Research Summary
Analyzed using Evidence Intelligence™

Mediterranean Diet Reduces Daytime Sleepiness in Type 2 Diabetes

Last updated July 11, 2026

Key finding

Daytime sleepiness significantly lower in the intervention group, with a modest difference of 42.56% (p < 0.001).

This study evaluated the impact of a Mediterranean diet on daytime sleepiness in individuals with Type 2 Diabetes in Oman, finding significant improvements in the intervention group.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the impact of a Mediterranean diet on daytime sleepiness in individuals with Type 2 Diabetes in Oman, finding significant improvements in the intervention group.

Clinical relevance

Reducing daytime sleepiness can improve quality of life and daily functioning for individuals with Type 2 Diabetes. The findings suggest that dietary interventions, such as the Mediterranean diet, may be beneficial in managing symptoms associated with diabetes, potentially leading to better overall health outcomes.

Keep in mind

The study's sample size may limit the generalizability of the findings. The duration of the intervention was relatively short. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Najwa SA, Yoke MC, Yit SC, et al. Effectiveness of a Mediterranean Diet Intervention on Daytime Sleepiness Among Individuals with Type 2 Diabetes Mellitus in Oman. Sleep Science. 2024;17(1):e45-e54. doi:10.1055/s-0043-1773786

Main Effects

Daytime sleepiness decreased significantly in the intervention group, with a reduction of 42.56% (p=0.001).

No significant change in HbA1c levels was observed between groups.

Body weight decreased by 4 kg in the intervention group compared to the control group (p=0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Mediterranean diet and Body weight, HbA1c, Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale.

Primary intervention

Mediterranean diet

Primary outcomes

  • Body weight
  • HbA1c
  • Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

3

Evidence pairs

1497

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Dietary Patterns

matched_intervention_and_outcome

Related evidence

Evidence topic

HbA1c Reduction

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Core evidence

Study findings

The primary outcomes reported in this study.

Body weight

Mediterranean diet → Body weight

Mediterranean diet → Body weight

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

HbA1c

Mediterranean diet → HbA1c

Mediterranean diet → HbA1c

Evidence Intelligence™
EvidenceScore™
85
Strong
ImpactScore™
71
Positive
ConsistencyScore™
57
generally_consistent
Supporting studies: Based on 7 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Daytime sleepiness reduced by 42.56% in the intervention group.
  • No change in HbA1c levels was noted.
  • Body weight decreased by 4 kg in those following the Mediterranean diet.
who this applies

Who this applies to

  • Adults diagnosed with Type 2 Diabetes Mellitus.
  • Individuals experiencing daytime sleepiness.
keep in mind

Keep in Mind

  • Results may not be applicable to populations outside Oman.
  • The study did not measure long-term effects beyond 6 months.
  • Further research is needed to explore the mechanisms behind the observed effects.
between the lines

Between the Lines

  • The study's sample size may limit the generalizability of the findings.
  • The duration of the intervention was relatively short.
  • Potential confounding factors were not fully controlled.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Mediterranean diet and HbA1c, Mediterranean diet and Body Weight.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Mediterranean diet lower HbA1c?

Strong Evidence

Mediterranean diet may lower HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 84.9 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Mediterranean diet affect body weight?

Strong Evidence

Mediterranean diet may affect body weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

What evidence is available on Mediterranean diet and reduction in daytime sleepiness measured by epworth sleepiness scale?

Moderate Evidence

Mediterranean diet may reduce reduction in daytime sleepiness measured by epworth sleepiness scale.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study
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