运动干预对改善老年人睡眠的有效性：一项荟萃分析。
The effectiveness of exercise interventions in the improvement of sleep in older adult people: a meta-analysis.
作者信息
Geng Di, Li Xiaogang, Sun Guotao
机构信息
Department of Physical Education, University of Electronic Science and Technology of China, Chengdu, China.
School of Physical Education, Sichuan Normal University, Chengdu, China.
出版信息
Front Public Health. 2025 Mar 5;13:1529519. doi: 10.3389/fpubh.2025.1529519. eCollection 2025.
BACKGROUND
Sleep problems are prevalent among the older adult population, with a significant impact on their health and overall well-being. Several randomized controlled trials (RCTs) have yielded controversial results regarding the efficacy of exercise interventions in the improvement of sleep among older adult people. This systematic review and meta-analysis aim to assess the influence of exercise interventions on sleep quality within this demographic.
METHODS
A search was conducted across four databases, namely Web of Science, PubMed, Embase, and SportDiscus, in order to identify randomized controlled trials investigating exercise interventions and sleep in the older adult. The quality of the studies included was evaluated by two researchers according to the PEDro scale. Meta-analysis and sensitivity analysis were performed utilizing RevMan 5.4 and Stata 17 software.
RESULT
A total of fifty studies encompassing 3,937 participants were included in the analysis. Regarding patient-reported sleep parameters, exercise interventions exhibited enhancements in sleep quality (WMD = -2.18, 95%CI: -2.83 to -1.53, < 0.01) and reductions in insomnia severity (SMD = -0.52, 95%CI: -0.79 to -0.25, < 0.01), albeit without significant improvements in daytime sleepiness (SMD = -0.66, 95%CI: -1.41 to 0.09, = 0.09). In terms of clinician-reported sleep parameters, exercise interventions resulted in increased total sleep time (WMD = 8.98, 95%CI: 1.19 to 16.78, < 0.05) and sleep efficiency (WMD = 3.66, 95%CI: 2.46 to 4.85, < 0.01), and reduced wake time after sleep onset (WMD = -11.85, 95%CI: -15.58 to -8.11, < 0.01), but did not decrease sleep onset latency (WMD = -3.05, 95%CI: -6.23 to 0.13, = 0.06) or the number of awakenings during sleep (WMD = -0.73, 95%CI: -1.98 to 0.52, = 0.25).
CONCLUSION
Exercise interventions have demonstrated positive effects on enhancing sleep quality among the older adult population. This study lends support to the utilization of exercise interventions as a safe, feasible, and effective non-pharmacological treatment approach for enhancing sleep among older individuals.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/PROSPERO/view/CRD42024530227, Identifier CRD42024530227.
背景
睡眠问题在老年人群中普遍存在，对他们的健康和整体幸福感有重大影响。几项随机对照试验（RCT）在运动干预对改善老年人睡眠效果方面得出了有争议的结果。本系统评价和荟萃分析旨在评估运动干预对该人群睡眠质量的影响。
方法
在四个数据库，即科学网、PubMed、Embase和SportDiscus中进行检索，以识别调查运动干预与老年人睡眠的随机对照试验。两名研究人员根据PEDro量表对纳入研究的质量进行评估。使用RevMan 5.4和Stata 17软件进行荟萃分析和敏感性分析。
结果
共有50项研究，包括3937名参与者纳入分析。关于患者报告的睡眠参数，运动干预显示睡眠质量有所改善（加权均数差[WMD]= -2.18，95%置信区间：-2.83至-1.53，P<0.01），失眠严重程度降低（标准化均数差[SMD]= -0.52，95%置信区间：-0.79至-0.25，P<0.01），尽管白天嗜睡情况无显著改善（SMD= -0.66，95%置信区间：-1.41至0.09，P=0.09）。就临床医生报告的睡眠参数而言，运动干预导致总睡眠时间增加（WMD= 8.98，95%置信区间：1.19至16.78，P<0.05）和睡眠效率提高（WMD= 3.66，95%置信区间：2.46至4.85，P<0.01），睡眠开始后觉醒时间减少（WMD= -11.85，95%置信区间：-15.58至-8.11，P<0.01），但未降低入睡潜伏期（WMD= -3.05，95%置信区间：-6.23至0.13，P=0.06）或睡眠期间觉醒次数（WMD= -0.73，95%置信区间：-1.98至0.52，P=0.25）。
结论
运动干预已证明对提高老年人群的睡眠质量有积极作用。本研究支持将运动干预作为一种安全、可行且有效的非药物治疗方法，用于改善老年人的睡眠。
系统评价注册
https://www.crd.york.ac.uk/PROSPERO/view/CRD42024530227，标识符CRD42024530227。
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