SynthesisSleep & breathing = Schlaf & Atmung2020
Sleep quality in medical students: a comprehensive meta-analysis of observational studies.
Synthesis in Sleep & breathing = Schlaf & Atmung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
65 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Epidemiology of sleep disturbances among medical students in the Middle East and North Africa: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Sleep quality and associated factors among university students in Africa: a systematic review and meta-analysis study.Frontiers in psychiatry · 2024Pooled it
- Pooled it
- The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis.Journal of affective disorders · 2023Pooled it
- The relationship between smartphone addiction and sleep among medical students: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Prevalence of common mental disorders among medical students in China: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Stress, coping, and other determinants of poor sleep quality among healthcare students in a conflict region: a cross-sectional study.Medical education online · 2026Article
- Prevalence of Poor Sleep Quality and Associated Factors Among Medical Students in Saudi Arabia.Cureus · 2026Article
- Sleep Quality, Sleep Hygiene Behaviors, and Psychosocial Determinants Among Undergraduate Students in South-Eastern Bangladesh: A Cross-Sectional Study.Public health challenges · 2026Article
- Changes in Sleep Quality, Depressive Symptoms, and Sleep-Wake Preference Among University Students Participating in an Eight-Week Evening Aerobic Exercise Program: A Quasi-Experimental Study.Journal of clinical medicine · 2026Article
- Impact of Sleep Quality, Sleep Disturbances on Quality of Life Among Medical Students Worldwide: A Narrative Review.Cureus · 2026Review
- Assessment of sleep duration and cortisol levels among selected South African medical students.BMC endocrine disorders · 2026Article
- Nighttime screen use, sleep quality, and smartphone addiction symptoms among medical students: an international cross-sectional study.Frontiers in psychiatry · 2026Article
- Career adaptability and job burnout of pediatric residents: the role of psychological resilience and insomnia.Medical education online · 2025Article
- Insomnia and Neuroticism in Pakistani Medical Students: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Development and internal validation of a nomogram for sleep quality among Chinese medical students: a cross-sectional study.BMC public health · 2025Article
- Addressing medical students' health challenges: codesign and pilot testing of the Preventive Remediation for Optimal MEdical StudentS (PROMESS) program.BMC medical education · 2025Article
- Exploring the Link Between Caffeine Intake, Sleep Quality, and Restless Legs Syndrome Among Medical Students.Cureus · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
purposePoor sleep quality is common in medical students and is associated with a number of negative health outcomes. However, the prevalence estimates of poor sleep quality in medical students vary widely across studies. We thus conducted a meta-analysis of the prevalence of poor sleep quality and its mediating factors in medical students.
methodsA systematic literature search of PubMed, EMBASE, Web of Science, PsycINFO, and Medline Complete was performed. The random-effects model was used to analyze the pooled prevalence of poor sleep quality and its 95% confidence intervals (CIs).
resultsA total of 57 studies with 25,735 medical students were included. The pooled prevalence of poor sleep quality was 52.7% (95% CI: 45.3% to 60.1%) using the Pittsburgh Sleep Quality Index (PSQI). The pooled mean total PSQI score across 41 studies with available data was 6.1 (95% CI: 5.6 to 6.5). Subgroup analyses found that PSQI cutoff value and study region were associated with the prevalence of poor sleep quality (P = 0.0003 VS. P = 0.005). Across the continents, poor sleep quality was most common in Europe, followed by the Americas, Africa, Asia, and Oceania. Meta-regression analyses found that smaller sample size (slope = - 0.0001, P = 0.009) was significantly associated with higher prevalence of poor sleep quality.
conclusionsPoor sleep quality is common among medical students, especially in Europe and the Americas continets. Due to the negative health outcomes, regular screening of poor sleep quality and effective interventions are needed for medical students.
Indexed as
Identifiers
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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 OpenQuestion graph.