What is the nature of sleep and circadian rhythm health on gastrointestinal microbiota? A systematic review of studies in humans

Feb 22, 2026Sleep medicine reviews

How Sleep and Body Clock Health Relate to Gut Bacteria in People: A Systematic Review

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Abstract

Findings from 41 studies suggest that sleep disturbances may be linked to gut microbiome composition and function.

  • Sleep truncation, disturbances, and circadian misalignment could be associated with changes in gut microbiome composition.
  • The microbial families Oscillospiraceae and Ruminococcaceae are often linked to sleep and circadian health metrics.
  • Functional outputs of the gut microbiome, when assessed, indicated roles in various metabolic pathways, including amino acids and fatty acids.
  • Mixed results regarding microbial diversity may be due to variations in study design, participant demographics, and lifestyle factors.
  • Future research should focus on longitudinal and experimental studies to better understand causal relationships and potential interventions.

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