ArticleKidney international reports2025
A Systematic Review of Sleep Hygiene Strategy in CKD.
Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Network-guided symptom targets in maintenance hemodialysis using in silico interventions: a multicenter cross-sectional study.BMC nephrology · 2026Article
- Sleep Hygiene Among People With CKD.Kidney international reports · 2026Article
- Effects of Aquatic Exercise on Sleep Quality in Patients with Chronic Diseases: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Sleep hygiene strategies are often encouraged in people with chronic kidney disease (CKD). We aimed to summarize the existing evidence on sleep hygiene strategies in this population. Methods: We searched 4 electronic databases (MEDLINE, EMBASE, CINAHL, and PsycINFO) up to July 2024. Studies of any design were eligible if they reported sleep hygiene strategies and sleep outcomes for adults with CKD. We extracted data using standardized tools and synthesized the results into each component of the sleep hygiene strategy. The effectiveness of each sleep hygiene strategy was summarized using meta-analysis and in a narrative manner. Results: Thirty-eight articles were included. Most studies (45%) focused on bedtime activity, with exercise (standardized mean difference [SMD]: -1.05, 95% confidence interval [CI]: -2.03 to -0.07) and relaxation techniques (SMD: -1.54, 95% CI: -2.34 to -0.73) showing promising effects on sleep quality. However, the timing of these strategies varied, limiting the ability to generalize these strategies in relation to bedtime activity. Few studies (18%) demonstrated positive effects of sleep hygiene education (SMD: -0.82, 95% CI: -1.57 to -0.63), particularly when delivered as part of cognitive behavior therapy (CBT). Mixed results were found regarding the impact of alcohol, caffeine, and cigarettes on sleep disturbances and sleep disorders. Limited studies have been conducted on bedroom environment, sleep patterns, and daytime napping in patients with CKD. Conclusion: This review showed that sleep hygiene education can be a useful strategy for improving sleep in people with CKD. Exercise and relaxation techniques may reduce sleep disturbances; however, further research is necessary to determine the optimal timing for these activities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.