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Statin-induced gut dysbiosis and sleep disturbances: Mechanistic insights into microbiota–brain–circadian interactions and chronotherapeutic implications

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ABSTRACT Statins are widely prescribed lipid-lowering agents with well-established efficacy in reducing cardiovascular morbidity and mortality. However, accumulating clinical and experimental evidence suggests that statin therapy may be associated with sleep disturbances, including insomnia, altered sleep architecture, vivid dreams, and reduced sleep quality. Emerging insights implicate the gut microbiota as a key regulator of host circadian rhythms and sleep homeostasis through interconnected pathways involving the tryptophan–serotonin–melatonin axis, short-chain fatty acid (SCFA) production, bile acid signaling, and immune-mediated neuroinflammation. Statins have been shown to modulate gut microbial composition, often reducing SCFA producing taxa and altering bile acid pools, which in turn may disrupt neurochemical signaling and circadian regulation. These microbiota-driven perturbations may contribute to central nervous system effects that underlie sleep-related adverse outcomes. This review integrates current mechanistic and clinical evidence linking statin-induced gut dysbiosis with sleep disturbances, highlighting the role of microbiome–host interactions in mediating off-target drug effects. It further examines implications for vulnerable populations, including shift workers, and discusses the potential of chronotherapy in optimizing statin administration. Finally, microbiota targeted interventions, such as probiotics, prebiotics, and dietary modulation, are proposed as promising strategies to mitigate these adverse effects. A deeper understanding of these interactions may enable personalized therapeutic approaches to enhance both cardiovascular outcomes and sleep health.

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Menstrual disturbances and its association with sleep disturbances: a systematic review
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  • BMC Women's Health
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BackgroundMenstrual disturbances harm women’s health, and general well-being. As growing evidence highlights the relationship between sleep and menstrual disturbances, it is imperative to comprehensively examine the association between sleep and menstrual disturbance considering the multiple dimensions of sleep. This systematic review aims to identify the association between sleep and menstrual disturbances by evaluating using Buysse’s sleep health framework.MethodsA comprehensive search of the literature was conducted in PubMed, EMBASE, psychINFO, and CINAHL to identify publications describing any types of menstrual disturbances, and their associations with sleep published between January 1, 1988 to June 2, 2022. Quality assessment was conducted using the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The findings were iteratively evaluated menstrual disturbances and their association with sleep using Buysse’s sleep health framework. This framework understands sleep as multidimensional concept and provides a holistic framing of sleep including Satisfaction, Alertness during waking hours, Timing of sleep, Efficiency, and Sleep duration. Menstrual disturbances were grouped into three categories: premenstrual syndrome, dysmenorrhea, and abnormal menstrual cycle/heavy bleeding during periods.ResultsThirty-five studies were reviewed to examine the association between sleep and menstrual disturbances. Premenstrual syndrome and dysmenorrhea were associated with sleep disturbances in sleep health domains of Satisfaction (e.g., poor sleep quality), Alertness during waking hours (e.g., daytime sleepiness), Efficiency (e.g., difficulty initiating/maintaining sleep), and Duration (e.g., short sleep duration). Abnormal menstrual cycle and heavy bleeding during the period were related to Satisfaction, Efficiency, and Duration. There were no studies which investigated the timing of sleep.Conclusions/ImplicationsSleep disturbances within most dimensions of the sleep health framework negatively impact on menstrual disturbances. Future research should longitudinally examine the effects of sleep disturbances in all dimensions of sleep health with the additional objective sleep measure on menstrual disturbances. This review gives insight in that it can be recommended to provide interventions for improving sleep disturbances in women with menstrual disturbance.

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Can dietary fiber influence Parkinson's patients' gut microbiota and short chain fatty acid production – an ex-vivo study, preliminary results
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  • 10.1186/s12866-022-02704-w
Marked gut microbiota dysbiosis and increased imidazole propionate are associated with a NASH Göttingen Minipig model
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0255 Associations Between Coping with Discrimination, Sleep, and Mental Health Among Black Sexual Minority Men
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Introduction Black sexual minority men (SMM) suffer disproportionately from health inequities, including high rates of HIV, as well as poor mental and physical health. In addition to intersectional stigma and discrimination, sleep health, an understudied factor, may contribute to these health inequities. We examined the associations between coping with discrimination, sleep disturbances, and mental and behavioral health outcomes among Black SMM. Methods We recruited 191 Black SMM participants both in person at community-based events and organizations and online. Sleep disturbance, depression, anxiety, alcohol use, and quality of life were measured using PROMIS-Sleep Disturbance, Physical Health Questionnaire, Generalized Anxiety Disorder, Alcohol Use Disorders Identification Test, and PROMIS global health items. Experience of and coping with discrimination were measured using validated questionnaires. Regression and mediation analysis were conducted, controlling for age. Results One-quarter of the sample reported elevated levels of sleep disturbance. Experiences of racial discrimination were marginally associated with greater sleep disturbances (b = 0.59, p = 0.07). Effective coping (e.g., getting emotional support, thinking about steps to take) (b = -2.62, p = 0.03) and higher coping self-efficacy (b = -2.00, p &amp;lt; 0.001) were associated with fewer sleep disturbances. Less effective coping (e.g., self-blame, denial) was associated with more sleep disturbances (b = 4.70, p = 0.009). Greater sleep disturbance was associated with higher ratings of depression (b = 0.04, p &amp;lt; 0.001), anxiety (b = 0.03, p &amp;lt; 0.001) and lower ratings of quality of life (b = -0.04, p &amp;lt; 0.001), and marginally with greater alcohol use disturbances (b = 0.12, p = 0.06). Indirect paths via sleep disturbance were significant for the effects of effective coping or ineffective coping on depression, anxiety, alcohol use (for ineffective coping only), and quality of life. Conclusion Effective coping strategies appeared to mitigate sleep disturbances and other health challenges, underscoring the need for culturally congruent interventions that address both sleep and mental health to improve overall wellbeing in this population. Additionally, it is imperative to actively address intersectional stigma and discrimination. Mediation analysis was based on cross-sectional data and should be interpreted with caution. Support (if any) This work is supported by NIMHD R01MD014722 (LMB)

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  • Cite Count Icon 62
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Improved bioproduction of short-chain fatty acids from waste activated sludge by perennial ryegrass addition
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  • Water Research
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