Condition
Sleep Health
Sleep health describes how well you fall asleep, stay asleep and wake rested, which depends on your body clock and calming brain signals working together. Melatonin, the body's own sleep-timing hormone, is the supplement people look at most, and trials found insomnia symptoms improved. Those studies were small, though, with only 48 people across five of them, mostly older adults and children with insomnia, so the evidence is limited.
Sources: PMID 19584739; PMID 21340475
- Supplements studied
- 23
- Graded outcomes
- 17
- Trials
- 32
- People studied
- 10,047
Evidence by supplement
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Duration Small Decrease | Worsens (the measure goes down) | Small effect | 2 studies | 80 people | ||
| Sleep Efficiency | Improves (the measure goes up) | 80 people | ||||
| Sleep Latency | Changes; see studies | 252 people | ||||
Passionflower
- Anxiety Symptoms: improves
- Sleep Quality: improves
- Sleep Efficiency: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 6 studies | 41 people | ||
Studies that measured anxiety symptoms
| ||||||
| Sleep Quality | Improves (the measure goes up) | 1 study | 41 people | |||
| Sleep Efficiency | Improves (the measure goes up) | 41 people | ||||
Melatonin
- Insomnia Signs and Symptoms: improves
- Migraine Frequency: improves
- Sleep Latency: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Insomnia Signs and Symptoms Large Improvement | Improves (the measure goes down) | Large effect | 5 studies | 48 people | ||
Studies that measured insomnia signs and symptoms
| ||||||
| Migraine Frequency | Improves (the measure goes down) | 1 study | 48 people | |||
Studies that measured migraine frequency | ||||||
| Sleep Latency | Improves (the measure goes down) | 1 study | 498 people | |||
| Sleep Duration | Improves (the measure goes up) | 480 people | ||||
| Sleep Quality | Improves (the measure goes up) | 48 people | ||||
Magnesium
- C-Reactive Protein (CRP): improves
- Serum Magnesium: improves
- Sleep Quality: improves
Theanine
- Anxiety Symptoms: improves
- Attention: improves
- Executive Function: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 2 studies | 30 people | ||
| Attention | Improves (the measure goes up) | 4 studies | 30 people | |||
Studies that measured attention
| ||||||
| Executive Function | Improves (the measure goes up) | 3 studies | 30 people | |||
Studies that measured executive function
| ||||||
| Sleep Quality | Improves (the measure goes up) | 2 studies | 900 people | |||
Studies that measured sleep quality | ||||||
| Insomnia Signs and Symptoms | Improves (the measure goes down) | 1 study | 40 people | |||
Studies that measured insomnia signs and symptoms | ||||||
| Day-Time Dysfunction | Improves (the measure goes up) | 571 people | ||||
| Depression Symptoms | Improves (the measure goes down) | 30 people | ||||
| Motor Speed | Improves (the measure goes up) | 30 people | ||||
| Sleep Disturbance Signs and Symptoms | Improves (the measure goes down) | 30 people | ||||
| Sleep Latency | Improves (the measure goes down) | 877 people | ||||
| Verbal Fluency | Improves (the measure goes up) | 30 people | ||||
| Verbal Memory | Improves (the measure goes up) | 30 people | ||||
| Working Memory | Improves (the measure goes up) | 30 people | ||||
Yohimbine
- Diuresis: improves
- Plasma Melatonin: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Diuresis Mild diuretic effect | Improves (the measure goes up) | Small effect | 1 study | 10 people | ||
Studies that measured diuresis | ||||||
| Plasma Melatonin | Improves (the measure goes up) | 10 people | ||||
Kava
- Sleep Quality: improves
- Stress Signs and Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Quality Small Improvement | Improves (the measure goes up) | Small effect | 24 people | |||
| Stress Signs and Symptoms | Improves (the measure goes down) | 2 studies | 24 people | |||
Glycine
- Cognition: improves
- Sleep Quality: improves
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Cognition Small Improvement | Improves (the measure goes up) | Small effect | 11 people | |||
| Sleep Quality | Improves (the measure goes up) | 1 study | 33 people | |||
Studies that measured sleep quality | ||||||
| Fatigue Symptoms | Improves (the measure goes down) | 26 people | ||||
Vitamin D
- Fatigue Symptoms: improves
- Sleep Duration: improves
- Sleep Latency: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fatigue Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 93 people | |||
| Sleep Duration | Improves (the measure goes up) | 1 study | 93 people | |||
Studies that measured sleep duration | ||||||
| Sleep Latency | Improves (the measure goes down) | 93 people | ||||
| Sleep Quality | Improves (the measure goes up) | 93 people | ||||
Valerian
- Fatigue Symptoms: improves
- Sleep Quality: improves
- Sleep Latency: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fatigue Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 202 people | |||
| Sleep Quality | Improves (the measure goes up) | 6 studies | 847 people | |||
| Sleep Latency | Improves (the measure goes down) | 498 people | ||||
PQQ
- Fatigue Symptoms: improves
- Pain: improves
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fatigue Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 17 people | |||
| Pain | Improves (the measure goes down) | 17 people | ||||
| Sleep Quality | Improves (the measure goes up) | 17 people | ||||
| Stress Signs and Symptoms | Improves (the measure goes down) | 17 people |
Cannabis
- Attention
- Mood: improves
- Memory: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Attention No effect | NoneNo effect | 1 study | 8 people | |||
| Mood | Improves (the measure goes up) | 2 studies | 8 people | |||
| Memory | Improves (the measure goes up) | 1 study | 8 people | |||
| Fatigue Symptoms | Improves (the measure goes down) | 8 people | ||||
| Sleep Latency | Improves (the measure goes down) | 8 people | ||||
| Working Memory | Improves (the measure goes up) | 8 people |
Quercetin
- Fatigue Symptoms
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fatigue Symptoms No effect | NoneNo effect | 58 people | ||||
| Sleep Quality | Improves (the measure goes up) | 1 study | 58 people |
Fish Oil
- Sleep Duration
- Sleep Quality: improves
- Sleep Efficiency: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Duration No effect | NoneNo effect | 413 people | ||||
| Sleep Quality | Improves (the measure goes up) | 1 study | 1,261 people | |||
| Sleep Efficiency | Improves (the measure goes up) | 357 people | ||||
| Sleep Latency | Improves (the measure goes down) | 485 people |
Docosahexaenoic Acid
- Sleep Duration
- Wakefulness: improves
- Sleep Latency: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Duration No effect | NoneNo effect | 362 people | ||||
| Wakefulness | Improves (the measure goes down) | 1 study | 362 people | |||
| Sleep Latency | Improves (the measure goes down) | 362 people |
Creatine
- Adrenaline
- Subjective Well-Being: improves
- Attention: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Adrenaline No effect | NoneNo effect | 19 people | ||||
| Subjective Well-Being | Improves (the measure goes up) | 3 studies | 39 people | |||
| Attention | Improves (the measure goes up) | 1 study | 19 people | |||
| Memory | Improves (the measure goes up) | 1 study | 39 people | |||
| Cortisol | Improves (the measure goes down) | 39 people | ||||
| Dopamine | Improves (the measure goes up) | 19 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 19 people | ||||
| Noradrenaline | Improves (the measure goes up) | 19 people | ||||
| Sleep Deprivation Symptoms | Improves (the measure goes down) | 39 people |
Lavender
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Quality | Improves (the measure goes up) | 5 studies | 628 people |
Ginkgo Biloba
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Quality | Improves (the measure goes up) | 2 studies | 10 people |
Lemon Balm
- Insomnia Signs and Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Insomnia Signs and Symptoms | Improves (the measure goes down) | 1 study | 30 people |
Vitamin B6
- Dream Salience: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Dream Salience | Improves (the measure goes up) | 1 study | 18 people |
Exogenous Ketones
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Quality | Improves (the measure goes up) | 1 study | 89 people |
Panax Ginseng (Korean Ginseng)
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Quality | Improves (the measure goes up) | 1 study | 16 people |
What the published studies found
19 automated readings
Ashwagandha: sleep quality
The best available review (2026, 24 studies) found an improvement in sleep quality. That review studied healthy individuals and patients with stress-related or functional disorders. All 9 studies read agree. The evidence is moderate.
9 studies counted of 11 read: 3 reviews and 6 trials (547 people in the trials).
- Systematic review, 2026; 24 studies; healthy individuals and patients with stress-related or functional disorders: improves (the review the verdict rests on).
improved sleep quality, enhancement of cognitive functions
Clinical evidence for the adaptogenic effects of Withania somnifera and Rhodiola rosea - A systematic review with molecular interpretation of psychometric outcomes - Meta-analysis, 2024; 5 studies, 254 people; patients with anxiety and/or insomnia: improves. Safety and efficacy of Withania somnifera for anxiety and insomnia: Systematic review and meta-analysis
- Meta-analysis, 2021; 5 studies, 400 people; adults 18 years old and above: improves.
significant effect on overall sleep (Standardized Mean Difference -0.59
Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysis - Randomised trial, 2026; 135 people: improves.
Sleep quality, psychological well-being, and eating behavior significantly improved from baseline to day 60 in …
Efficacy and safety of Ashwagandha root extract sustained-release (AshwaSR) capsules in healthy adult, stressed subjects: A randomized, double-blind, placebo-controlled, parallel-group, 3-arm clinical trial - Randomised trial, 2026; 66 people; postmenopausal women aged 45-65 years: improves.
significantly greater improvements in sleep quality
Effects of Withania somnifera root extract on sleep quality, body composition, and menopausal symptoms in postmenopausal women: a randomized, double-blind, placebo-controlled trial - Randomised trial, 2025; 90 people: improves.
improvements in PSS, BAI, and PSQI scores
A New Ashwagandha Formulation (Zenroot™) Alleviates Stress and Anxiety Symptoms While Improving Mood and Sleep Quality: A Randomized, Double-Blind, Placebo-Controlled Clinical Study - Randomised trial, 2024; 52 people; healthy adults with sleep problems: improves.
Changes in the visual analogue scale (VAS) for sleep quality were significantly higher in the …
Effectiveness of Enriched Milk with Ashwagandha Extract and Tryptophan for Improving Subjective Sleep Quality in Adults with Sleep Problems: A Randomized Double-Blind Controlled Trial - Randomised trial, 2022; 60 people; healthy college students: improves.
group membership affected final sleep (58.4 ± 12.4 vs. 48.2 ± 15.0
The Impact of Ashwagandha on Stress, Sleep Quality, and Food Cravings in College Students: Quantitative Analysis of a Double-Blind Randomized Control Trial - Randomised trial, 2020; 144 people; healthy adults with non-restorative sleep: improves.
72% increase in self-reported sleep quality
A randomized, double blind, placebo controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults
- Systematic review, 2026; 24 studies; healthy individuals and patients with stress-related or functional disorders: improves (the review the verdict rests on).
Coenzyme Q10: sleep quality
Mixed or unclear: two readings of the studies disagreed. One reading found evidence too weak to tell for sleep quality, the other an improvement. The question is open.
1 study counted of 7 read: 1 trial (50 people in the trials).
- Randomised trial, 2025; 50 people; patients with tinnitus due to presbycusis: improves.
sleep disorder (-7.60 ± 1.38) and (-1.0 ± 8.55)
The Effect of Coenzyme Q10 on Tinnitus Severity and Sleep Quality in Patients with Presbycusis
- Randomised trial, 2025; 50 people; patients with tinnitus due to presbycusis: improves.
Creatine: sleep quality
The studies read are too weak to tell whether Creatine changes sleep quality. The evidence is very weak.
5 studies counted of 9 read: 4 trials (93 people in the trials).
- Crossover trial, 2026; 58 people; healthy and active adults: mixed results.
Some positive and potentially undesirable effects were observed in sleep quality assessments
Effects of six weeks of guanidinoacetic acid supplementation with and without creatine monohydrate on cognitive function and markers of health in healthy adults - Study, 2026; tactical populations (e.g. military, law enforcement): improves. The emerging and evolving evidence supporting creatine as an ergogenic aid: history and applications
- Crossover trial, 2025; 14 people; physically active men: improves.
CrM improved sleep quality compared to PL
Effects of Creatine Monohydrate Loading on Sleep Metrics, Physical Performance, Cognitive Function, and Recovery in Physically Active Men: A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial - Randomised trial, 2024; 21 people; naturally menstruating females: no clear difference. Creatine Improves Total Sleep Duration Following Resistance Training Days versus Non-Resistance Training Days among Naturally Menstruating Females
- Randomised trial, 2013: no clear difference.
no general changes were observed in
Creatine supplementation in fibromyalgia: a randomized, double-blind, placebo-controlled trial
- Crossover trial, 2026; 58 people; healthy and active adults: mixed results.
Ginkgo Biloba: sleep quality
The 1 study read (398 people in all) mostly found an improvement in sleep quality. The evidence is limited.
1 study counted of 11 read: 1 trial (398 people in the trials).
- Randomised trial, 2026; 398 people; children aged 5-14 with monosymptomatic nocturnal enuresis: improves. Ginkgo biloba versus desmopressin in treatment of children with monosymptomatic nocturnal enuresis: A randomized controlled trial
Glycine: sleep quality
The studies read are too weak to tell whether Glycine changes sleep quality. They lean toward an improvement, which is not enough to claim one. The evidence is very weak.
1 study counted of 9 read: 1 trial (20 people in the trials).
- Crossover trial, 2021; 20 people; urology outpatients with overactive bladder symptoms: improves.
sleep latency, latency to first nighttime urination
Dietary glycine improves urine storage symptoms in urology outpatients
- Crossover trial, 2021; 20 people; urology outpatients with overactive bladder symptoms: improves.
Inositol: sleep quality
The studies read are too weak to tell whether Inositol changes sleep quality. They lean toward an improvement, which is not enough to claim one. The evidence is very weak.
1 study counted of 4 read: 1 trial (60 people in the trials).
- Randomised trial, 2022; 60 people; pregnant women with low-risk singleton pregnancies: improves.
mean difference of the total sleep quality score between the two groups was -1.537
The impact of myo-inositol supplementation on sleep quality in pregnant women: a randomized, double-blind, placebo-controlled study
- Randomised trial, 2022; 60 people; pregnant women with low-risk singleton pregnancies: improves.
Lavender: sleep quality
The studies disagree. A Cochrane review (2020, 13 studies, 708 people) found little or no difference in sleep quality, while 10 of the 11 studies read found an improvement. The evidence is very weak.
11 studies counted of 11 read: 8 reviews and 3 trials (153 people in the trials).
- Meta-analysis, 2020; 13 studies, 708 people; people with dementia in institutional care: no clear difference (the review the verdict rests on).
We did not find evidence of benefit on these outcomes.
Aromatherapy for dementia - Meta-analysis, 2025; 11 studies, 628 people: improves.
sleep-enhancing effect of lavender essential oil intervention in adults was significant
The Sleep-Enhancing Effect of Lavender Essential Oil in Adults: A Systematic Review and Meta-Analysis - Meta-analysis, 2025; 9 studies; older adults with sleep disorders: improves.
significant improvement in the total score of sleep quality
A systematic review and meta-analysis of clinical trials on lavender for sleep disorders in older adults - Meta-analysis, 2023; 3 studies; postpartum mothers: improves.
sleep quality in the group receiving lavender improved
The effect of lavender on mothers sleep quality in the postpartum period: a systematic review and meta-analysis - Systematic review, 2022; 13 studies, 838 people; patients with cancer: improves.
lavender was significantly effective in the reduction of anxiety and pain, and improved sleep quality
A systematic review of the effect of lavender on cancer complications - Systematic review, 2022; 20 studies; adults without insomnia: improves.
Lavender essential oil was associated with improved sleep quality
The Effect of Lavender on Sleep Quality in Individuals Without Insomnia: A Systematic Review - Meta-analysis, 2022; 4 studies; prenatal and postnatal women: improves.
produced a 0.98-point improvement in postnatal mothers' quality of sleep
[Fatigue relief by aromatherapy use in prenatal and postnatal women: a systematic review and meta-analysis] - Systematic review, 2019; 3 studies; menopausal and elderly women: improves. Effect of Lavender on Sleep, Sexual Desire, Vasomotor, Psychological and Physical Symptom among Menopausal and Elderly Women: A Systematic Review
- Randomised trial, 2026; 90 people; elderly individuals: improves.
PSQI total score was 6.11±2.86 in the pre-test and 4.33±2.07 in the post-test
The effect of lavender scent recommended to the elderly on sleep quality and physical balance: A randomized controlled trial - Randomised trial, 2024; 54 people: improves.
Sleep quality scores significantly increased (p = <0.001)
The effect of lavender and bergamot oil applied via inhalation on the anxiety level and sleep quality of surgical intensive care unit patients - Randomised trial, 2021; 9 people: improves.
All participants reported better sleep quality
A pilot study on essential oil aroma stimulation for enhancing slow-wave EEG in sleeping brain
- Meta-analysis, 2020; 13 studies, 708 people; people with dementia in institutional care: no clear difference (the review the verdict rests on).
Lemon Balm: sleep quality
The best available review (2024) found an improvement in sleep quality. That review studied people with psychological well-being concerns. 2 of the 3 studies read agree; 1 found no clear difference. The evidence is limited.
3 studies counted of 11 read: 1 review and 2 trials (44 people in the trials).
- Systematic review, 2024; people with psychological well-being concerns: improves (the review the verdict rests on).
can elicit cognitive and sleep-quality enhancement
Clinical Efficacy and Tolerability of Lemon Balm (Melissa officinalis L.) in Psychological Well-Being: A Review - Crossover trial, 2024: improves.
significant reduction in the ISI score in the treated group
Effects of Melissa officinalis Phytosome on Sleep Quality: Results of a Prospective, Double-Blind, Placebo-Controlled, and Cross-Over Study - Randomised trial, 2023; 44 people; type 2 diabetes patients with depression: no clear difference.
no significant differences were observed in
The effects of melissa officinalis on depression and anxiety in type 2 diabetes patients with depression: a randomized double-blinded placebo-controlled clinical trial
- Systematic review, 2024; people with psychological well-being concerns: improves (the review the verdict rests on).
Magnesium: sleep quality
The studies disagree. The best available review (2026, 12 studies) found little or no difference in sleep quality, while 4 of the 5 studies read found an improvement. The evidence is very weak.
5 studies counted of 10 read: 3 reviews and 2 trials (155 people in the trials).
- Systematic review, 2026; 12 studies; adults with sleep-related outcomes: no clear difference (the review the verdict rests on).
Findings were inconsistent across subjective outcomes
Magnesium Supplementation for Sleep in Adults: A Systematic Review of Randomized Controlled Trials - Systematic review, 2024; 15 studies; patients with anxiety or sleep disorders: improves.
Five out of eight sleep-related studies reported improvements in sleep parameters
Examining the Effects of Supplemental Magnesium on Self-Reported Anxiety and Sleep Quality: A Systematic Review - Meta-analysis, 2021; 3 studies, 151 people; older adults with insomnia: improves.
sleep onset latency time was 17.36 min less
Oral magnesium supplementation for insomnia in older adults: a Systematic Review & Meta-Analysis - Randomised trial, 2024; 80 people; adults with self-reported sleep problems: improves.
MgT significantly (p < 0.05) improved vs placebo deep sleep score
Magnesium-L-threonate improves sleep quality and daytime functioning in adults with self-reported sleep problems: A randomized controlled trial - Randomised trial, 2022; 75 people; patients with restless legs syndrome: improves. Therapeutic effects of magnesium and vitamin B6 in alleviating the symptoms of restless legs syndrome: a randomized controlled clinical trial
- Systematic review, 2026; 12 studies; adults with sleep-related outcomes: no clear difference (the review the verdict rests on).
Melatonin: sleep quality
The studies disagree. A Cochrane review (2018, 4 studies, 151 people) did not settle it for sleep quality, while 3 of the 8 studies read found an improvement. The evidence is very weak.
8 studies counted of 11 read: 7 reviews and 1 trial (57 people in the trials).
- Systematic review, 2018; 4 studies, 151 people; adults in the intensive care unit: unclear: evidence too weak to tell (the review the verdict rests on). Melatonin for the promotion of sleep in adults in the intensive care unit
- Systematic review, 2026; 98 studies, 28,920 people; individuals with chronic non-cancer pain: improves.
melatonin significantly improved sleep quality compared with placebo
Comparative effectiveness and safety of pharmacological interventions for sleep outcomes in chronic non-cancer pain: a systematic review and network meta-analysis - Meta-analysis, 2026; 23 studies, 2,028 people; people with chronic or postoperative musculoskeletal pain: mixed results.
Sleep quality favoured melatonin in people with chronic MSK pain
Efficacy and effectiveness of melatonin for the management of musculoskeletal pain: a systematic review and meta-analysis of placebo and active controlled trials - Systematic review, 2026; 23 studies, 1,941 people; adults with migraine and sleep disturbances: no clear difference. Interventions for Migraine and Sleep: A Systematic Review Exploring Their Bidirectional Association
- Systematic review, 2026; 7 studies, 497 people; menopausal women: no clear difference. A systematic review and meta-analysis of randomized controlled trials investigated the effects of melatonin supplementation on bone mineral density, quality of life, and sleep in menopausal women
- Meta-analysis, 2026; 4 studies, 455 people; patients undergoing total joint arthroplasty: no clear difference.
melatonin did not significantly impact subjective or objective sleep outcomes
Evaluating Whether Melatonin Impacts Postoperative Sleep Following Total Joint Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Trials - Meta-analysis, 2026; 7 studies, 409 people: improves. The Effectiveness of Melatonin for Sleep Disturbances in Parkinson' Disease: Systematic Review and Meta-Analysis
- Randomised trial, 2026; 57 people; patients undergoing urological surgery: improves.
sleep-quality scores increased significantly in the melatonin group
The effect of preoperative melatonin patches on sleep quality in patients undergoing urological surgery
Omega-3 Fatty Acids: sleep quality
The studies disagree. The best available review (2024, 8 studies) found an improvement in sleep quality, while 3 of the 8 studies read found no clear difference. The evidence is very weak.
8 studies counted of 11 read: 4 reviews and 4 trials (202 people in the trials).
- Meta-analysis, 2024; 8 studies: improves (the review the verdict rests on).
Subjectively assessed sleep was significantly improved by omega-3 LC-PUFA
Effect of omega-3 fatty acids on sleep: a systematic review and meta-analysis of randomized controlled trials - Systematic review, 2023; 9 studies; postmenopausal women: no clear difference.
sleep quality outcomes displayed heterogeneity across the studies
Effects of Omega-3 Polyunsaturated Fatty Acids Intake on Vasomotor Symptoms, Sleep Quality and Depression in Postmenopausal Women: A Systematic Review - Meta-analysis, 2021; 20 studies; infants, children, and adults: no clear difference.
No effectiveness was found in adults' total sleep duration, sleep latency, sleep efficiency, sleep quality
Omega-3 long-chain polyunsaturated fatty acid and sleep: a systematic review and meta-analysis of randomized controlled trials and longitudinal studies - Meta-analysis, 2018; 3 studies, 483 people; menopausal women experiencing vasomotor symptoms: no clear difference.
Meta-analysis of the data showed no difference in the frequency and severity of hot flushes, …
Effect of omega-3 supplements on vasomotor symptoms in menopausal women: A systematic review and meta-analysis - Randomised trial, 2025; patients with type 2 diabetes: improves.
fish oil supplementation enhances sleep parameters
Marine n-3 polyunsaturated fatty acids slow sleep impairment progression by regulating central circadian rhythms in type 2 diabetes - Randomised trial, 2022; 66 people; healthy Japanese males and females aged 45 years or older: improves.
factor III (frequent dreaming) scores among the OSA-MA scores were significantly improved
Effect of Docosahexaenoic Acid and Eicosapentaenoic Acid Supplementation on Sleep Quality in Healthy Subjects: A Randomized, Double-Blinded, Placebo-Controlled Trial - Randomised trial, 2021; 84 people; healthy young adults, low oily fish intake: improves.
improvements in actigraphy sleep efficiency (p = 0.030)
Differential Effects of DHA- and EPA-Rich Oils on Sleep in Healthy Young Adults: A Randomized Controlled Trial - Crossover trial, 2020; 52 people; hemodialysis patients with uremic pruritus: improves.
sleep quality scores were different in two groups
The effects of omega-3 on the sleep quality of patients with uremic pruritus undergoing hemodialysis: a randomized crossover study
- Meta-analysis, 2024; 8 studies: improves (the review the verdict rests on).
Panax Ginseng (Korean Ginseng): sleep quality
The studies read are too weak to tell whether Panax Ginseng (Korean Ginseng) changes sleep quality. The evidence is very weak.
3 studies counted of 8 read: 3 trials (103 people in the trials).
- Randomised trial, 2020; 50 people: no clear difference.
no significant differences in the secondary outcome measurements
Efficacy of Korean red ginseng (Panax ginseng) for middle-aged and moderate level of chronic fatigue patients: A randomized, double-blind, placebo-controlled trial - Randomised trial, 2013; 38 people; patients with fibromyalgia: no clear difference.
improvement in sleep (p < .001)
Effects of Panax ginseng extract in patients with fibromyalgia: a 12-week, randomized, double-blind, placebo-controlled trial - Crossover trial, 2013; 15 people; young male healthy volunteers: improves.
Total wake time (TWT) was significantly reduced (P<0.05) and SE was increased (P<0.05), although slow …
Effects of red ginseng extract on sleeping behaviors in human volunteers
- Randomised trial, 2020; 50 people: no clear difference.
Probiotics: sleep quality
The best available review (2025, 6 studies, 424 people) found an improvement in sleep quality. That review studied patients with insomnia. 7 of the 8 studies read agree; 1 found no clear answer. The evidence is moderate.
8 studies counted of 11 read: 7 reviews and 1 trial.
- Systematic review, 2025; 6 studies, 424 people; patients with insomnia: improves (the review the verdict rests on).
significant reduction in Pittsburgh Sleep Quality Index (PSQI)
Impact of probiotics on sleep quality and mood states in patients with insomnia: a systematic review and meta-analysis - Systematic review, 2026; 13 studies, 890 people; adults, healthy and poor sleep quality: improves.
probiotic supplementation significantly reduced PSQI scores
Association between probiotic intervention and sleep quality in the general adult population: a systematic review and meta-analysis - Systematic review, 2026; 19 studies, 762 people: improves.
Overall, probiotic intake appears to modify resting state connectivity and activity, decrease involvement of several …
The effects of oral probiotic intervention on brain structure and function in human adults: a systematic review - Meta-analysis, 2024; 15 studies: improves.
PSQI) scores in the probiotics group was significantly lower
Effects of probiotics on sleep parameters: A systematic review and meta-analysis - Systematic review, 2024; 11 studies; adults with sleep disorders or sub-healthy sleep conditions: improves.
improves sleep states to some extent
Effect of probiotics and paraprobiotics on patients with sleep disorders and sub-healthy sleep conditions: a meta-analysis of randomized controlled trials - Meta-analysis, 2023; 18 studies: unclear: evidence too weak to tell.
not demonstrated to be associated with significant improvement in sleep quality
Effect of gut microbiota modulation on sleep: a systematic review and meta-analysis of clinical trials - Meta-analysis, 2023; people with sleep disturbances: improves.
probiotics supplementation significantly reduced the self-assessed parameter
Microbiota Composition and Probiotics Supplementations on Sleep Quality-A Systematic Review and Meta-Analysis - Randomised trial, 2024; healthy adults under mild stress aged 18-35 years: improves.
exhibited significant improvements in wearable device- measured sleep duration
Lacticaseibacillus paracasei 207-27 alters the microbiota-gut-brain axis to improve wearable device-measured sleep duration in healthy adults: a randomized, double-blind, placebo-controlled trial
- Systematic review, 2025; 6 studies, 424 people; patients with insomnia: improves (the review the verdict rests on).
Rhodiola Rosea: sleep quality
The best available review (2026, 5 studies) found an improvement in sleep quality. That review studied healthy individuals and patients with stress-related or functional disorders. All 2 studies read agree. The evidence is moderate.
2 studies counted of 6 read: 1 review and 1 trial (24 people in the trials).
- Systematic review, 2026; 5 studies; healthy individuals and patients with stress-related or functional disorders: improves (the review the verdict rests on).
improved sleep quality, enhancement of cognitive functions
Clinical evidence for the adaptogenic effects of Withania somnifera and Rhodiola rosea - A systematic review with molecular interpretation of psychometric outcomes - Randomised trial, 2002; 24 people; men living at high altitude: improves.
improving the sleep quality in young men
[The effect of rhodiola and acetazolamide on the sleep architecture and blood oxygen saturation in men living at high altitude]
- Systematic review, 2026; 5 studies; healthy individuals and patients with stress-related or functional disorders: improves (the review the verdict rests on).
Saffron: sleep quality
The studies disagree. The best available review (2022, 8 studies, 431 people) did not settle it for sleep quality, while 10 of the 11 studies read found an improvement. The evidence is very weak.
11 studies counted of 11 read: 5 reviews and 6 trials (534 people in the trials).
- Meta-analysis, 2022; 8 studies, 431 people; people with insomnia: unclear: evidence too weak to tell (the review the verdict rests on).
increased sleep quality (SMD 0.89, 95% CI 0.10 to 1.68
Crocus Sativus for Insomnia: A Systematic Review and Meta-Analysis - Meta-analysis, 2025; 11 studies, 637 people; individuals with obesity: improves.
saffron supplementation (OR = 11.10, P = 0.000)
Nutritional interventions and sleep quality in obese individuals: a systematic review and meta-analysis of randomized control trials - Meta-analysis, 2024; 46 studies: improves.
sleep disorders of -1.91 (95% CI: -2.88, -0.93)
New horizons for the study of saffron (Crocus sativus L.) and its active ingredients in the management of neurological and psychiatric disorders: A systematic review of clinical evidence and mechanisms - Meta-analysis, 2022; healthy adults, insomnia, type 2 diabetes, methadone maintenance: improves.
notable treatment effect on PSQI (MD: -2.14
Effects of saffron supplementation on improving sleep quality: a meta-analysis of randomized controlled trials - Meta-analysis, 2020; 21 studies: improves. The effects of saffron (Crocus sativus L.) on mental health parameters and C-reactive protein: A meta-analysis of randomized clinical trials
- Randomised trial, 2026; 76 people; adults with pulmonary sarcoidosis and sleep disturbances: improves.
Compared with the control group, saffron supplementation significantly improved PSQI (adjusted mean difference [MD], -2.21)
Efficacy of a Saffron-Based (Crocus sativus L.) Herbal Supplement on Sleep Disturbances in Pulmonary Sarcoidosis: A Randomized Single-Blind Controlled Trial - Randomised trial, 2025; 165 people; adults with moderate insomnia: improves.
sleep quality (SQS) improved significantly after 3 weeks
Effect of a saffron extract on sleep quality in adults with moderate insomnia: A decentralized, randomized, double-blind, placebo-controlled trial - Randomised trial, 2025; 52 people; older adults with sleep complaints: improves.
significantly improved subjective sleep quality (p = 0.02)
A standardised saffron extract improves subjective and objective sleep quality in healthy older adults with sleep complaints: results from the gut-sleep-brain axis randomised, double-blind, placebo-controlled pilot study - Randomised trial, 2021; 120 people; adults with unsatisfactory sleep: improves.
greater improvements in sleep quality ratings
An investigation into an evening intake of a saffron extract (affron®) on sleep quality, cortisol, and melatonin concentrations in adults with poor sleep: a randomised, double-blind, placebo-controlled, multi-dose study - Randomised trial, 2021; 66 people: improves.
improved sleep quality, sleep latency, sleep duration, and global scores
Effects of Saffron Extract on Sleep Quality: A Randomized Double-Blind Controlled Clinical Trial - Randomised trial, 2020; 55 people; healthy adults with self-reported sleep problems: improves.
saffron was associated with greater improvements in ISI total score
Effects of saffron on sleep quality in healthy adults with self-reported poor sleep: a randomized, double-blind, placebo-controlled trial
- Meta-analysis, 2022; 8 studies, 431 people; people with insomnia: unclear: evidence too weak to tell (the review the verdict rests on).
Tart Cherry Juice: sleep quality
The studies read are too weak to tell whether Tart Cherry Juice changes sleep quality. The strongest review read studied elderly patients with insomnia. The evidence is very weak.
5 studies counted of 8 read: 1 review and 4 trials (91 people in the trials).
- Systematic review, 2020; 53 studies, 6,832 people; elderly patients with insomnia: unclear: evidence too weak to tell (the review the verdict rests on). Efficacy, acceptability, and tolerability of all available treatments for insomnia in the elderly: a systematic review and network meta-analysis
- Randomised trial, 2026; 44 people; healthy adults: no clear difference.
no significant differences in sleep time or quality
Montmorency tart cherry supplementation does not impact sleep, body composition, cellular health, or blood pressure in healthy adults - Randomised trial, 2022; 19 people; elite female field hockey players: mixed results.
significant interaction effects with regards to the total time in bed
Effects of Short-Term Intake of Montmorency Tart Cherry Juice on Sleep Quality after Intermittent Exercise in Elite Female Field Hockey Players: A Randomized Controlled Trial - Crossover trial, 2018; 8 people; elderly adults with insomnia: improves.
increased sleep time by 84 minutes on polysomnography
Pilot Study of the Tart Cherry Juice for the Treatment of Insomnia and Investigation of Mechanisms - Crossover trial, 2012; 20 people; healthy adults: improves.
significant increases in time in bed, total sleep time and sleep efficiency total
Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep quality
Theanine: sleep quality
The best available review (2026, 13 studies, 550 people) found an improvement in sleep quality. 4 of the 6 studies read agree; 1 found no clear difference, 1 found a worse result. The evidence is moderate.
Possible harm: 1 study read reported a worse result for sleep quality with Theanine. One abstract says: "all, except atomoxetine, affected sleep quality, such as by reducing total rapid eye movement (REM), non-REM phase, slow-wave sleep time, and longer sleep-onset latency" Check the studies below, and ask a doctor or pharmacist if this applies to you.
6 studies counted of 11 read: 4 reviews and 2 trials (30 people in the trials).
- Systematic review, 2026; 13 studies, 550 people: improves (the review the verdict rests on).
beneficial effects were reported on both objective and participant-reported outcomes
Examining the effect of L-theanine on sleep: a systematic review of dietary supplementation trials - Systematic review, 2026; healthy adults: improves.
can support sleep quality, with little effect
Effects of L-theanine on cognition, mood and sleep: evidence from human trials - Meta-analysis, 2025; 18 studies, 897 people; humans of all ages and health status: improves. The effects of L-theanine consumption on sleep outcomes: A systematic review and meta-analysis
- Systematic review, 2023; children with attention deficit hyperactivity disorder: worsens.
affected sleep quality, such as by reducing total rapid eye movement
Association between sleep pattern and pharmacological treatment in children with attention deficit disorder with hyperactivity: a systematic review - Crossover trial, 2023; healthy young women: no clear difference.
no difference was observed between the theanine
Theanine maintains sleep quality in healthy young women by suppressing the increase in caffeine-induced wakefulness after sleep onset - Crossover trial, 2019; 30 people; healthy adults without major psychiatric illness: improves.
Pittsburgh Sleep Quality Index (PSQI) scores decreased after L-theanine administration
Effects of L-Theanine Administration on Stress-Related Symptoms and Cognitive Functions in Healthy Adults: A Randomized Controlled Trial
- Systematic review, 2026; 13 studies, 550 people: improves (the review the verdict rests on).
Valerian: sleep quality
The best available review (2024, 8 studies) found an improvement in sleep quality. That review studied adults with insomnia. 6 of the 9 studies read agree; 3 found no clear difference. The evidence is moderate.
9 studies counted of 11 read: 4 reviews and 5 trials (297 people in the trials).
- Systematic review, 2024; 8 studies; adults with insomnia: improves (the review the verdict rests on).
effective concerning subjective improvement of sleep quality
Does valerian work for insomnia? An umbrella review of the evidence - Meta-analysis, 2020; 10 studies, 1,065 people; people with sleep problems: improves.
effectiveness to improve subjective sleep quality
Valerian Root in Treating Sleep Problems and Associated Disorders-A Systematic Review and Meta-Analysis - Systematic review, 2007; 37 studies; healthy individuals and persons with sleep disturbance or insomnia: no clear difference.
found no significant differences between valerian and placebo
A systematic review of valerian as a sleep aid: safe but not effective - Meta-analysis, 2006; 16 studies, 1,093 people; patients with insomnia: improves.
statistically significant benefit (relative risk of improved sleep = 1.8
Valerian for sleep: a systematic review and meta-analysis - Crossover trial, 2021; 39 people: improves.
reduction was significantly higher in group A compared to group B
The Effects of Valerian on Sleep Quality, Depression, and State Anxiety in Hemodialysis Patients: A Randomized, Double-blind, Crossover Clinical Trial - Randomised trial, 2011; 100 people; postmenopausal women experiencing insomnia: improves.
statistically significant change was reported in the quality of sleep
Effect of valerian on sleep quality in postmenopausal women: a randomized placebo-controlled clinical trial - Crossover trial, 2009; 16 people; older women with insomnia: no clear difference.
no statistically significant differences between valerian and placebo
A randomized clinical trial of valerian fails to improve self-reported, polysomnographic, and actigraphic sleep in older women with insomnia - Randomised trial, 1994; 14 people; elderly poor sleepers: no clear difference. The effect of valerian extract on sleep polygraphy in poor sleepers: a pilot study
- Crossover trial, 1982; 128 people; 128 people tested sleep measures: improves. Aqueous extract of valerian root (Valeriana officinalis L.) improves sleep quality in man
- Systematic review, 2024; 8 studies; adults with insomnia: improves (the review the verdict rests on).
Vitamin D: sleep quality
The best available review (2022, 19 studies) found an improvement in sleep quality. 7 of the 8 studies read agree; 1 found a worse result. The evidence is moderate.
Possible harm: 1 study read reported a worse result for sleep quality with Vitamin D. One abstract says: "overall worse sleep quality (ptrend<0.01). Women who became vitamin D replete (≥32ng/mL) also showed a deterioration in total PSQI sleep quality score" Check the studies below, and ask a doctor or pharmacist if this applies to you.
8 studies counted of 10 read: 5 reviews and 3 trials (301 people in the trials).
- Meta-analysis, 2022; 19 studies: improves (the review the verdict rests on).
statistically significant decrease in the Pittsburgh Sleep Quality Index
Vitamin D Supplementation and Sleep: A Systematic Review and Meta-Analysis of Intervention Studies - Meta-analysis, 2022; 31 studies: improves. Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis
- Meta-analysis, 2022; 5 studies; people with poor sleep quality: improves.
significantly improves sleep quality (MD: -1.32; 95%CI: -2.55 to -0.09; P = 0.04)
The effect of vitamin D on sleep quality: A systematic review and meta-analysis - Meta-analysis, 2020; people with sleep disorders: improves. A meta-analysis: Does vitamin D play a promising role in sleep disorders?
- Meta-analysis, 2019; 2 studies; patients with psychiatric disorders: improves. The effects of vitamin D supplementation on mental health, and biomarkers of inflammation and oxidative stress in patients with psychiatric disorders: A systematic review and meta-analysis of randomized controlled trials
- Randomised trial, 2024; 212 people; chinese individuals with prediabetes: improves.
total PSQI score in vitamin D + calcium group was lower
Effects of vitamin D and/or calcium intervention on sleep quality in individuals with prediabetes: a post hoc analysis of a randomized controlled trial - Randomised trial, 2018; 89 people; 20-50 year-old people with sleep disorders: improves.
sleep score (PSQI) reduced significantly in vitamin recipients
The effect of vitamin D supplement on the score and quality of sleep in 20-50 year-old people with sleep disorders compared with control group - Randomised trial, 2016; overweight postmenopausal women with low vitamin D: worsens.
deterioration in total PSQI sleep quality score
Repletion of vitamin D associated with deterioration of sleep quality among postmenopausal women
- Meta-analysis, 2022; 19 studies: improves (the review the verdict rests on).
Key findings
- Anxiety SymptomsImproves (the measure goes down)
- Sleep DurationWorsens (the measure goes down)
- Insomnia Signs and SymptomsImproves (the measure goes down)
The Sleep Health (Sleep Quality & Insomnia) protocol
2 primary supplements · 5 supporting supplements
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Studies cited
2 studies from PubMed