The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis

Acute sleep deprivation has aroused widespread concern and the relationship between acute sleep deprivation and cortisol levels is inconsistent. This study aimed to explore additional evidence and details. The PubMed, Web of Science, EMBASE, CLINAHL and Cochrane databases were searched for eligible...

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Main Authors: Yifei Chen, Wenhui Xu, Yiru Chen, Jiayu Gong, Yanyan Wu, Shutong Chen, Yuan He, Haitao Yu, Lin Xie
Format: Article
Language:English
Published: The Japan Endocrine Society 2024-08-01
Series:Endocrine Journal
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Online Access:https://www.jstage.jst.go.jp/article/endocrj/71/8/71_EJ23-0714/_html/-char/en
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author Yifei Chen
Wenhui Xu
Yiru Chen
Jiayu Gong
Yanyan Wu
Shutong Chen
Yuan He
Haitao Yu
Lin Xie
author_facet Yifei Chen
Wenhui Xu
Yiru Chen
Jiayu Gong
Yanyan Wu
Shutong Chen
Yuan He
Haitao Yu
Lin Xie
author_sort Yifei Chen
collection DOAJ
description Acute sleep deprivation has aroused widespread concern and the relationship between acute sleep deprivation and cortisol levels is inconsistent. This study aimed to explore additional evidence and details. The PubMed, Web of Science, EMBASE, CLINAHL and Cochrane databases were searched for eligible studies published up to June 7, 2023. All analyses were performed using Review Manager 5.4 and Stata/SE 14.0. A total of 24 studies contributed to this meta-analysis. There was no significant difference in cortisol levels between participants with acute sleep deprivation and normal sleep in 21 crossover-designed studies (SMD = 0.18; 95% CI: –0.11, 0.45; p = 0.208) or 3 RCTs (SMD = 0.26; 95% CI: –0.22, 0.73; p = 0.286). Subgroup analysis revealed that the pooled effects were significant for studies using serum as the sample (SMD = 0.46; 95%CI: 0.11, 0.81; p = 0.011). Studies reporting cortisol levels in the morning, in the afternoon and in the evening did not show significant difference (p > 0.05). The pooled effects were statistically significant for studies with multiple measurements (SMD = 0.28; 95%CI: 0.03, 0.53; p = 0.027) but not for studies with single cortisol assessments (p = 0.777). When the serum was used as the test sample, the cortisol levels of individuals after acute sleep deprivation were higher than those with normal sleep.
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spelling doaj-art-8f830f2c859d44c8899233c78deb94202025-01-22T05:14:15ZengThe Japan Endocrine SocietyEndocrine Journal1348-45402024-08-0171875376510.1507/endocrj.EJ23-0714endocrjThe effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysisYifei Chen0Wenhui Xu1Yiru Chen2Jiayu Gong3Yanyan Wu4Shutong Chen5Yuan He6Haitao Yu7Lin Xie8Department of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaClinical Nutrition Department, Third Hospital of Jilin University, Changchun 130032, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, ChinaAcute sleep deprivation has aroused widespread concern and the relationship between acute sleep deprivation and cortisol levels is inconsistent. This study aimed to explore additional evidence and details. The PubMed, Web of Science, EMBASE, CLINAHL and Cochrane databases were searched for eligible studies published up to June 7, 2023. All analyses were performed using Review Manager 5.4 and Stata/SE 14.0. A total of 24 studies contributed to this meta-analysis. There was no significant difference in cortisol levels between participants with acute sleep deprivation and normal sleep in 21 crossover-designed studies (SMD = 0.18; 95% CI: –0.11, 0.45; p = 0.208) or 3 RCTs (SMD = 0.26; 95% CI: –0.22, 0.73; p = 0.286). Subgroup analysis revealed that the pooled effects were significant for studies using serum as the sample (SMD = 0.46; 95%CI: 0.11, 0.81; p = 0.011). Studies reporting cortisol levels in the morning, in the afternoon and in the evening did not show significant difference (p > 0.05). The pooled effects were statistically significant for studies with multiple measurements (SMD = 0.28; 95%CI: 0.03, 0.53; p = 0.027) but not for studies with single cortisol assessments (p = 0.777). When the serum was used as the test sample, the cortisol levels of individuals after acute sleep deprivation were higher than those with normal sleep.https://www.jstage.jst.go.jp/article/endocrj/71/8/71_EJ23-0714/_html/-char/enacute sleep deprivationcortisolmeta-analysis
spellingShingle Yifei Chen
Wenhui Xu
Yiru Chen
Jiayu Gong
Yanyan Wu
Shutong Chen
Yuan He
Haitao Yu
Lin Xie
The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis
Endocrine Journal
acute sleep deprivation
cortisol
meta-analysis
title The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis
title_full The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis
title_fullStr The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis
title_full_unstemmed The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis
title_short The effect of acute sleep deprivation on cortisol level: a systematic review and meta-analysis
title_sort effect of acute sleep deprivation on cortisol level a systematic review and meta analysis
topic acute sleep deprivation
cortisol
meta-analysis
url https://www.jstage.jst.go.jp/article/endocrj/71/8/71_EJ23-0714/_html/-char/en
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