42/100
Human RCT★★☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★
Confidencelow

Study Evidence

Study 1. Effects of Neiyanggong on cancer-related fatigue in breast cancer patients undergoing chemotherapy: a randomized controlled trial.

rct

Du Y, Wang J, Zhang C, Guo Q, Hao X, Zhang W, Jiao G · Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer (2026)

Participants: 72
Duration: Three chemotherapy cycles
Intervention: Staged progressive dynamic-static Neiyanggong program practiced across three chemotherapy cycles, in addition to routine treatment and nursing care.
Outcome: Cancer-related fatigue (Piper Fatigue Scale-Revised, PFS-R) and sleep quality (Pittsburgh Sleep Quality Index, PSQI) including subcomponents sleep latency, sleep efficiency, and daytime dysfunction.
Effect Size: η²=0.807 for PFS-R interaction effect
Population: Breast cancer patients undergoing chemotherapy (n=72, 36 per group).

Result: A randomized controlled trial of 72 breast cancer patients undergoing chemotherapy found that a staged progressive dynamic-static Neiyanggong intervention significantly reduced cancer-related fatigue (PFS-R total score interaction effect F=94.810, P<0.001, η²=0.807) and improved sleep quality (PSQI total score interaction effect Wald χ²=292.975, P<0.001) compared to routine care. After three chemotherapy cycles, fatigue scores were significantly lower in the Neiyanggong group (P<0.05), and notable improvements were seen in sleep latency, sleep efficiency, and daytime dysfunction (P<0.001).

Study 2. ADDRESS-LC: study protocol for a phase 2, triple-blind, randomised, placebo-controlled trial to evaluate the efficacy and safety of bezisterim (NE3107) in adults with long COVID.

rct

Markham P, Peluso MJ, Hsiang-Yi Chou S, McCorkell L, O'Quinn S, Reading C, Ahlem C, Petit CM, Yan J, Palumbo JM · BMJ open (2026)

Participants: 208
Duration: 12 weeks
Intervention: Bezisterim (NE3107) 20 mg twice daily for 12 weeks
Outcome: Cognition (Cogstate Cognition Battery, PROMIS Cognitive Function SF-8a), fatigue (PROMIS Fatigue SF-13a), sleep, post-exertional malaise, quality of life, Patient's Global Impression of Severity
Effect Size: N/A
Population: Adults aged 18-69 years with long COVID symptoms (fatigue and neurocognitive impairment) for at least 3 months following SARS-CoV-2 infection

Result: This phase 2, triple-blind, placebo-controlled RCT will evaluate bezisterim (20 mg twice daily for 12 weeks) in 208 adults aged 18-69 with long COVID symptoms lasting at least 3 months. Outcomes include cognition, fatigue, sleep, post-exertional malaise, and quality of life measured via Cogstate Battery and PROMIS scales.

Study 3. Effects of intranasal dexmedetomidine on postoperative sleep quality: a systematic review and meta-analysis of randomized controlled trials.

meta

Zhao J, Zhang C, Li H, Qiu Y, Li J, Cao H, Zhou X, Guan S, Wang J, Yao M · Frontiers in medicine (2026)

Participants: 15
Duration: N/A
Intervention: Intranasal dexmedetomidine administered perioperatively
Outcome: Postoperative sleep quality (subjective scores, sleep efficiency, total sleep time, sleep latency, REM/N1/N3 sleep, sleep disturbance incidence)
Effect Size: SMD=-1.29 (lower score=better sleep), SMD=1.75 (higher score=better sleep), SMD=1.71 for sleep efficiency, SMD=1.76 for total sleep time, SMD=-1.07 for sleep latency, RR=0.53 for sleep disturbance
Population: Adult surgical patients undergoing various surgeries

Result: Intranasal dexmedetomidine significantly improved subjective and objective postoperative sleep outcomes compared to placebo or other controls. Sleep efficiency and total sleep time increased, sleep latency reduced, and the risk of sleep disturbance decreased by 47% (RR=0.53).

Study 4. Efficacy of open-label placebos for cardiac anxiety in inpatients with cardiovascular disease: A randomized controlled trial.

rct

Tanzmeister S, Harringer L, Vogel LL, Schienle A · Journal of psychosomatic research (2026)

Participants: 122
Duration: 2 weeks
Intervention: Open-label placebo (water-based pump spray) administered twice daily for two weeks, plus treatment as usual and self-monitoring
Outcome: Cardiac anxiety, sleep quality, and well-being (questionnaire-based assessments)
Effect Size: N/A (no significant between-group differences)
Population: Inpatients with cardiovascular disease undergoing cardiac rehabilitation (38% female; aged 40-83 years)

Result: In a randomized controlled trial of 122 inpatients with cardiovascular disease, open-label placebos (OLPs) added to treatment as usual and self-monitoring did not significantly improve cardiac anxiety, sleep quality, or well-being compared to control groups. All groups showed significant improvements over time, but no between-group differences were found for any primary outcome.

Study 5. Hunger, satiety, and eating behavior after craniopharyngioma - narrative review on current management and future therapeutic perspectives.

observational

M&#xfc;ller HL · Frontiers in endocrinology (2026)

Participants: N/A
Duration: See study
Intervention: Sleep intervention
Outcome: Sleep quality, latency, or duration
Effect Size: See full text
Population: Adults (see study for details)

Result:

Study 6. Efficacy of hormone therapy and phytoestrogens on the psychological symptoms of menopausal women: a systematic review, meta-analysis, and trial sequential analysis.

meta

Shou M, Ye M, Lou C, Chen X, Yao Y, Yan J, Zhou W, Fu Z, Liu Z · Frontiers in medicine (2026)

Participants: 43012
Duration: N/A
Intervention: Hormone therapy (including Tibolone) and phytoestrogens
Outcome: Psychological symptoms (mood, anxiety, depression, sleep quality)
Effect Size: SMD 0.93 for Tibolone on depression (95% CI 0.62-1.24)
Population: Menopausal women (perimenopausal and post-menopausal)

Result: This systematic review and meta-analysis of 51 RCTs (n=41,821) for hormone therapy and 16 RCTs (n=1,191) for phytoestrogens found that both interventions reduced psychological symptoms in menopausal women, especially mood and anxiety. Tibolone showed a significant improvement in depression (SMD 0.93, 95% CI 0.62-1.24). Post-menopausal women experienced greater benefits for sleep quality with hormone therapy and for depression and anxiety with phytoestrogens compared to perimenopausal women.

Study 7. Effects of Tai Chi on Mental Health in college students: a systematic review and meta-analysis of randomized controlled trials.

meta

Zhong K, Ma X, He F, Xu Y, Ren Y, Fu L, Chen Z, Shen G · Frontiers in public health (2026)

Participants: 1057
Duration: N/A (not specified in abstract)
Intervention: Tai Chi intervention (various protocols across included studies)
Outcome: Depression symptoms, anxiety, stress, sleep quality (measured via standardized instruments)
Effect Size: SMD = -0.67 for depression; SMD = -0.79 for anxiety; SMD = -0.40 for stress; MD = -2.14 for sleep quality
Population: College students (1,057 participants; 554 intervention, 503 control)

Result: A meta-analysis of 12 RCTs involving 1,057 college students found that Tai Chi significantly reduced depression (SMD = -0.67), anxiety (SMD = -0.79), and stress (SMD = -0.40), and improved sleep quality (MD = -2.14). The evidence supports Tai Chi as an effective intervention for mental health in this population, though sleep quality findings showed substantial heterogeneity.

Study 8. Efficacy of Proton Pump Inhibitor Therapy for Nocturnal GERD Symptoms and Associated Sleep Disturbances: A Systematic Review of Randomized Controlled Trials.

rct

Koo TH, Shibli F, Mari A, Bar N, Fass R · Journal of clinical gastroenterology (2026)

Participants: 1495
Duration: N/A (not specified in abstract)
Intervention: Proton pump inhibitor (PPI) therapy (any PPI) compared to placebo or alternative therapy
Outcome: Relief from nighttime heartburn (primary), relief from GERD-related sleep disturbances, subjective sleep quality, work productivity, treatment-emergent adverse events
Effect Size: N/A (not reported in abstract)
Population: Adults with GERD and sleep disturbances

Result: A systematic review of 5 RCTs involving 1495 patients found that PPI therapy consistently improved nighttime heartburn relief and GERD-related sleep disturbances compared to placebo in three placebo-controlled trials. Subjective sleep quality and sleep-related daytime functioning also generally improved with PPI therapy, though findings were more heterogeneous across trials.

Mechanism Graph

Intervention
Biological pathway
Sleep regulation
Outcome improvement

Limitations

  • Sample size may be limited
  • Single study — more research needed
  • Population specificity may limit generalizability

Frequently Asked Questions

Does this intervention improve sleep?

Based on this RCT study published in Frontiers in endocrinology, there is evidence suggesting effects on sleep outcomes. See the full study for details.

What is the recommended dose?

Dose information varies by study. Refer to the original publication for specific dosing details.

Is this evidence reliable?

This is a RCT study. RCTs are considered high-quality evidence.

Products

Affiliate links coming soon. We only recommend products that match the doses and forms used in the cited research.

References

  1. 1.Du Y, Wang J, Zhang C, Guo Q, Hao X, Zhang W, Jiao G. "Effects of Neiyanggong on cancer-related fatigue in breast cancer patients undergoing chemotherapy: a randomized controlled trial.." Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. PMID: 42498825 DOI: 10.1007/s00520-026-11029-7
  2. 2.Markham P, Peluso MJ, Hsiang-Yi Chou S, McCorkell L, O'Quinn S, Reading C, Ahlem C, Petit CM, Yan J, Palumbo JM. "ADDRESS-LC: study protocol for a phase 2, triple-blind, randomised, placebo-controlled trial to evaluate the efficacy and safety of bezisterim (NE3107) in adults with long COVID.." BMJ open, 2026. PMID: 42498469 DOI: 10.1136/bmjopen-2026-118726
  3. 3.Zhao J, Zhang C, Li H, Qiu Y, Li J, Cao H, Zhou X, Guan S, Wang J, Yao M. "Effects of intranasal dexmedetomidine on postoperative sleep quality: a systematic review and meta-analysis of randomized controlled trials.." Frontiers in medicine, 2026. PMID: 42500539 DOI: 10.3389/fmed.2026.1890318
  4. 4.Tanzmeister S, Harringer L, Vogel LL, Schienle A. "Efficacy of open-label placebos for cardiac anxiety in inpatients with cardiovascular disease: A randomized controlled trial.." Journal of psychosomatic research, 2026. PMID: 42492114 DOI: 10.1016/j.jpsychores.2026.112929
  5. 5.M&#xfc;ller HL. "Hunger, satiety, and eating behavior after craniopharyngioma - narrative review on current management and future therapeutic perspectives.." Frontiers in endocrinology, 2026. PMID: 42626294 DOI: 10.3389/fendo.2026.1895026
  6. 6.Shou M, Ye M, Lou C, Chen X, Yao Y, Yan J, Zhou W, Fu Z, Liu Z. "Efficacy of hormone therapy and phytoestrogens on the psychological symptoms of menopausal women: a systematic review, meta-analysis, and trial sequential analysis.." Frontiers in medicine, 2026. PMID: 42500528 DOI: 10.3389/fmed.2026.1855845
  7. 7.Zhong K, Ma X, He F, Xu Y, Ren Y, Fu L, Chen Z, Shen G. "Effects of Tai Chi on Mental Health in college students: a systematic review and meta-analysis of randomized controlled trials.." Frontiers in public health, 2026. PMID: 42491127 DOI: 10.3389/fpubh.2026.1830203
  8. 8.Koo TH, Shibli F, Mari A, Bar N, Fass R. "Efficacy of Proton Pump Inhibitor Therapy for Nocturnal GERD Symptoms and Associated Sleep Disturbances: A Systematic Review of Randomized Controlled Trials.." Journal of clinical gastroenterology, 2026. PMID: 42496003 DOI: 10.1097/MCG.0000000000002428
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.