Effects of Exercise on Sleep Quality in Pregnant Women: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Lan, Shou‐Jen; Yen, Yea‐Yin; Hsieh, Yen‐Ping; Kung, Pei‐Tseng; Lan, Shao-Huan

doi:10.1016/j.anr.2020.01.003

Cited by 27 publications

(23 citation statements)

References 37 publications

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“…), involving both subjective and physiological sleep outcomes. Two published meta-analysis articles, respectively, explored the effects of exercise only on middle-aged women ( 65 ) and pregnant women ( 66 ). Some other meta-analysis studies assessed whether exercise improves sleep in adults who already have a diagnosis of insomnia ( 67 , 68 ).…”

Section: Discussionmentioning

confidence: 99%

Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2021

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Study Objectives: We conducted a meta-analysis to assess the effects of different regular exercise (lasting at least 2 months on a regular basis) on self-reported and physiological sleep quality in adults. Varied exercise interventions contained traditional physical exercise (e.g., walking, cycling) and mind–body exercise characterized by gentle exercise with coordination of the body (e.g., yoga).Methods: Procedures followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Systematical searches were conducted in three electronic databases (PubMed, Embase, and Web of Science) for relevant research that involved adult participants without pathological diseases receiving exercise intervention. The search strategy was based on the population, intervention, comparison, and outcome study design (PICOS) framework. The self-reported outcomes included varied rating scales of Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS). Subgroup meta-analyses of PSQI scores were conducted based on type of exercise, duration of intervention, and participants' age and gender. The physiological outcomes were measured by Actigraph. All meta-analyses were performed in a fixed or random statistic model using Revman software.Results: Twenty-two randomized controlled trials were included in the analysis. The overall analysis on subjective outcomes suggests that exercise interventions significantly improved sleep quality in adults compared with control interventions with lower PSQI (MD −2.19; 95% CI −2.96 to −1.41), ISI (MD −1.52; 95% CI −2.63 to −0.41), and ESS (MD −2.55; 95% CI −3.32 to −1.78) scores. Subgroup analyses of PSQI scores showed both physical and mind–body exercise interventions resulted in improvements of subjective sleep to the same extent. Interestingly, short-term interventions (≤3 months) had a significantly greater reduction in sleep disturbance vs. long-term interventions (>3 months). Regarding physiological sleep, few significant effects were found in various sleep parameters except the increased sleep efficiency in the exercise group vs. control group.Conclusions: Results of this systematic review suggest that regular physical as well as mind–body exercise primarily improved subjective sleep quality rather than physiological sleep quality in adults. Specifically, self-reported sleep quality, insomnia severity, and daytime sleepiness could be improved or ameliorated with treatment of exercise, respectively, evaluated by PSQI, ISI, and ESS sleep rating scales.

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Section: Discussionmentioning

confidence: 99%

Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2021

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“…This study reconfirmed protective effects of exercise on residents' sleep quality during the COVID-19 epidemic. Previous studies have analyzed protective mechanisms of exercise on sleep conditions in different populations [ [27] , [28] , [29] ]. To contain the outbreak and spread of the disease, China adopted strict preventive and control measures such as isolation of close contacts and city lockdowns during the outbreak [ 3 , 4 ], which will inevitably restrict travels and outdoor exercise of Chinese residents.…”

Section: Discussionmentioning

confidence: 99%

Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors

et al. 2020

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Objectives Sleep status can affect the body's immune status and mental health. This study aims to investigate the sleep status of Chinese residents during the outbreak of Coronavirus Disease 2019 (COVID-19) and to evaluate its related risk factors. Methods This research carried out a cross-sectional survey in February 2020 (during the COVID-19 outbreak) to investigate the sleep status of residents nationwide in the form of an online questionnaire. Of the 8151 respondents, 6437 were eventually included in the analysis. Logistic regression is applied to analyze the associated factors affecting residents' sleep quality. Results During the COVID-19 outbreak, the incidence of sleep disturbances in residents was 17.65%. Increased risk of sleep disturbances was found to be associated with older age, female gender, and poor self-reported health status. Moreover, the odds ratios (ORs) were 1.42 (95% CI: 1.1–2.64), 1.35 (95% CI: 1.16–1.59), 5.59 (95% CI: 4.32–7.23), respectively. Those residents who believed COVID-19 had caused a high number of deaths or who thought COVID-19 was not easy to cure were more likely to experience sleep disorders, and the ORs were 1.73 (95% CI: 1.43–2.09), 1.57 (95% CI: 1.29–1.91), respectively. Regular exercise was a protective factor for sleep disturbances, OR = 0.77 (95% CI: 0.63–0.93). Conclusions During the outbreak of COVID-19, nearly one-fifth of participants had sleep disorders. It is necessary to pay more attention to people at high risk for sleep disturbances during the outbreak, adopt effective risk communication methods, enhance residents' rational understanding of COVID-19, and develop practical indoor exercise programs for general public to improve sleep quality.

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“…Hasina, N. S., et al [27] prove that sleep quality and quality of life of the hemodialysis patients improved after applying breathing exercise with high significance of (P value 0.000). Yang, Y., S., et al, [28] examined the effect of exercise on sleep quality in pregnant woman, they reported that relaxation exercise as youga or breathing exercise and aerobic exercise is one of the non-pharmacological nursing intervention that will reduce insomnia and anxiety. On the other hand, Jerath, R., et al [29] reported that breathing exercise result in stronger sympatho-inhibition that lead to reduction in pain intensity, dyspnea among asthmatic patient, improves cardiorespiratory synchronization and improves mood disorders which intern improves sleep quality.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients

Khalik¹,

Elbaky²,

Ahmed³

et al. 2020

AJNS

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Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group's patients at the medical ward and MICU had no Confusion," with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.

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Effects of Exercise on Sleep Quality in Pregnant Women: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Cited by 27 publications

References 37 publications

Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors

The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients

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