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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2025.1598173</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Systematic Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Decoding the gut-sleep Nexus: a bibliometric mapping of gut microbiota and sleep disorders</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Xu</surname> <given-names>Dingwen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn0001"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2764236/overview"/>
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<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
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</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Lu</surname> <given-names>Zihua</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn0001"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Qin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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</contrib>
<contrib contrib-type="author">
<name><surname>Cheng</surname> <given-names>Yuchen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Yang</surname> <given-names>Zhe</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2976160/overview"/>
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<aff id="aff1"><sup>1</sup><institution>Department of Clinic, School of Medicine, Yangzhou Polytechnic College</institution>, <addr-line>Yangzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Orthopaedics, Shanxi Provincial People&#x2019;s Hospital</institution>, <addr-line>Taiyuan</addr-line>, <country>China</country></aff>
<author-notes>
<fn id="fn0002" fn-type="edited-by"><p>Edited by: George Grant, Independent Researcher, Aberdeen, United Kingdom</p></fn>
<fn id="fn0003" fn-type="edited-by"><p>Reviewed by: Hengyi Xu, The University of Texas at Austin, United States</p>
<p>Erin C. Hanlon, The University of Chicago, United States</p>
<p>Daliang Sun, Tianjin Medical University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Zhe Yang, <email>yangzhe2172656@hotmail.com</email></corresp>
<fn fn-type="equal" id="fn0001"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>02</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1598173</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>03</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>05</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Xu, Lu, Li, Cheng and Yang.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Xu, Lu, Li, Cheng and Yang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1">
<title>Background</title>
<p>An increasing number of studies have focused on the interaction between gut microbiota and sleep disorders. However, there is currently no bibliometric analysis of the literature on gut microbiota and sleep disorders. This study employs bibliometric methods to analyze the current research status and hotspots in the field of gut microbiota and sleep disorders, providing a reference for future research in this area.</p>
</sec>
<sec id="sec2">
<title>Methods</title>
<p>Articles related to gut microbiota and sleep disorders were retrieved from the WOS core database, covering the period from the database&#x2019;s inception to December 31, 2024. After rigorous screening, VOSviewer and CiteSpace were used to conduct analyses on quantity, collaboration networks, clustering, and citation bursts.</p>
</sec>
<sec id="sec3">
<title>Results</title>
<p>The number of articles on gut microbiota and sleep disorders has increased annually, with a significant surge after 2022. China has the highest number of publications, while the United States has the highest citation count. The institution with the most publications is Shanghai Jiao Tong University, and the institution with the most citations is Deakin University. The top 10 journals by publication volume are all ranked above Q2 in the JCR. The most cited article is &#x201C;Gut microbiome diversity is associated with sleep physiology in humans&#x201D; by Smith et al., published in PLOS ONE in 2019. The top 10 most frequent keywords are gut microbiota, sleep, depression, inflammation, chain fatty acids, anxiety, brain, oxidative stress, obesity, and health. The keyword cluster &#x201C;obstructive sleep apnea&#x201D; is a focal research direction, while fecal microbiota transplantation is a current research hotspot.</p>
</sec>
<sec id="sec4">
<title>Conclusion</title>
<p>This study reveals the publication trends, collaboration relationships among countries, regions, and authors, and recent research hotspots in the field of gut microbiota and sleep disorders through bibliometric methods, providing an objective data reference for scientific research in this domain.</p>
</sec>
</abstract>
<kwd-group>
<kwd>gut microbiota</kwd>
<kwd>sleep disorders</kwd>
<kwd>bibliometric analysis</kwd>
<kwd>obstructive sleep apnea</kwd>
<kwd>hotspot</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="31"/>
<page-count count="11"/>
<word-count count="5689"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Microorganisms in Vertebrate Digestive Systems</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec5">
<label>1</label>
<title>Introduction</title>
<p>Sleep, as an indispensable component of human health, plays a crucial role in maintaining circadian rhythms. With the continuous advancement and development of society, the proliferation of electronic devices, coupled with the fast-paced lifestyle and high-intensity stress, has led to increasingly prevalent issues such as sleep disturbances, sleep disorders, and even sleep deprivation (<xref ref-type="bibr" rid="ref30">Zheng et al., 2024</xref>). Sleep disorders are severe sleep-related diseases caused by disruptions in biological rhythms and imbalances in sleep homeostasis (<xref ref-type="bibr" rid="ref5">Cohen et al., 2022</xref>). Common sleep disorders include insomnia, sleep apnea syndrome, circadian rhythm sleep disorders, narcolepsy, and rapid eye movement sleep behavior disorder (<xref ref-type="bibr" rid="ref11">Latreille, 2019</xref>). Sleep disorders not only impair cognitive functions, adversely affecting attention, working memory, decision-making processes, and emotional processing, but also interfere with hormone secretion and metabolism, thereby increasing the risk of chronic diseases such as cardiovascular disease, diabetes, and obesity (<xref ref-type="bibr" rid="ref1">Antza et al., 2021</xref>).</p>
<p>The gut microbiota, as a complex microbial community within the human body, forms a bidirectional regulatory network with the central nervous system through the &#x201C;brain-gut-microbiota axis&#x201D; (BGMA) (<xref ref-type="bibr" rid="ref17">Naufel et al., 2023</xref>). On one hand, gut microbiota influences brain function through three core pathways: immune regulation (interaction with immune cells), neuroendocrine (regulation of the hypothalamic&#x2013;pituitary&#x2013;adrenal (HPA) axis and cortisol secretion), and neural conduction (transmission of metabolic products via the vagus nerve) (<xref ref-type="bibr" rid="ref2">Asadi et al., 2022</xref>). Neuroactive substances such as D-lactate produced by gut microbiota can directly affect the central nervous system, modulating sleep structure and neural function (<xref ref-type="bibr" rid="ref29">Zhang et al., 2024</xref>). Conversely, the brain can also regulate the composition and metabolic activity of gut microbiota through the same pathways (<xref ref-type="bibr" rid="ref16">Morais et al., 2021</xref>). Research has confirmed that gut microbiota not only maintains normal sleep rhythms through neurotransmitters and metabolites, but abnormal sleep patterns can also alter the structure and function of the microbiota via the BGMA, leading to metabolic product imbalances, ultimately affecting neurological, immune, and metabolic functions (<xref ref-type="bibr" rid="ref14">Matenchuk et al., 2020</xref>). This bidirectional interaction mechanism provides significant evidence for understanding the relationship between sleep disorders and gut microbiota.</p>
<p>Despite the increasing research on gut microbiota and sleep disorders, there is a lack of bibliometric analysis in this field, making it challenging for academia to deconstruct the knowledge evolution trajectory and interdisciplinary collaboration networks through multidimensional data. Therefore, this study employs bibliometric methods to search the relevant literature in the Web of Science Core Collection database and analyze research trends in the fields of gut microbiota and sleep disorders, providing scholars in this domain with insights into the current status and hotspots, and offering research directions for researchers in this field.</p>
</sec>
<sec sec-type="methods" id="sec6">
<label>2</label>
<title>Methods</title>
<sec id="sec7">
<label>2.1</label>
<title>Literature retrieval and selection strategy</title>
<p>The Web of Science Core Collection database was queried, with the search period extending from the database&#x2019;s inception to December 31, 2024. The search terms were not only meticulously crafted using the MeSH (Medical Subject Headings) database to ensure comprehensive retrieval of relevant keywords but also informed by search strategies from prior studies (<xref ref-type="bibr" rid="ref7">Dong et al., 2023</xref>; <xref ref-type="bibr" rid="ref26">Xiu et al., 2023</xref>; <xref ref-type="bibr" rid="ref20">Shen et al., 2024</xref>; <xref ref-type="bibr" rid="ref31">Zhu et al., 2024</xref>). TS&#x202F;=&#x202F;((Gastrointestinal Microbiomes) OR (Gastrointestinal Microbiome) OR (Microbiome, Gastrointestinal) OR (GI Microbiome) OR (GI Microfloras) OR (GI Microflora) OR (GI Microbiomes) OR (Enteric Microbiotas) OR (Enteric Microflora Flora) OR (Enteric Microflora Floras) OR (Enteric Microbiota) OR (Gastrointestinal Flora) OR (Gut Flora) OR (Gut Microflora) OR (Gastrointestinal Microflora) OR (Gut Microbiome) OR (Gut Microbiomes) OR (Gastrointestinal Microbiota) OR (Gastrointestinal Microbiotas) OR (Microflora) OR (Microfloras) OR (gut microbiota) OR (gut microbiotas) OR (Gastrointestinal Microbial Community) OR (Gastrointestinal Microbial Communities) OR (Intestinal Microbiome) OR (Intestinal Microbiomes) OR (Intestinal Microflora) OR (Intestinal Flora) OR (Intestinal Microbiota) OR (Intestinal Microbiotas) OR (Enteric Bacteria) OR (Gastric Microbiome) OR (Gastric Microbiomes)) AND TS&#x202F;=&#x202F;((Dyssomnia) OR (Sleep Disorders) OR (Sleep Disorder) OR (Nocturnal Eating Drinking Syndrome) OR (Nocturnal Eating Drinking Syndromes)). Inclusion criteria: (1) Studies related to gut microbiota and Sleep Disorder; (2) Document types classified as &#x201C;Article&#x201D; and &#x201C;Review&#x201D;; (3) Language restricted to English. Post-screening, the &#x201C;Export Records to Plain Text File&#x201D; option was utilized to export the literature for subsequent bibliometric analysis. Two authors independently conducted literature screening and data extraction. Discrepancies were resolved through discussion with a third author to reach consensus. This review complied with the PRISMA guidelines (<xref ref-type="fig" rid="fig1">Figure 1</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption><p>Schematic representation of the literature retrieval and selection.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g001.tif"/>
</fig>
</sec>
<sec id="sec8">
<label>2.2</label>
<title>Bibliometric analysis</title>
<p>Bibliometric and visualization analyses were conducted using VOSviewer and CiteSpace software. VOSviewer&#x2019;s co-authorship function was employed for analyzing collaboration networks among countries, institutions, and authors, while Bibliographic coupling was used for journal coupling network analysis, and the co-occurrence function was applied for keyword co-occurrence analysis. Nodes were included if they met a minimum occurrence threshold of 10 times for keywords or 5 publications for authors or institutions. Select the association strength for the normalization method. The results from VOSviewer can be visualized using density visualization to display the magnitude of documents and citations, overlay visualization to show the timeline of the analysis target, and network visualization to depict the collaboration network of the analysis target. CiteSpace (v6.1. R6) software was utilized for clustering and burst analysis, with &#x201C;Time Slicing&#x201D; set from &#x201C;2010 JAN to 2024 DEC,&#x201D; &#x201C;Years Per Slice&#x201D; set to 1. &#x201C;Strength&#x201D; was set to &#x201C;cosine,&#x201D; &#x201C;scope&#x201D; to &#x201C;within slice,&#x201D; and &#x201C;Selection Criteria&#x201D; to &#x201C;g-index.&#x201D; Burst detection algorithms were employed to analyze citations and keywords, and keyword clustering was performed using a logarithmic likelihood ratio-based clustering algorithm.</p>
</sec>
</sec>
<sec sec-type="results" id="sec9">
<label>3</label>
<title>Results</title>
<sec id="sec10">
<label>3.1</label>
<title>Analysis of annual publications</title>
<p>As of December 31, 2024, a total of 444 articles meeting our selection criteria have been published in the Web of Science database, comprising 278 articles and 166 reviews. The inaugural publication concerning gut microbiota and sleep disorders appeared in 2010. As illustrated in <xref ref-type="fig" rid="fig2">Figure 2</xref>, the annual number of publications remained below 50 until 2021, with a notable increase to 84 articles in 2022, nearly doubling the count from 2021. In 2024, the number of publications reached 125, representing a 30-fold increase compared to 2014. The polynomial model fitting curve indicates a consistent annual growth in publications related to gut microbiota and sleep disorders, with projections suggesting continued growth (R<sup>2</sup>&#x202F;=&#x202F;0.947).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption><p>Annual analysis of scholarly publications.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g002.tif"/>
</fig>
</sec>
<sec id="sec11">
<label>3.2</label>
<title>Analysis of countries/regions</title>
<p>A total of 69 countries have contributed to the field concerning gut microbiota and sleep disorders. The publication and citation volumes for each country can be visualized through density visualization maps (<xref ref-type="fig" rid="fig3">Figures 3A</xref>,<xref ref-type="fig" rid="fig3">B</xref>), where greater brightness indicates higher values. Among the top 10 countries in terms of publication volume, China leads significantly with 177 publications, followed by the United States (<italic>n</italic>&#x202F;=&#x202F;85) and Italy (<italic>n</italic>&#x202F;=&#x202F;34). Analyzing the annual publication volumes of these 10 countries reveals that, overall, the United States maintained a leading position in annual publications before 2020, after which China&#x2019;s annual publication volume began to surpass that of the United States. In terms of total citation counts, the top three countries are the United States (<italic>n</italic>&#x202F;=&#x202F;3,717), China (<italic>n</italic>&#x202F;=&#x202F;2,862), and Australia (<italic>n</italic>&#x202F;=&#x202F;1,235) (<xref ref-type="fig" rid="fig3">Figures 3C</xref>,<xref ref-type="fig" rid="fig3">D</xref>). A co-authorship analysis of these countries indicates that the United States exhibits the highest level of international collaboration (TLS&#x202F;=&#x202F;86), followed by Australia (TLS&#x202F;=&#x202F;62) and China (TLS&#x202F;=&#x202F;46). Notably, the collaboration between China and the United States is the most robust (Link strength&#x202F;=&#x202F;13), and there is also significant collaboration between Australia and the United Kingdom (<xref ref-type="fig" rid="fig3">Figures 3C</xref>,<xref ref-type="fig" rid="fig3">E</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption><p>Analysis of countries. <bold>(A)</bold> Density visualization based on the number of documents. <bold>(B)</bold> Density visualization based on citation counts. <bold>(C)</bold> The top 10 countries ranked by publication volume. <bold>(D)</bold> Annual changes in publication volume for the top 10 countries by output. <bold>(E)</bold> Co-authorship analysis of countries/regions depicted on a geographical map. The node size reflects the TLS, and the thickness of the lines indicates the degree of collaboration between the two countries or regions.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g003.tif"/>
</fig>
</sec>
<sec id="sec12">
<label>3.3</label>
<title>Analysis of institutions</title>
<p>A total of 915 institutions have published articles on gut microbiota and sleep disorders, with the top 10 institutions by publication volume illustrated in <xref ref-type="fig" rid="fig4">Figure 4A</xref>. Shanghai Jiao Tong University leads with 14 publications, followed by China Agricultural University (<italic>n</italic>&#x202F;=&#x202F;11) and Southern Medical University (<italic>n</italic>&#x202F;=&#x202F;10). The institutions with the highest citation counts are Deakin University with 876 citations, University College Cork with 619 citations, and China Agricultural University with 356 citations. The strongest collaborative ties are observed among Deakin University (TLS&#x202F;=&#x202F;5), Ningbo University (TLS&#x202F;=&#x202F;5), and Peking University (TLS&#x202F;=&#x202F;4) as depicted in <xref ref-type="fig" rid="fig4">Figure 4A</xref>. Additionally, 20 institutions have published more than five articles, and a visualization of the institutional collaboration network reveals that Shanghai Jiao Tong University, Shandong University, Nanjing Medical University, Peking University, Wuhan University, and Zhejiang University form the most collaborative groups. Conversely, institutions such as the University of California, San Diego, University College Cork, and China Agricultural University exhibit no collaborative relationships with other institutions (<xref ref-type="fig" rid="fig4">Figure 4B</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption><p>Analysis of institutions. <bold>(A)</bold> The ten leading institutions ranked by publication output. <bold>(B)</bold> Network visualization illustrating institutional collaboration. The node size reflects the TLS, and the thickness of the lines indicates the degree of collaboration between the two institutions.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g004.tif"/>
</fig>
</sec>
<sec id="sec13">
<label>3.4</label>
<title>Analysis of authors</title>
<p>A total of 2,870 authors have contributed articles on gut microbiota and sleep disorders. Among them, nine authors have published more than five articles. The publication output, citation count, and degree of collaboration of these nine prolific authors are illustrated in <xref ref-type="fig" rid="fig5">Figure 5A</xref>. <xref ref-type="fig" rid="fig5">Figure 5B</xref> lists the nine authors with the highest publication volume, highlighting the collaborative relationships among these prolific authors. The cluster formed by Cao J, Chen YX, Wang ZX, Dong YL, and Gao T exhibits the highest degree of collaboration. Cryan JF, although not collaborating with other prolific authors, has the highest citation count (<xref ref-type="fig" rid="fig5">Figures 5A</xref>,<xref ref-type="fig" rid="fig5">B</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption><p>Analysis of authors. <bold>(A)</bold> Publication volume, citation count, and TLS of the nine authors with more than five publications. <bold>(B)</bold> Network visualization of the nine prolific authors. The node size reflects the TLS, and the thickness of the lines indicates the degree of collaboration between the two authors.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g005.tif"/>
</fig>
</sec>
<sec id="sec14">
<label>3.5</label>
<title>Analysis of journals</title>
<p>A total of 246 journals have contributed articles on gut microbiota and sleep disorders, with 16 journals publishing more than five articles in this domain. The journal &#x201C;Nutrients&#x201D; has the highest number of publications (<italic>n</italic>&#x202F;=&#x202F;20), followed by &#x201C;Frontiers in Microbiology&#x201D; (<italic>n</italic>&#x202F;=&#x202F;14) and &#x201C;International Journal of Molecular Sciences&#x201D; (<italic>n</italic>&#x202F;=&#x202F;14). The citation counts for these three journals are 388, 135, and 464, respectively. The top 10 journals by publication volume are listed in <xref ref-type="table" rid="tab1">Table 1</xref>, all of which have an impact factor greater than 3. Among these, six journals are classified in the Q1 category of the Journal Citation Reports (JCR), while four are in the Q2 category. A bibliographic coupling analysis using VOSviewer on 56 journals with more than five publications revealed that &#x201C;Nature and Science of Sleep&#x201D; is a journal with a relatively high recent publication volume, with an average publication year of 2023.00 (<xref ref-type="fig" rid="fig6">Figure 6</xref>).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption><p>The ten leading journals ranked by publication output.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Journals</th>
<th align="center" valign="top">Documents</th>
<th align="center" valign="top">Citations</th>
<th align="center" valign="top">Total link strength</th>
<th align="center" valign="top">Impact factor (2023)</th>
<th align="center" valign="top">JCR</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Nutrients</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">388</td>
<td align="center" valign="top">1,622</td>
<td align="center" valign="top">4.8</td>
<td align="center" valign="top">Q1</td>
</tr>
<tr>
<td align="left" valign="top">Frontiers in microbiology</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">135</td>
<td align="center" valign="top">1,117</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Q2</td>
</tr>
<tr>
<td align="left" valign="top">International journal of molecular sciences</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">464</td>
<td align="center" valign="top">935</td>
<td align="center" valign="top">4.9</td>
<td align="center" valign="top">Q1</td>
</tr>
<tr>
<td align="left" valign="top">Sleep medicine</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">161</td>
<td align="center" valign="top">871</td>
<td align="center" valign="top">3.8</td>
<td align="center" valign="top">Q1</td>
</tr>
<tr>
<td align="left" valign="top">Biomedicines</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">62</td>
<td align="center" valign="top">761</td>
<td align="center" valign="top">3.9</td>
<td align="center" valign="top">Q2</td>
</tr>
<tr>
<td align="left" valign="top">Frontiers in psychiatry</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">451</td>
<td align="center" valign="top">677</td>
<td align="center" valign="top">3.2</td>
<td align="center" valign="top">Q2</td>
</tr>
<tr>
<td align="left" valign="top">Antioxidants</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">214</td>
<td align="center" valign="top">660</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Q1</td>
</tr>
<tr>
<td align="left" valign="top">Frontiers in cellular and infection mi.</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">90</td>
<td align="center" valign="top">648</td>
<td align="center" valign="top">4.6</td>
<td align="center" valign="top">Q1</td>
</tr>
<tr>
<td align="left" valign="top">Scientific reports</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">77</td>
<td align="center" valign="top">647</td>
<td align="center" valign="top">3.8</td>
<td align="center" valign="top">Q1</td>
</tr>
<tr>
<td align="left" valign="top">Nature and science of sleep</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">109</td>
<td align="center" valign="top">608</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Q2</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption><p>The overlay visualization view of bibliographic coupling across scholarly journals. The size of nodes represents the publication volume of journals, and the thickness of lines indicates the coupling strength between two journals.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g006.tif"/>
</fig>
</sec>
<sec id="sec15">
<label>3.6</label>
<title>Analysis of references</title>
<p>In the research concerning gut microbiota and sleep disorders, a total of 33,342 references have been cited. The most frequently cited article is &#x201C;Gut microbiome diversity is associated with sleep physiology in humans&#x201D; authored by Smith et al., published in 2019 in PLOS ONE (<xref ref-type="bibr" rid="ref21">Smith et al., 2019</xref>), with 41 citations and a citation half-life of 3.5&#x202F;years. Following this, the article &#x201C;Sleep, circadian rhythm, and gut microbiota&#x201D; by Matenchuk et al., published in 2020 in SLEEP MED REV (<xref ref-type="bibr" rid="ref14">Matenchuk et al., 2020</xref>), has been cited 40 times, with a citation half-life of 2.5&#x202F;years. Subsequently, the paper &#x201C;The Microbiota-Gut-Brain Axis&#x201D; by Cryan et al., published in 2019 in PHYSIOL REV (<xref ref-type="bibr" rid="ref6">Cryan et al., 2019</xref>), received 37 citations, with a citation half-life of 2.5&#x202F;years (<xref ref-type="table" rid="tab2">Table 2</xref>). Utilizing CiteSpace for Citation Bursts analysis of references, the top 25 articles with the strongest citation bursts were analyzed. The results revealed that the article &#x201C;Chronic Sleep Disruption Alters Gut Microbiota, Induces Systemic and Adipose Tissue Inflammation and Insulin Resistance in Mice&#x201D; by Poroyko et al., published in 2016 in SCI REP (<xref ref-type="bibr" rid="ref18">Poroyko et al., 2016</xref>), exhibited the strongest citation burst (Strength&#x202F;=&#x202F;10.66) and the longest duration from 2017 to 2021. Additionally, the study &#x201C;Gut microbiota composition in children with obstructive sleep apnoea syndrome: a pilot study&#x201D; by Valentini et al., published in 2020 in SLEEP MED (<xref ref-type="bibr" rid="ref23">Valentini et al., 2020</xref>), is currently experiencing a citation burst period (2023&#x2013;2025) (<xref ref-type="fig" rid="fig7">Figure 7</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption><p>The ten most frequently cited references based on citation count.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Title</th>
<th align="left" valign="top">Journal</th>
<th align="left" valign="top">First author</th>
<th align="center" valign="top">Year</th>
<th align="center" valign="top">Citation frequency</th>
<th align="center" valign="top">Half-life</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Gut microbiome diversity is associated with sleep physiology in humans</td>
<td align="left" valign="top">PLOS ONE</td>
<td align="left" valign="top">Smith RP</td>
<td align="center" valign="top">2019</td>
<td align="center" valign="top">41</td>
<td align="center" valign="top">3.5</td>
</tr>
<tr>
<td align="left" valign="top">Sleep, circadian rhythm, and gut microbiota</td>
<td align="left" valign="top">SLEEP MED REV</td>
<td align="left" valign="top">Matenchuk BA</td>
<td align="center" valign="top">2020</td>
<td align="center" valign="top">40</td>
<td align="center" valign="top">2.5</td>
</tr>
<tr>
<td align="left" valign="top">The microbiota-gut-brain axis</td>
<td align="left" valign="top">PHYSIOL REV</td>
<td align="left" valign="top">Cryan JF</td>
<td align="center" valign="top">2019</td>
<td align="center" valign="top">37</td>
<td align="center" valign="top">2.5</td>
</tr>
<tr>
<td align="left" valign="top">Gut microbiota modulates the inflammatory response and cognitive impairment induced by sleep deprivation</td>
<td align="left" valign="top">MOL PSYCHIATR</td>
<td align="left" valign="top">Wang Z</td>
<td align="center" valign="top">2021</td>
<td align="center" valign="top">37</td>
<td align="center" valign="top">1.5</td>
</tr>
<tr>
<td align="left" valign="top">Gut microbiota changes and their relationship with inflammation in patients with acute and chronic insomnia</td>
<td align="left" valign="top">NAT SCI SLEEP</td>
<td align="left" valign="top">Li YY</td>
<td align="center" valign="top">2020</td>
<td align="center" valign="top">36</td>
<td align="center" valign="top">2.5</td>
</tr>
<tr>
<td align="left" valign="top">Butyrate, a metabolite of intestinal bacteria, enhances sleep</td>
<td align="left" valign="top">SCI REP-UK</td>
<td align="left" valign="top">Szentirmai E</td>
<td align="center" valign="top">2019</td>
<td align="center" valign="top">29</td>
<td align="center" valign="top">3.5</td>
</tr>
<tr>
<td align="left" valign="top">Chronic sleep disruption alters gut microbiota, induces systemic and adipose tissue inflammation and insulin resistance in mice</td>
<td align="left" valign="top">SCI REP-UK</td>
<td align="left" valign="top">Poroyko VA</td>
<td align="center" valign="top">2016</td>
<td align="center" valign="top">27</td>
<td align="center" valign="top">3.5</td>
</tr>
<tr>
<td align="left" valign="top">Role of melatonin in sleep deprivation-induced intestinal barrier dysfunction in mice</td>
<td align="left" valign="top">J PINEAL RES</td>
<td align="left" valign="top">Gao T</td>
<td align="center" valign="top">2019</td>
<td align="center" valign="top">27</td>
<td align="center" valign="top">3.5</td>
</tr>
<tr>
<td align="left" valign="top">Gut microbiota in obstructive sleep apnea-hypopnea syndrome: disease-related dysbiosis and metabolic comorbidities</td>
<td align="left" valign="top">CLIN SCI</td>
<td align="left" valign="top">Ko CY</td>
<td align="center" valign="top">2019</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">3.5</td>
</tr>
<tr>
<td align="left" valign="top">Reproducible, interactive, scalable and extensible microbiome data science using QIIME 2</td>
<td align="left" valign="top">NAT BIOTECHNOL</td>
<td align="left" valign="top">Bolyen E</td>
<td align="center" valign="top">2019</td>
<td align="center" valign="top">21</td>
<td align="center" valign="top">3.5</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption><p>Citation burst analysis of references.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g007.tif"/>
</fig>
</sec>
<sec id="sec16">
<label>3.7</label>
<title>Analysis of keywords</title>
<p>Co-occurrence analysis plays a pivotal role in monitoring scientific development by exploring popular research directions and domains through the analysis of relationships between keywords. Utilizing VOSviewer, a co-occurrence analysis was conducted on keywords appearing at least ten times, resulting in the identification of 92 keywords (<xref ref-type="fig" rid="fig8">Figure 8A</xref>). The top ten keywords with the highest occurrence are as follows: gut microbiota (occurrences&#x202F;=&#x202F;182, TLS&#x202F;=&#x202F;745), sleep (occurrences&#x202F;=&#x202F;86, TLS&#x202F;=&#x202F;402), depression (occurrences&#x202F;=&#x202F;66, TLS&#x202F;=&#x202F;361), inflammation (occurrences&#x202F;=&#x202F;63, TLS&#x202F;=&#x202F;328), chain fatty-acids (occurrences&#x202F;=&#x202F;41, TLS&#x202F;=&#x202F;226), anxiety (occurrences&#x202F;=&#x202F;40, TLS&#x202F;=&#x202F;1,229), brain (occurrences&#x202F;=&#x202F;40, TLS&#x202F;=&#x202F;217), oxidative stress (occurrences&#x202F;=&#x202F;40, TLS&#x202F;=&#x202F;213), obesity (occurrences&#x202F;=&#x202F;39, TLS&#x202F;=&#x202F;213), and health (occurrences&#x202F;=&#x202F;38, TLS&#x202F;=&#x202F;187) (<xref ref-type="fig" rid="fig8">Figures 8A</xref>,<xref ref-type="fig" rid="fig8">B</xref>). Furthermore, keyword co-occurrence clustering was computed using CiteSpace, revealing that keywords can be categorized into seven clusters: obstructive sleep apnea, stress, autism spectrum disorder, circadian rhythm, sleep quality, sleep deprivation, and Parkinson&#x2019;s disease (<xref ref-type="fig" rid="fig8">Figure 8C</xref>; <xref ref-type="table" rid="tab3">Table 3</xref>). Clusters are numbered starting from 0, with cluster 0 being the largest and cluster 7 the smallest. The &#x201C;average year&#x201D; reflects the mean year of keyword occurrence within a cluster, with later years indicating a more cutting-edge research focus. From the perspective of average year of keyword cluster occurrence, sleep quality has the latest average time of occurrence, 2021, highlighting the forefront of research on gut microbiota and sleep disorders. The silhouette values indicate that the closer the value is to 1, the more distinct the theme of the cluster, and the more similar the content of the articles within the cluster, representing a concentrated focus by researchers on the issue (<xref ref-type="bibr" rid="ref9">Isola et al., 2025</xref>). Obstructive sleep apnea and circadian rhythm have relatively high silhouette coefficients, indicating concentrated research attention in these areas. Keyword citation burst analysis identified six instances of citation bursts, with obesity exhibiting the strongest citation burst (Strength&#x202F;=&#x202F;3.21) and the longest duration (2017&#x2013;2022). Additionally, the keyword fecal microbiota transplantation is currently experiencing a citation burst period (2023&#x2013;2025) (<xref ref-type="fig" rid="fig8">Figure 8D</xref>).</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption><p>Analysis of keywords. <bold>(A)</bold> The density visualization view of co-occurrence analysis among keywords. <bold>(B)</bold> Top 10 keywords by occurrences. <bold>(C)</bold> A chronological representation of keyword cluster analysis. <bold>(D)</bold> Citation burst analysis of keywords.</p></caption>
<graphic xlink:href="fmicb-16-1598173-g008.tif"/>
</fig>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption><p>Cluster analysis of keywords.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Cluster ID</th>
<th align="center" valign="top">Size</th>
<th align="center" valign="top">Silhouette</th>
<th align="center" valign="top">Mean (Year)</th>
<th align="left" valign="top">Label</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">0</td>
<td align="center" valign="top">50</td>
<td align="center" valign="top">0.838</td>
<td align="center" valign="top">2017</td>
<td align="left" valign="top">Obstructive sleep apnea</td>
</tr>
<tr>
<td align="left" valign="top">1</td>
<td align="center" valign="top">44</td>
<td align="center" valign="top">0.707</td>
<td align="center" valign="top">2019</td>
<td align="left" valign="top">Stress</td>
</tr>
<tr>
<td align="left" valign="top">2</td>
<td align="center" valign="top">44</td>
<td align="center" valign="top">0.73</td>
<td align="center" valign="top">2020</td>
<td align="left" valign="top">Autism spectrum disorder</td>
</tr>
<tr>
<td align="left" valign="top">3</td>
<td align="center" valign="top">43</td>
<td align="center" valign="top">0.822</td>
<td align="center" valign="top">2019</td>
<td align="left" valign="top">Circadian rhythm</td>
</tr>
<tr>
<td align="left" valign="top">4</td>
<td align="center" valign="top">38</td>
<td align="center" valign="top">0.691</td>
<td align="center" valign="top">2021</td>
<td align="left" valign="top">Sleep quality</td>
</tr>
<tr>
<td align="left" valign="top">5</td>
<td align="center" valign="top">35</td>
<td align="center" valign="top">0.776</td>
<td align="center" valign="top">2020</td>
<td align="left" valign="top">Sleep deprivation</td>
</tr>
<tr>
<td align="left" valign="top">6</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">0.749</td>
<td align="center" valign="top">2020</td>
<td align="left" valign="top">Parkinson&#x2019;s disease</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="sec17">
<label>4</label>
<title>Discussion</title>
<p>Prior to 2021, the volume of publications concerning gut microbiota and sleep disorders was relatively limited; however, there has been a rapid increase post-2022. The marked increase in publications may be attributed to advancements in microbiome research methodologies. Specifically, the reduced costs and enhanced accessibility of 16S rRNA and metagenomic sequencing have facilitated large-scale investigations of the gut microbiome (<xref ref-type="bibr" rid="ref25">Wensel et al., 2022</xref>). Furthermore, progress in metabolomics and proteomics has spurred mechanistic studies of the gut-brain-sleep interactions (<xref ref-type="bibr" rid="ref22">Tilocca et al., 2020</xref>). Notably, the top 10 journals in terms of publication volume all possess an impact factor exceeding 3, with six journals classified in the Q1 category and four in the Q2 category according to the Journal Citation Reports. This trend indicates an unprecedented level of interest in this field in recent years. The fitted curve suggests a continued growth in publications related to this domain, underscoring the necessity for a bibliometric analysis at this juncture. Such an analysis would provide researchers, who are fervently engaged in this field, with insights into the current state of research and existing challenges, thereby enhancing the specificity and quality of research outcomes.</p>
<p>China leads in publication volume, yet it is noteworthy that it only surpassed the United States post-2020, reflecting a significant enhancement in China&#x2019;s research capabilities in this domain over the past five years. This improvement is likely linked to China&#x2019;s economic development and increased emphasis on scientific research. Furthermore, the highest levels of collaboration, both internationally and domestically, are observed between China and the United States, as well as within these countries&#x2019; respective institutions and authors. The observed phenomenon may be attributed to significant research funding from both the United States and China. Specifically, the National Institutes of Health (NIH) and the National Natural Science Foundation of China (NSFC) projects are relevant. Furthermore, the eminence of high-impact institutions in both countries likely fosters increased collaboration due to their established reputations. This collaboration has facilitated the production of research outputs, serving as a model for other nations to strengthen scientific cooperation.</p>
<p>Journal and reference analyses play a guiding role in manuscript preparation and submission. This study identifies the top 10 most-cited articles in the field, indicating their high authority and consensus among researchers. Authors drafting articles in this domain are encouraged to thoroughly review these references and cite them as robust evidence. Additionally, the study reveals that &#x201C;Nature and Science of Sleep&#x201D; has published a significant number of articles in recent years, suggesting that submitting to this journal may increase the likelihood of publication success.</p>
<p>Keyword analysis aids in identifying emerging research hotspots. Obstructive sleep apnea (OSA) is a critical factor in sleep disorders with keyword clustering showing the highest silhouette coefficient for obstructive sleep apnea indicating concentrated research interest in this direction (<xref ref-type="bibr" rid="ref10">Jordan et al., 2014</xref>). Indeed the gut microbiota is implicated in obstructive sleep apnea exerting influence through a multitude of mechanisms. A cohort analysis of 48 OSA subjects revealed a correlation between OSA severity and gut microbiota alterations. The study observed an enrichment of Fusobacterium and Lachnospiraceae_UCG_006 coupled with a reduction in Anaerostipes. Furthermore elevated intestinal barrier biomarkers including D-LA and I-FABP were detected. These findings suggest that gut barrier dysfunction may contribute to systemic inflammation and the development of metabolic comorbidities in OSA patients (<xref ref-type="bibr" rid="ref12">Li et al., 2023</xref>). Another study using Apoe &#x2212;/&#x2212; mice revealed that intermittent hypoxia/hypercapnia (IHC) synergizes with a high-fat diet to exacerbate atherosclerosis mediated by gut microbiota shifts (e.g., Akkermansiaceae enrichment Muribaculaceae depletion) and bile acid dysregulation with aortic lesions being microbiota-dependent while pulmonary artery lesions remain unaffected suggesting microbiota-targeted therapies for OSA-induced vascular damage (<xref ref-type="bibr" rid="ref27">Xue et al., 2025</xref>). Among the top 10 most frequently occurring keywords the majority are closely related to obstructive sleep apnea such as obesity sleep depression inflammation anxiety and health all of which are intricately linked to the pathogenesis and consequences of obstructive sleep apnea (<xref ref-type="bibr" rid="ref24">Vanek et al., 2020</xref>; <xref ref-type="bibr" rid="ref28">Yang et al., 2023</xref>; <xref ref-type="bibr" rid="ref15">Messineo et al., 2024</xref>). Notably obesity exhibits the strongest and longest-lasting citation burst further highlighting the focus on obstructive sleep apnea within the field. Given the study&#x2019;s exploration of the relationship between gut microbiota and sleep disorders the keyword &#x201C;fecal microbiota transplantation&#x201D; is currently experiencing a citation burst indicating a growing interest in gut microbiota interventions for obstructive sleep apnea with recent emphasis on fecal microbiota transplantation.</p>
<p>Fecal microbiota transplantation has shown considerable promise in treating intestinal infections, inflammatory bowel disease, obesity, diabetes, and hypertension (<xref ref-type="bibr" rid="ref19">Rinott et al., 2021</xref>; <xref ref-type="bibr" rid="ref13">Luqman et al., 2024</xref>). In a study involving C57BL/6&#x202F;J mice exposed to intermittent hypoxia, fecal samples were collected for fecal microbiota transplantation, resulting in increased sleep duration and frequency during the dark cycle in recipient mice (<xref ref-type="bibr" rid="ref3">Badran et al., 2020</xref>). Additionally, fecal microbiota transplantation has been employed to assess the transferability of obstructive sleep apnea-induced hypertension in animal models, with recipient mice of obstructive sleep apnea donor feces exhibiting significantly elevated systolic blood pressure (<xref ref-type="bibr" rid="ref8">Durgan et al., 2016</xref>). A Swedish study analyzing respiratory parameters and gut microbiota in 3,570 individuals aged 50 to 64 suggests that hypoxia related to obstructive sleep apnea, rather than the frequency of apneas/hypopneas, is associated with specific gut microbiota species and their functions (<xref ref-type="bibr" rid="ref4">Baldanzi et al., 2023</xref>). These studies demonstrate the influence of gut microbiota on obstructive sleep apnea and highlight fecal microbiota transplantation as a pivotal research tool, raising intriguing and promising questions about its potential therapeutic application for obstructive sleep apnea.</p>
</sec>
<sec id="sec18">
<label>5</label>
<title>Limitations</title>
<p>This study has several methodological constraints that warrant consideration. Firstly, the literature included in our study was restricted to the WOS database and did not incorporate other major databases such as Scopus, PubMed, or Embase. Additionally, articles in languages other than English (e.g., German or French) were excluded, which may have resulted in the omission of potentially significant studies. Secondly, the operational definition of &#x201C;sleep disorders&#x201D; adopted in our search strategy encompassed a broad spectrum of conditions including insomnia, sleep apnea syndrome, circadian rhythm sleep disorders, hypersomnia, and REM sleep behavior disorder. The lack of condition-specific analyses may have obscured important pathophysiological distinctions in gut microbiota profiles across different sleep pathology subtypes. Lastly, citation bursts are often influenced by self-citations and journal impact factors, potentially reflecting transient &#x201C;hot topic&#x201D; trends rather than sustained scientific impact. Future studies should conduct longitudinal tracking of FMT-related citations to evaluate their long-term validity.</p>
</sec>
<sec sec-type="conclusions" id="sec19">
<label>6</label>
<title>Conclusion</title>
<p>In summary, the relationship between gut microbiota and sleep disorders is garnering increasing attention in contemporary neurogastroenterology research. Through systematic bibliometric analysis, this investigation elucidates the current research landscape by mapping international collaborations, institutional contributions, and author networks. The identification of high-impact journals, seminal references, and keyword clustering patterns provides valuable insights into evolving research trends. These findings offer strategic guidance for researchers by highlighting knowledge gaps and suggesting methodological refinements. Future studies should broaden database coverage, integrate comprehensive literature, and refine search algorithms using precise MeSH terms and diagnostic criteria to enhance the precision of interdisciplinary bibliometric analyses.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec20">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="author-contributions" id="sec21">
<title>Author contributions</title>
<p>DX: Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Software, Investigation, Methodology. ZL: Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Software, Investigation, Methodology. QL: Writing &#x2013; original draft, Investigation, Data curation. YC: Software, Writing &#x2013; original draft. ZY: Conceptualization, Writing &#x2013; review &#x0026; editing, Supervision, Writing &#x2013; original draft.</p>
</sec>
<sec sec-type="funding-information" id="sec22">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by the Shanxi Provincial University of Higher Science and Technology Innovation Plan (Grant No. 2021L252), the Shanxi Province Basic Research Plan (Grant No. 202303021222355), the &#x201C;Qing Lan Project&#x201D; of Jiangsu Province, and Yangzhou Polytechnic College.</p>
</sec>
<sec sec-type="COI-statement" id="sec23">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec24">
<title>Generative AI statement</title>
<p>The author(s) declare that no Gen AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec25">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Antza</surname> <given-names>C.</given-names></name> <name><surname>Kostopoulos</surname> <given-names>G.</given-names></name> <name><surname>Mostafa</surname> <given-names>S.</given-names></name> <name><surname>Nirantharakumar</surname> <given-names>K.</given-names></name> <name><surname>Tahrani</surname> <given-names>A.</given-names></name></person-group> (<year>2021</year>). <article-title>The links between sleep duration, obesity and type 2 diabetes mellitus</article-title>. <source>J. Endocrinol.</source> <volume>252</volume>, <fpage>125</fpage>&#x2013;<lpage>141</lpage>. doi: <pub-id pub-id-type="doi">10.1530/joe-21-0155</pub-id>, PMID: <pub-id pub-id-type="pmid">34779405</pub-id></citation></ref>
<ref id="ref2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Asadi</surname> <given-names>A.</given-names></name> <name><surname>Shadab Mehr</surname> <given-names>N.</given-names></name> <name><surname>Mohamadi</surname> <given-names>M. H.</given-names></name> <name><surname>Shokri</surname> <given-names>F.</given-names></name> <name><surname>Heidary</surname> <given-names>M.</given-names></name> <name><surname>Sadeghifard</surname> <given-names>N.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Obesity and gut-microbiota-brain axis: a narrative review</article-title>. <source>J. Clin. Lab. Anal.</source> <volume>36</volume>:<fpage>e24420</fpage>. doi: <pub-id pub-id-type="doi">10.1002/jcla.24420</pub-id>, PMID: <pub-id pub-id-type="pmid">35421277</pub-id></citation></ref>
<ref id="ref3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Badran</surname> <given-names>M.</given-names></name> <name><surname>Khalyfa</surname> <given-names>A.</given-names></name> <name><surname>Ericsson</surname> <given-names>A.</given-names></name> <name><surname>Gozal</surname> <given-names>D.</given-names></name></person-group> (<year>2020</year>). <article-title>Fecal microbiota transplantation from mice exposed to chronic intermittent hypoxia elicits sleep disturbances in na&#x00EF;ve mice</article-title>. <source>Exp. Neurol.</source> <volume>334</volume>:<fpage>113439</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.expneurol.2020.113439</pub-id>, PMID: <pub-id pub-id-type="pmid">32835671</pub-id></citation></ref>
<ref id="ref4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baldanzi</surname> <given-names>G.</given-names></name> <name><surname>Sayols-Baixeras</surname> <given-names>S.</given-names></name> <name><surname>Theorell-Hagl&#x00F6;w</surname> <given-names>J.</given-names></name> <name><surname>Dekkers</surname> <given-names>K. F.</given-names></name> <name><surname>Hammar</surname> <given-names>U.</given-names></name> <name><surname>Nguyen</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>OSA is associated with the human gut microbiota composition and functional potential in the population-based Swedish CardioPulmonary bio image study</article-title>. <source>Chest</source> <volume>164</volume>, <fpage>503</fpage>&#x2013;<lpage>516</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chest.2023.03.010</pub-id>, PMID: <pub-id pub-id-type="pmid">36925044</pub-id></citation></ref>
<ref id="ref5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname> <given-names>Z. L.</given-names></name> <name><surname>Eigenberger</surname> <given-names>P. M.</given-names></name> <name><surname>Sharkey</surname> <given-names>K. M.</given-names></name> <name><surname>Conroy</surname> <given-names>M. L.</given-names></name> <name><surname>Wilkins</surname> <given-names>K. M.</given-names></name></person-group> (<year>2022</year>). <article-title>Insomnia and other sleep disorders in older adults</article-title>. <source>Psychiatr. Clin. North Am.</source> <volume>45</volume>, <fpage>717</fpage>&#x2013;<lpage>734</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.psc.2022.07.002</pub-id>, PMID: <pub-id pub-id-type="pmid">36396275</pub-id></citation></ref>
<ref id="ref6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cryan</surname> <given-names>J. F.</given-names></name> <name><surname>O&#x2019;Riordan</surname> <given-names>K. J.</given-names></name> <name><surname>Cowan</surname> <given-names>C. S. M.</given-names></name> <name><surname>Sandhu</surname> <given-names>K. V.</given-names></name> <name><surname>Bastiaanssen</surname> <given-names>T. F. S.</given-names></name> <name><surname>Boehme</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>The microbiota-gut-brain Axis</article-title>. <source>Physiol. Rev.</source> <volume>99</volume>, <fpage>1877</fpage>&#x2013;<lpage>2013</lpage>. doi: <pub-id pub-id-type="doi">10.1152/physrev.00018.2018</pub-id>, PMID: <pub-id pub-id-type="pmid">31460832</pub-id></citation></ref>
<ref id="ref7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname> <given-names>Y.</given-names></name> <name><surname>Yao</surname> <given-names>J.</given-names></name> <name><surname>Deng</surname> <given-names>Q.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>He</surname> <given-names>Y.</given-names></name> <name><surname>Ren</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Relationship between gut microbiota and rheumatoid arthritis: a bibliometric analysis</article-title>. <source>Front. Immunol.</source> <volume>14</volume>:<fpage>1131933</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fimmu.2023.1131933</pub-id>, PMID: <pub-id pub-id-type="pmid">36936921</pub-id></citation></ref>
<ref id="ref8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Durgan</surname> <given-names>D. J.</given-names></name> <name><surname>Ganesh</surname> <given-names>B. P.</given-names></name> <name><surname>Cope</surname> <given-names>J. L.</given-names></name> <name><surname>Ajami</surname> <given-names>N. J.</given-names></name> <name><surname>Phillips</surname> <given-names>S. C.</given-names></name> <name><surname>Petrosino</surname> <given-names>J. F.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Role of the gut microbiome in obstructive sleep apnea-induced hypertension</article-title>. <source>Hypertension</source> <volume>67</volume>, <fpage>469</fpage>&#x2013;<lpage>474</lpage>. doi: <pub-id pub-id-type="doi">10.1161/hypertensionaha.115.06672</pub-id>, PMID: <pub-id pub-id-type="pmid">26711739</pub-id></citation></ref>
<ref id="ref9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Isola</surname> <given-names>G.</given-names></name> <name><surname>Polizzi</surname> <given-names>A.</given-names></name> <name><surname>Serra</surname> <given-names>S.</given-names></name> <name><surname>Boato</surname> <given-names>M.</given-names></name> <name><surname>Sculean</surname> <given-names>A.</given-names></name></person-group> (<year>2025</year>). <article-title>Relationship between periodontitis and systemic diseases: a bibliometric and visual study</article-title>. <source>Periodontol.</source> <volume>2000</volume>, <fpage>1</fpage>&#x2013;<lpage>13</lpage>. doi: <pub-id pub-id-type="doi">10.1111/prd.12621</pub-id>, PMID: <pub-id pub-id-type="pmid">39775963</pub-id></citation></ref>
<ref id="ref10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jordan</surname> <given-names>A. S.</given-names></name> <name><surname>McSharry</surname> <given-names>D. G.</given-names></name> <name><surname>Malhotra</surname> <given-names>A.</given-names></name></person-group> (<year>2014</year>). <article-title>Adult obstructive sleep apnoea</article-title>. <source>Lancet</source> <volume>383</volume>, <fpage>736</fpage>&#x2013;<lpage>747</lpage>. doi: <pub-id pub-id-type="doi">10.1016/s0140-6736(13)60734-5</pub-id>, PMID: <pub-id pub-id-type="pmid">23910433</pub-id></citation></ref>
<ref id="ref11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Latreille</surname> <given-names>V.</given-names></name></person-group> (<year>2019</year>). <article-title>Sleep Disorders</article-title>. <source>Am. J. Med.</source> <volume>132</volume>, <fpage>292</fpage>&#x2013;<lpage>299</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.amjmed.2018.09.021</pub-id>, PMID: <pub-id pub-id-type="pmid">30292731</pub-id></citation></ref>
<ref id="ref12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Q.</given-names></name> <name><surname>Xu</surname> <given-names>T.</given-names></name> <name><surname>Shao</surname> <given-names>C.</given-names></name> <name><surname>Gao</surname> <given-names>W.</given-names></name> <name><surname>Wang</surname> <given-names>M.</given-names></name> <name><surname>Dong</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Obstructive sleep apnea is related to alterations in fecal microbiome and impaired intestinal barrier function</article-title>. <source>Sci. Rep.</source> <volume>13</volume>:<fpage>778</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-023-27784-0</pub-id>, PMID: <pub-id pub-id-type="pmid">36642764</pub-id></citation></ref>
<ref id="ref13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luqman</surname> <given-names>A.</given-names></name> <name><surname>Hassan</surname> <given-names>A.</given-names></name> <name><surname>Ullah</surname> <given-names>M.</given-names></name> <name><surname>Naseem</surname> <given-names>S.</given-names></name> <name><surname>Ullah</surname> <given-names>M.</given-names></name> <name><surname>Zhang</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>Role of the intestinal microbiome and its therapeutic intervention in cardiovascular disorder</article-title>. <source>Front. Immunol.</source> <volume>15</volume>:<fpage>1321395</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fimmu.2024.1321395</pub-id>, PMID: <pub-id pub-id-type="pmid">38343539</pub-id></citation></ref>
<ref id="ref14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Matenchuk</surname> <given-names>B. A.</given-names></name> <name><surname>Mandhane</surname> <given-names>P. J.</given-names></name> <name><surname>Kozyrskyj</surname> <given-names>A. L.</given-names></name></person-group> (<year>2020</year>). <article-title>Sleep, circadian rhythm, and gut microbiota</article-title>. <source>Sleep Med. Rev.</source> <volume>53</volume>:<fpage>101340</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.smrv.2020.101340</pub-id>, PMID: <pub-id pub-id-type="pmid">32668369</pub-id></citation></ref>
<ref id="ref15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Messineo</surname> <given-names>L.</given-names></name> <name><surname>Bakker</surname> <given-names>J. P.</given-names></name> <name><surname>Cronin</surname> <given-names>J.</given-names></name> <name><surname>Yee</surname> <given-names>J.</given-names></name> <name><surname>White</surname> <given-names>D. P.</given-names></name></person-group> (<year>2024</year>). <article-title>Obstructive sleep apnea and obesity: a review of epidemiology, pathophysiology and the effect of weight-loss treatments</article-title>. <source>Sleep Med. Rev.</source> <volume>78</volume>:<fpage>101996</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.smrv.2024.101996</pub-id>, PMID: <pub-id pub-id-type="pmid">39244884</pub-id></citation></ref>
<ref id="ref16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Morais</surname> <given-names>L. H.</given-names></name> <name><surname>Schreiber</surname> <given-names>H. L.</given-names></name> <name><surname>Mazmanian</surname> <given-names>S. K.</given-names></name></person-group> (<year>2021</year>). <article-title>The gut microbiota-brain axis in behaviour and brain disorders</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>19</volume>, <fpage>241</fpage>&#x2013;<lpage>255</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41579-020-00460-0</pub-id>, PMID: <pub-id pub-id-type="pmid">33093662</pub-id></citation></ref>
<ref id="ref17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Naufel</surname> <given-names>M. F.</given-names></name> <name><surname>Truzzi</surname> <given-names>G. M.</given-names></name> <name><surname>Ferreira</surname> <given-names>C. M.</given-names></name> <name><surname>Coelho</surname> <given-names>F. M. S.</given-names></name></person-group> (<year>2023</year>). <article-title>The brain-gut-microbiota axis in the treatment of neurologic and psychiatric disorders</article-title>. <source>Arq. Neuropsiquiatr.</source> <volume>81</volume>, <fpage>670</fpage>&#x2013;<lpage>684</lpage>. doi: <pub-id pub-id-type="doi">10.1055/s-0043-1767818</pub-id>, PMID: <pub-id pub-id-type="pmid">37402401</pub-id></citation></ref>
<ref id="ref18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Poroyko</surname> <given-names>V. A.</given-names></name> <name><surname>Carreras</surname> <given-names>A.</given-names></name> <name><surname>Khalyfa</surname> <given-names>A.</given-names></name> <name><surname>Khalyfa</surname> <given-names>A. A.</given-names></name> <name><surname>Leone</surname> <given-names>V.</given-names></name> <name><surname>Peris</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Chronic sleep disruption alters gut microbiota, induces systemic and adipose tissue inflammation and insulin resistance in mice</article-title>. <source>Sci. Rep.</source> <volume>6</volume>:<fpage>35405</fpage>. doi: <pub-id pub-id-type="doi">10.1038/srep35405</pub-id>, PMID: <pub-id pub-id-type="pmid">27739530</pub-id></citation></ref>
<ref id="ref19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rinott</surname> <given-names>E.</given-names></name> <name><surname>Youngster</surname> <given-names>I.</given-names></name> <name><surname>Yaskolka Meir</surname> <given-names>A.</given-names></name> <name><surname>Tsaban</surname> <given-names>G.</given-names></name> <name><surname>Zelicha</surname> <given-names>H.</given-names></name> <name><surname>Kaplan</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Effects of diet-modulated autologous fecal microbiota transplantation on weight regain</article-title>. <source>Gastroenterology</source> <volume>160</volume>, <fpage>158</fpage>&#x2013;<lpage>173.e10</lpage>. doi: <pub-id pub-id-type="doi">10.1053/j.gastro.2020.08.041</pub-id>, PMID: <pub-id pub-id-type="pmid">32860791</pub-id></citation></ref>
<ref id="ref20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shen</surname> <given-names>C.</given-names></name> <name><surname>Wang</surname> <given-names>Z. D.</given-names></name> <name><surname>Qian</surname> <given-names>W. J.</given-names></name> <name><surname>Wu</surname> <given-names>C. F.</given-names></name> <name><surname>Qian</surname> <given-names>S. R.</given-names></name> <name><surname>Tang</surname> <given-names>T.</given-names></name></person-group> (<year>2024</year>). <article-title>Bibliometric analysis of brain stimulation Technologies in Sleep Disorders</article-title>. <source>Med. Sci. Monit.</source> <volume>30</volume>:<fpage>e942687</fpage>. doi: <pub-id pub-id-type="doi">10.12659/msm.942687</pub-id>, PMID: <pub-id pub-id-type="pmid">38439525</pub-id></citation></ref>
<ref id="ref21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Smith</surname> <given-names>R. P.</given-names></name> <name><surname>Easson</surname> <given-names>C.</given-names></name> <name><surname>Lyle</surname> <given-names>S. M.</given-names></name> <name><surname>Kapoor</surname> <given-names>R.</given-names></name> <name><surname>Donnelly</surname> <given-names>C. P.</given-names></name> <name><surname>Davidson</surname> <given-names>E. J.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Gut microbiome diversity is associated with sleep physiology in humans</article-title>. <source>PLoS One</source> <volume>14</volume>:<fpage>e0222394</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0222394</pub-id>, PMID: <pub-id pub-id-type="pmid">31589627</pub-id></citation></ref>
<ref id="ref22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tilocca</surname> <given-names>B.</given-names></name> <name><surname>Pieroni</surname> <given-names>L.</given-names></name> <name><surname>Soggiu</surname> <given-names>A.</given-names></name> <name><surname>Britti</surname> <given-names>D.</given-names></name> <name><surname>Bonizzi</surname> <given-names>L.</given-names></name> <name><surname>Roncada</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Gut-brain Axis and neurodegeneration: state-of-the-art of Meta-omics sciences for microbiota characterization</article-title>. <source>Int. J. Mol. Sci.</source> <volume>21</volume>:<fpage>4050</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms21114045</pub-id>, PMID: <pub-id pub-id-type="pmid">32516966</pub-id></citation></ref>
<ref id="ref23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Valentini</surname> <given-names>F.</given-names></name> <name><surname>Evangelisti</surname> <given-names>M.</given-names></name> <name><surname>Arpinelli</surname> <given-names>M.</given-names></name> <name><surname>Di Nardo</surname> <given-names>G.</given-names></name> <name><surname>Borro</surname> <given-names>M.</given-names></name> <name><surname>Simmaco</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Gut microbiota composition in children with obstructive sleep apnoea syndrome: a pilot study</article-title>. <source>Sleep Med.</source> <volume>76</volume>, <fpage>140</fpage>&#x2013;<lpage>147</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.sleep.2020.10.017</pub-id>, PMID: <pub-id pub-id-type="pmid">33181474</pub-id></citation></ref>
<ref id="ref24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vanek</surname> <given-names>J.</given-names></name> <name><surname>Prasko</surname> <given-names>J.</given-names></name> <name><surname>Genzor</surname> <given-names>S.</given-names></name> <name><surname>Ociskova</surname> <given-names>M.</given-names></name> <name><surname>Kantor</surname> <given-names>K.</given-names></name> <name><surname>Holubova</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Obstructive sleep apnea, depression and cognitive impairment</article-title>. <source>Sleep Med.</source> <volume>72</volume>, <fpage>50</fpage>&#x2013;<lpage>58</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.sleep.2020.03.017</pub-id>, PMID: <pub-id pub-id-type="pmid">32544796</pub-id></citation></ref>
<ref id="ref25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wensel</surname> <given-names>C. R.</given-names></name> <name><surname>Pluznick</surname> <given-names>J. L.</given-names></name> <name><surname>Salzberg</surname> <given-names>S. L.</given-names></name> <name><surname>Sears</surname> <given-names>C. L.</given-names></name></person-group> (<year>2022</year>). <article-title>Next-generation sequencing: insights to advance clinical investigations of the microbiome</article-title>. <source>J. Clin. Invest.</source> <volume>132</volume>:<fpage>e154944</fpage>. doi: <pub-id pub-id-type="doi">10.1172/jci154944</pub-id>, PMID: <pub-id pub-id-type="pmid">35362479</pub-id></citation></ref>
<ref id="ref26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xiu</surname> <given-names>R.</given-names></name> <name><surname>Sun</surname> <given-names>Q.</given-names></name> <name><surname>Li</surname> <given-names>B.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name></person-group> (<year>2023</year>). <article-title>Mapping research trends and hotspots in the link between Alzheimer&#x2019;s disease and gut microbes over the past decade: a bibliometric analysis</article-title>. <source>Nutrients</source> <volume>15</volume>:<fpage>3203</fpage>. doi: <pub-id pub-id-type="doi">10.3390/nu15143203</pub-id>, PMID: <pub-id pub-id-type="pmid">37513621</pub-id></citation></ref>
<ref id="ref27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xue</surname> <given-names>J.</given-names></name> <name><surname>Allaband</surname> <given-names>C.</given-names></name> <name><surname>Zuffa</surname> <given-names>S.</given-names></name> <name><surname>Poulsen</surname> <given-names>O.</given-names></name> <name><surname>Meadows</surname> <given-names>J.</given-names></name> <name><surname>Zhou</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2025</year>). <article-title>Gut microbiota and derived metabolites mediate obstructive sleep apnea induced atherosclerosis</article-title>. <source>Gut Microbes</source> <volume>17</volume>:<fpage>2474142</fpage>. doi: <pub-id pub-id-type="doi">10.1080/19490976.2025.2474142</pub-id>, PMID: <pub-id pub-id-type="pmid">40025767</pub-id></citation></ref>
<ref id="ref28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>S.</given-names></name> <name><surname>Kong</surname> <given-names>X.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Ge</surname> <given-names>Y. J.</given-names></name></person-group> (<year>2023</year>). <article-title>Serum C-reactive protein level and sleep characteristics in obstructive sleep apnea syndrome comorbid with panic disorder: a preliminary study</article-title>. <source>BMC Psychiatry</source> <volume>23</volume>:<fpage>859</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12888-023-05376-6</pub-id>, PMID: <pub-id pub-id-type="pmid">37985980</pub-id></citation></ref>
<ref id="ref29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>J. S.</given-names></name> <name><surname>Li</surname> <given-names>S.</given-names></name> <name><surname>Cheng</surname> <given-names>X.</given-names></name> <name><surname>Tan</surname> <given-names>X. C.</given-names></name> <name><surname>Huang</surname> <given-names>Y. L.</given-names></name> <name><surname>Dong</surname> <given-names>H. J.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>Far-infrared therapy based on graphene ameliorates high-fat diet-induced anxiety-like behavior in obese mice via alleviating intestinal barrier damage and Neuroinflammation</article-title>. <source>Neurochem. Res.</source> <volume>49</volume>, <fpage>1735</fpage>&#x2013;<lpage>1750</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11064-024-04133-9</pub-id>, PMID: <pub-id pub-id-type="pmid">38530508</pub-id></citation></ref>
<ref id="ref30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname> <given-names>Y. B.</given-names></name> <name><surname>Huang</surname> <given-names>Y. T.</given-names></name> <name><surname>Gong</surname> <given-names>Y. M.</given-names></name> <name><surname>Li</surname> <given-names>M. Z.</given-names></name> <name><surname>Zeng</surname> <given-names>N.</given-names></name> <name><surname>Wu</surname> <given-names>S. L.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>Association of lifestyle with sleep health in general population in China: a cross-sectional study</article-title>. <source>Transl. Psychiatry</source> <volume>14</volume>:<fpage>320</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41398-024-03002-x</pub-id>, PMID: <pub-id pub-id-type="pmid">39098892</pub-id></citation></ref>
<ref id="ref31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhu</surname> <given-names>L.</given-names></name> <name><surname>Zhu</surname> <given-names>P.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Yan</surname> <given-names>K.</given-names></name> <name><surname>Zhao</surname> <given-names>S.</given-names></name> <name><surname>Jiang</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>A bibliometric and visual analysis of Parkinson&#x2019;s disease sleep disorders: articles from 2008 to 2023</article-title>. <source>Front. Psych.</source> <volume>15</volume>:<fpage>1468568</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fpsyt.2024.1468568</pub-id>, PMID: <pub-id pub-id-type="pmid">39529898</pub-id></citation></ref>
</ref-list>
</back>
</article>