Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan.
Department of Rehabilitation, Sakamidorii Hospital, Hiroshima, Japan.
PLoS One. 2024 Jun 5;19(6):e0301616. doi: 10.1371/journal.pone.0301616. eCollection 2024.
The prevalence of locomotive syndrome naturally increases with age, but approximately half of nonelderly individuals also meet the criteria for locomotive syndrome, suggesting that even younger people need to pay attention to their own health status. Sleep is important for physical, cognitive, and psychological health. Some individuals with poor sleep quality may be at risk of developing negative health status. Although the effects of sleep hygiene strategies for elderly individuals have been well investigated, optimal nonpharmacological sleep hygiene strategies for improving sleep quality in nonelderly individuals has not been identified. We conducted a systematic review and network meta-analysis (NMA) of randomized controlled trials aimed to elucidate the effects of various nonpharmacological interventions on sleep quality in nonelderly individuals and to identify the optimal intervention. Cochrane Central Register of Controlled Trials, Medline, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, and Scopus were comprehensively searched. We identified 27 studies focusing on the effects of various nonpharmacological sleep hygiene strategies in nonelderly individuals, and 24 studies were applied into NMA. The present results showed that resistance training was the most effective intervention for improving sleep quality in nonelderly individuals. In addition, this study revealed the effects of nonpharmacological interventions, such as physical activity, nutritional intervention, as well as exercise interventions. This is the first report that utilized NMA to compare the effects of various nonpharmacological interventions on sleep quality in nonelderly individuals.
运动障碍综合征的患病率自然随年龄增长而增加，但约有一半的非老年个体也符合运动障碍综合征的标准，这表明即使是年轻人也需要关注自己的健康状况。睡眠对身心健康都很重要。一些睡眠质量差的人可能有出现负面健康状况的风险。虽然已经充分研究了针对老年人群体的睡眠卫生策略的效果，但尚未确定改善非老年个体睡眠质量的最佳非药物性睡眠卫生策略。我们进行了一项系统评价和网络荟萃分析（NMA），旨在阐明各种非药物干预措施对非老年个体睡眠质量的影响，并确定最佳干预措施。我们全面检索了 Cochrane 对照试验中心注册库、Medline、护理学和联合健康文献累积索引、物理治疗证据数据库和 Scopus。我们确定了 27 项研究，这些研究关注各种非药物性睡眠卫生策略对非老年个体睡眠质量的影响，其中 24 项研究应用于 NMA。本研究结果表明，抗阻训练是改善非老年个体睡眠质量最有效的干预措施。此外，本研究还揭示了非药物干预措施的效果，如身体活动、营养干预以及运动干预。这是首次利用 NMA 比较各种非药物性干预措施对非老年个体睡眠质量影响的报告。
