Rai Anushree, Aldabbas Mosab, Veqar Zubia
SGT University, Gurugram, Haryana 110025 India.
Al-Azhar University, Faculty of Applied Medical Sciences, Department of Physical Therapy, Gaza, Palestine.
Sleep Biol Rhythms. 2023 Oct 28;22(1):13-31. doi: 10.1007/s41105-023-00494-w. eCollection 2024 Jan.
This systematic review was steered forward with the aim of analyzing how different forms of exercise could influence the objective and subjective sleep outcome among sedentary adults with sleep problems. A pre-detailed study protocol (PROSPERO ID: CRD42021229649) was used to search for RCTs through five databases. The methodological quality of the included RCTs was assessed by PEDro and studies were included if they scored > 5. Effect size of all outcome measures were calculated using Cohen's . Of the 4154 studies, 19 studies met the inclusion criteria and underwent quality assessment using 11-point PEDRO scale. 9 studies with PEDro score > 5 were finally included in this systematic review out of which, participants of 4 studies had insomnia ( 37-48, age = 44-60 years), 3 studies had poor sleep quality ( = 80-275, age = 52-70 years) and 2 studies had obstructive sleep apnea syndrome ( = 26-68, age = 51 years). Majority of studies revealed that physical activity seems to have greater improvement with a large effect size on subjective sleep outcomes among sedentary adults with sleep problems like insomnia, poor sleep quality and OSAS, whereas limited studies and non-significant results were observed on objective sleep outcomes. Physical activity improves sleep outcomes especially among sedentary middle-aged and older adults. More research is needed to examine the effect of physical activity programs on objective sleep outcomes especially in younger sedentary adults with different sleep problems.
The online version contains supplementary material available at 10.1007/s41105-023-00494-w.
本系统评价旨在分析不同形式的运动如何影响久坐不动且有睡眠问题的成年人的客观和主观睡眠结果。使用预先详细制定的研究方案（PROSPERO编号：CRD42021229649）通过五个数据库搜索随机对照试验（RCT）。采用PEDro评估纳入的RCT的方法学质量，得分>5分的研究被纳入。所有结局指标的效应量使用Cohen's 计算。在4154项研究中，19项研究符合纳入标准，并使用11分的PEDRO量表进行质量评估。最终，9项PEDro得分>5分的研究被纳入本系统评价，其中4项研究的参与者患有失眠症（n = 37 - 4），年龄为44 - 60岁；3项研究的参与者睡眠质量较差（n = 80 - 275），年龄为52 - 70岁；2项研究的参与者患有阻塞性睡眠呼吸暂停综合征（n = 26 - 68），年龄为51岁。大多数研究表明，体育活动似乎对久坐不动且有失眠、睡眠质量差和阻塞性睡眠呼吸暂停综合征等睡眠问题的成年人的主观睡眠结果有更大改善，效应量较大，而在客观睡眠结果方面观察到的研究有限且结果不显著。体育活动尤其能改善久坐不动的中老年人的睡眠结果。需要更多研究来检验体育活动计划对客观睡眠结果的影响，特别是在有不同睡眠问题的年轻久坐成年人中。
在线版本包含可在10.1007/s41105-023-00494-w获取的补充材料。
