Health
Study Links Gut Bacteria to Increased Risk of Insomnia
A new study has found that certain bacteria in the gut may play a direct role in causing insomnia, suggesting that chronic sleeplessness could be linked to more than just lifestyle factors or stress.
The research, published in General Psychiatry, examined genetic and microbiome data from large groups of people and found evidence of a two-way relationship between the condition and the gut microbiome — the community of bacteria, fungi, and viruses that naturally live in the body.
Insomnia, which affects about 10% of adults regularly and up to 20% occasionally, is typically associated with causes such as stress, caffeine, alcohol consumption, medical conditions, or side effects from medication. Symptoms include difficulty falling asleep, poor sleep quality, and daytime problems such as irritability or fatigue.
While previous studies have suggested a link between gut health and sleep through the so-called gut–brain axis, this latest research offers “preliminary evidence” that the composition of gut bacteria can actively influence the risk of developing insomnia.
Researchers analysed genetic data from nearly 387,000 people with insomnia and microbiome data from around 27,000 individuals. They identified 14 groups of bacteria that increased insomnia risk by 1–4%, and eight groups that lowered the risk by 1–3%. People with insomnia had significantly reduced levels of seven types of bacteria and increased levels of 12 others.
The exact reasons behind the connection remain unclear. One theory suggests that insomnia alters the body’s levels of serotonin and dopamine — key neurotransmitters involved in sleep regulation — which may, in turn, influence gut bacteria. Other possible explanations include immune system regulation, inflammation, and various molecular and cellular mechanisms.
“The intertwined effects of insomnia on gut microbiota, and vice versa, represent a complex bidirectional relationship,” the study authors wrote.
The findings also highlight the possibility of developing microbiome-based treatments for insomnia, such as probiotics, prebiotics, or even faecal microbiota transplants. However, the researchers caution that more work is needed before such interventions could be recommended.
The study has limitations. Most participants were of European descent, meaning the results may not be applicable to all populations. In addition, dietary and lifestyle factors — both of which can influence gut health — were not fully accounted for in the analysis.
Despite these caveats, experts say the research strengthens the case for looking beyond conventional causes of insomnia and exploring how internal biological systems, particularly the gut, can influence sleep. If future studies confirm the findings, it could mark a shift in how chronic insomnia is treated, offering new hope to millions of people worldwide who struggle to get a good night’s rest.
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