Effect of exercise on sleep quality and insomnia in middle-aged women: A systematic review and meta-analysis of randomized controlled trials
•Low-moderate levels of exercise for 12 weeks had a positive effect on sleep quality.•Aerobic exercise had a positive effect on sleep quality, while low levels of physical activity (yoga) did not have a significant effect.•There was a non-significant reduction in the severity of insomnia. We assesse...
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| Published in: | Maturitas Vol. 100; pp. 49 - 56 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier B.V
01.06.2017
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| ISSN: | 0378-5122, 1873-4111, 1873-4111 |
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| Abstract | •Low-moderate levels of exercise for 12 weeks had a positive effect on sleep quality.•Aerobic exercise had a positive effect on sleep quality, while low levels of physical activity (yoga) did not have a significant effect.•There was a non-significant reduction in the severity of insomnia.
We assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW).
Searches were conducted in five databases from inception through December 15, 2016 for randomized controlled trials (RCTs) evaluating the effects of PE versus a non-exercising control condition on sleep quality, sleep disturbance and/or insomnia in MAW. Interventions had to last at least 8 weeks. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and insomnia with the Insomnia Severity Index (ISI). Random effects models were used for meta-analyses. The effects on outcomes were expressed as mean differences (MDs) and their 95% confidence intervals (CI).
Five publications reported data from four RCTs on PE effects during 12–16 weeks on sleep quality (n=4 studies reporting PSQI results) and/or insomnia (n=3 studies reporting ISI results), including 660 MAW. Low-moderate levels of exercise significantly lowered the PSQI score (MD=−1.34; 95% CI −2.67, 0.00; p=0.05) compared with controls. In a subgroup analysis, moderate PE (aerobic exercise) had a positive effect on sleep quality (PSQI score MD=−1.85; 95% CI −3.62, −0.07; p=0.04), while low levels of physical activity (yoga) did not have a significant effect (MD-0.46, 95% CI −1.79, 0.88, p=0.50). In three studies (two studies of yoga, one study of aerobic exercise), there was a non-significant reduction in the severity of insomnia measured with the ISI score (MD −1.44, 95% CI −3.28, 0. 44, p=0.13) compared with controls. Heterogeneity of effects among studies was moderate to high.
In middle-aged women, programmed exercise improved sleep quality but had no significant effect on the severity of insomnia. |
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| AbstractList | We assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW).
Searches were conducted in five databases from inception through December 15, 2016 for randomized controlled trials (RCTs) evaluating the effects of PE versus a non-exercising control condition on sleep quality, sleep disturbance and/or insomnia in MAW. Interventions had to last at least 8 weeks. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and insomnia with the Insomnia Severity Index (ISI). Random effects models were used for meta-analyses. The effects on outcomes were expressed as mean differences (MDs) and their 95% confidence intervals (CI).
Five publications reported data from four RCTs on PE effects during 12-16 weeks on sleep quality (n=4 studies reporting PSQI results) and/or insomnia (n=3 studies reporting ISI results), including 660 MAW. Low-moderate levels of exercise significantly lowered the PSQI score (MD=-1.34; 95% CI -2.67, 0.00; p=0.05) compared with controls. In a subgroup analysis, moderate PE (aerobic exercise) had a positive effect on sleep quality (PSQI score MD=-1.85; 95% CI -3.62, -0.07; p=0.04), while low levels of physical activity (yoga) did not have a significant effect (MD-0.46, 95% CI -1.79, 0.88, p=0.50). In three studies (two studies of yoga, one study of aerobic exercise), there was a non-significant reduction in the severity of insomnia measured with the ISI score (MD -1.44, 95% CI -3.28, 0. 44, p=0.13) compared with controls. Heterogeneity of effects among studies was moderate to high.
In middle-aged women, programmed exercise improved sleep quality but had no significant effect on the severity of insomnia. •Low-moderate levels of exercise for 12 weeks had a positive effect on sleep quality.•Aerobic exercise had a positive effect on sleep quality, while low levels of physical activity (yoga) did not have a significant effect.•There was a non-significant reduction in the severity of insomnia. We assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW). Searches were conducted in five databases from inception through December 15, 2016 for randomized controlled trials (RCTs) evaluating the effects of PE versus a non-exercising control condition on sleep quality, sleep disturbance and/or insomnia in MAW. Interventions had to last at least 8 weeks. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and insomnia with the Insomnia Severity Index (ISI). Random effects models were used for meta-analyses. The effects on outcomes were expressed as mean differences (MDs) and their 95% confidence intervals (CI). Five publications reported data from four RCTs on PE effects during 12–16 weeks on sleep quality (n=4 studies reporting PSQI results) and/or insomnia (n=3 studies reporting ISI results), including 660 MAW. Low-moderate levels of exercise significantly lowered the PSQI score (MD=−1.34; 95% CI −2.67, 0.00; p=0.05) compared with controls. In a subgroup analysis, moderate PE (aerobic exercise) had a positive effect on sleep quality (PSQI score MD=−1.85; 95% CI −3.62, −0.07; p=0.04), while low levels of physical activity (yoga) did not have a significant effect (MD-0.46, 95% CI −1.79, 0.88, p=0.50). In three studies (two studies of yoga, one study of aerobic exercise), there was a non-significant reduction in the severity of insomnia measured with the ISI score (MD −1.44, 95% CI −3.28, 0. 44, p=0.13) compared with controls. Heterogeneity of effects among studies was moderate to high. In middle-aged women, programmed exercise improved sleep quality but had no significant effect on the severity of insomnia. Highlights • Low-moderate levels of exercise for 12 weeks had a positive effect on sleep quality. • Aerobic exercise had a positive effect on sleep quality, while low levels of physical activity (yoga) did not have a significant effect. • There was a non-significant reduction in the severity of insomnia. We assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW).OBJECTIVEWe assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW).Searches were conducted in five databases from inception through December 15, 2016 for randomized controlled trials (RCTs) evaluating the effects of PE versus a non-exercising control condition on sleep quality, sleep disturbance and/or insomnia in MAW. Interventions had to last at least 8 weeks. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and insomnia with the Insomnia Severity Index (ISI). Random effects models were used for meta-analyses. The effects on outcomes were expressed as mean differences (MDs) and their 95% confidence intervals (CI).METHODSSearches were conducted in five databases from inception through December 15, 2016 for randomized controlled trials (RCTs) evaluating the effects of PE versus a non-exercising control condition on sleep quality, sleep disturbance and/or insomnia in MAW. Interventions had to last at least 8 weeks. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and insomnia with the Insomnia Severity Index (ISI). Random effects models were used for meta-analyses. The effects on outcomes were expressed as mean differences (MDs) and their 95% confidence intervals (CI).Five publications reported data from four RCTs on PE effects during 12-16 weeks on sleep quality (n=4 studies reporting PSQI results) and/or insomnia (n=3 studies reporting ISI results), including 660 MAW. Low-moderate levels of exercise significantly lowered the PSQI score (MD=-1.34; 95% CI -2.67, 0.00; p=0.05) compared with controls. In a subgroup analysis, moderate PE (aerobic exercise) had a positive effect on sleep quality (PSQI score MD=-1.85; 95% CI -3.62, -0.07; p=0.04), while low levels of physical activity (yoga) did not have a significant effect (MD-0.46, 95% CI -1.79, 0.88, p=0.50). In three studies (two studies of yoga, one study of aerobic exercise), there was a non-significant reduction in the severity of insomnia measured with the ISI score (MD -1.44, 95% CI -3.28, 0. 44, p=0.13) compared with controls. Heterogeneity of effects among studies was moderate to high.RESULTSFive publications reported data from four RCTs on PE effects during 12-16 weeks on sleep quality (n=4 studies reporting PSQI results) and/or insomnia (n=3 studies reporting ISI results), including 660 MAW. Low-moderate levels of exercise significantly lowered the PSQI score (MD=-1.34; 95% CI -2.67, 0.00; p=0.05) compared with controls. In a subgroup analysis, moderate PE (aerobic exercise) had a positive effect on sleep quality (PSQI score MD=-1.85; 95% CI -3.62, -0.07; p=0.04), while low levels of physical activity (yoga) did not have a significant effect (MD-0.46, 95% CI -1.79, 0.88, p=0.50). In three studies (two studies of yoga, one study of aerobic exercise), there was a non-significant reduction in the severity of insomnia measured with the ISI score (MD -1.44, 95% CI -3.28, 0. 44, p=0.13) compared with controls. Heterogeneity of effects among studies was moderate to high.In middle-aged women, programmed exercise improved sleep quality but had no significant effect on the severity of insomnia.CONCLUSIONIn middle-aged women, programmed exercise improved sleep quality but had no significant effect on the severity of insomnia. |
| Author | Hernandez, Adrian V. Pérez-López, Faustino R. Rubio-Arias, Jacobo Á. Ramos-Campo, Domingo J. Marín-Cascales, Elena |
| Author_xml | – sequence: 1 givenname: Jacobo Á. surname: Rubio-Arias fullname: Rubio-Arias, Jacobo Á. organization: Department of Physical Activity and Sports Sciences, Faculty of Sports and Research Center for High Performance Sport, Catholic University of Murcia (UCAM), Murcia, Spain – sequence: 2 givenname: Elena surname: Marín-Cascales fullname: Marín-Cascales, Elena organization: Department of Physical Activity and Sports Sciences, Faculty of Sports and Research Center for High Performance Sport, Catholic University of Murcia (UCAM), Murcia, Spain – sequence: 3 givenname: Domingo J. surname: Ramos-Campo fullname: Ramos-Campo, Domingo J. organization: Department of Physical Activity and Sports Sciences, Faculty of Sports and Research Center for High Performance Sport, Catholic University of Murcia (UCAM), Murcia, Spain – sequence: 4 givenname: Adrian V. surname: Hernandez fullname: Hernandez, Adrian V. organization: School of Medicine, Universidad Peruana de Ciencias Aplicadas (UPC), Lima 9, Peru,University of Connecticut/Hartford Hospital Evidence-based Practice Center, 80 Seymour St, Hartford, CT 06102, USA – sequence: 5 givenname: Faustino R. surname: Pérez-López fullname: Pérez-López, Faustino R. email: faustino.perez@unizar.es organization: Department of Obstetrics and Gynecology, University of Zaragoza Faculty of Medicine and Lozano-Blesa University Hospital, Domingo Miral s/n, Zaragoza 50009, Spain |
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| Snippet | •Low-moderate levels of exercise for 12 weeks had a positive effect on sleep quality.•Aerobic exercise had a positive effect on sleep quality, while low levels... Highlights • Low-moderate levels of exercise for 12 weeks had a positive effect on sleep quality. • Aerobic exercise had a positive effect on sleep quality,... We assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW). Searches were conducted in five databases from... We assessed the effects of programmed exercise (PE) on sleep quality and insomnia in middle-aged women (MAW).OBJECTIVEWe assessed the effects of programmed... |
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| SubjectTerms | Exercise Exercise Therapy Female Humans Insomnia Insomnia severity index Internal Medicine Middle Aged Middle-aged women Obstetrics and Gynecology Pittsburgh sleep quality index Randomized Controlled Trials as Topic Sleep Initiation and Maintenance Disorders - therapy Yoga |
| Title | Effect of exercise on sleep quality and insomnia in middle-aged women: A systematic review and meta-analysis of randomized controlled trials |
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