Daniel Sibley, Marc Sicova, Mandeep Singh, Ian Randall, Daniel Santa Mina
{"title":"Improving Patient Sleep before Surgery: The Case for Sleep Prehabilitation.","authors":"Daniel Sibley, Marc Sicova, Mandeep Singh, Ian Randall, Daniel Santa Mina","doi":"10.1159/000547974","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sleep health includes quality, quantity, and timing of sleep and is negatively affected by surgery. Poor preoperative sleep health is associated with worse surgical outcomes, including greater morbidity and hospital length of stay.</p><p><strong>Summary: </strong>In this narrative review, we describe the rationale and supporting evidence for preoperative sleep interventions (i.e., sleep prehabilitation) to improve perioperative outcomes. Our review highlights the link between impaired sleep health and surgical outcomes via several mechanisms including chronic, systemic low-grade inflammation, insulin resistance, and cognitive function. Instruments and intervention strategies to measure and improve sleep health, respectively, are discussed.</p><p><strong>Key messages: </strong>We conclude with sleep prehabilitation recommendations and identify research priorities for the field.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"1-15"},"PeriodicalIF":2.9000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Nutrition and Metabolism","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000547974","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Sleep health includes quality, quantity, and timing of sleep and is negatively affected by surgery. Poor preoperative sleep health is associated with worse surgical outcomes, including greater morbidity and hospital length of stay.
Summary: In this narrative review, we describe the rationale and supporting evidence for preoperative sleep interventions (i.e., sleep prehabilitation) to improve perioperative outcomes. Our review highlights the link between impaired sleep health and surgical outcomes via several mechanisms including chronic, systemic low-grade inflammation, insulin resistance, and cognitive function. Instruments and intervention strategies to measure and improve sleep health, respectively, are discussed.
Key messages: We conclude with sleep prehabilitation recommendations and identify research priorities for the field.
期刊介绍：
''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
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