Hospital Israelita Albert Einstein , São Paulo , SP , Brazil .
Universidade Federal de São Paulo , São Paulo , SP , Brazil .
Einstein (Sao Paulo). 2022 Jul 22;20:eAO8058. doi: 10.31744/einstein_journal/2022AO8058. eCollection 2022.
To systematically review the effects (benefits and harms) of different types of physical exercise on insomnia outcomes in adult populations with no mood disorders. Objective and subjective sleep outcomes and related mismatches were analyzed.
Systematic review and meta-analysis. Quality of evidence was also examined.
Six studies including 295 participants with insomnia diagnosis were selected. Yoga, Tai Chi, resistance exercise and aerobic exercise were used in protocols with different duration, intensity and frequency. Studies involved different populations, including inactive or sedentary individuals, older adults and postmenopausal women. Physical exercise improved subjective sleep quality (very low quality of evidence) and reduced insomnia severity (high quality of evidence).
Findings suggest individualized physical exercise must be addressed to design optimal protocols, with standardized type, duration, intensity, and frequency. For the time being, physical exercise may be considered an alternative and/or ancillary therapeutic modality for patients diagnosed with insomnia. Physical exercise can be used to improve subjective complaints, but not objective sleep outcomes.
系统评价无心境障碍的成年人群中，不同类型的身体锻炼对失眠结局的影响（益处和危害）。分析了客观和主观睡眠结局以及相关的不匹配情况。
系统综述和荟萃分析。还检查了证据质量。
纳入了 6 项研究，共 295 名失眠诊断患者。瑜伽、太极拳、抗阻运动和有氧运动用于不同持续时间、强度和频率的方案中。研究涉及不同人群，包括不活跃或久坐的个体、老年人和绝经后妇女。身体锻炼可改善主观睡眠质量（极低质量证据）和降低失眠严重程度（高质量证据）。
研究结果表明，必须针对个体化的身体锻炼来设计最佳方案，包括标准化的类型、持续时间、强度和频率。目前，身体锻炼可以被认为是诊断为失眠的患者的一种替代和/或辅助治疗方式。身体锻炼可以用于改善主观症状，但不能改善客观睡眠结果。
