Obesity

Sleep Extension Improves Sleep Health but Not Insulin Sensitivity in People With Overweight or Obesity Who Maintain Habitual Short Sleep Schedules

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

Extending sleep by ∼1 h/night for ∼6 weeks in people with overweight or obesity and short sleep schedules improves sleep health but not insulin sensitivity or glycemic control.

Study context

Population
People with overweight or obesity, insulin resistance and habitual short sleep schedules (<7 h/night)
Participants
14 vs 15
Comparison
Extended sleep vs habitual sleep for ∼6 weeks
  • Extended sleep (ES)n = 14
  • Habitual sleep (HS)n = 15reference
Primary endpoint
Multiorgan (whole-body, hepatic, adipose tissue) insulin sensitivity by hyperinsulinemic-euglycemic clamp with tracer infusions
Follow-up
∼6 weeks

Primary result

As reported in the abstract

Multiorgan insulin sensitivity
  • No differences in multiorgan insulin sensitivity between groups

Further findings

Time in bed, increase · ∼6 weeks

Sleep duration, increase · ∼6 weeks

Time in bed, increase · ∼6 weeks

Increased more with ES than HS

Sleep duration, increase · ∼6 weeks

Increased more with ES than HS

Day-to-day sleep variability and subjective sleep health

Improved more with ES than HS

Glycemic control (24-h serial plasma glucose and insulin)

No differences between groups

Original publication

Sleep Extension Improves Sleep Health but Not Insulin Sensitivity in People With Overweight or Obesity Who Maintain Habitual Short Sleep Schedules. Diabetes Care. Published 21 January 2026. doi:10.2337/dc25-2083

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