Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2011
Moderators and mediators of exercise-induced objective sleep improvements in midlife and older adults with sleep complaints.
Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The effectiveness of exercise interventions in the improvement of sleep in older adult people: a meta-analysis.Frontiers in public health · 2025Pooled it
- Physical Activity and Sleep Quality Association in Different Populations: A Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Physical activity and sleep: An updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report.Sleep medicine reviews · 2021Pooled it
- Does exercise impact on sleep for people who have rheumatoid arthritis? A systematic review.Rheumatology international · 2017Pooled it
- Is exercise an alternative treatment for chronic insomnia?Clinics (Sao Paulo, Brazil) · 2012Pooled it
- Testing the comparative effects of physical activity advice by humans vs. computers in underserved populations: The COMPASS trial design, methods, and baseline characteristics.Contemporary clinical trials · 2017Trial
- Daily step-count and sleep metrics across pregnancy: an observational analysis of the LEAP cluster randomized clinical trial.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Effects of a telerehabilitation-based exercise program in patients with systemic sclerosis.Zeitschrift fur Rheumatologie · 2024Article
- Software professionals during the COVID-19 pandemic in Turkey: Factors affecting their mental well-being and work engagement in the home-based work setting.The Journal of systems and software · 2022Article
- Prospective associations between sedentary behavior and physical activity in adolescence and sleep duration in adulthood.Preventive medicine · 2021Article
- Combined effect of daily physical activity and social relationships on sleep disorder among older adults: cross-sectional and longitudinal study based on data from the Kasama study.BMC geriatrics · 2021Article
- The Acute Effects of Aerobic Exercise on Nocturnal and Pre-Sleep Arousal in Patients with Unipolar Depression: Preplanned Secondary Analysis of a Randomized Controlled Trial.Journal of clinical medicine · 2021Article
- Testing the effectiveness of community-engaged citizen science to promote physical activity, foster healthier neighborhood environments, and advance health equity in vulnerable communities: The Steps for Change randomized controlled trial design and methods.Contemporary clinical trials · 2021Article
- Exercise intervention for sleep disorders after stroke: A protocol for systematic review and meta-analysis.Medicine · 2021Article
- Aerobic exercise affects sleep, psychological wellbeing and immune system parameters among subjects with chronic primary insomnia.African health sciences · 2020Article
- Physical Activity and Insomnia Symptoms Over 10 Years in a U.S. National Sample of Late-Middle-Age and Older Adults: Age Matters.Journal of aging and physical activity · 2020Article
- Testing the effectiveness of physical activity advice delivered via text messaging vs. human phone advisors in a Latino population: The On The Move randomized controlled trial design and methods.Contemporary clinical trials · 2020Article
- Article
- Is poor sleep associated with obesity in older adults? A narrative review of the literature.Eating and weight disorders : EWD · 2018Review
- Sleep Outcomes With Cognitive Behavioral Therapy for Insomnia Are Similar Between Older Adults With Low vs. High Self-Reported Physical Activity.Frontiers in aging neuroscience · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveExercise can improve sleep quality, but for whom and by what means remains unclear. We examined moderators and mediators of objective sleep improvements in a 12-month randomized controlled trial among underactive midlife and older adults reporting mild/moderate sleep complaints.
methodsParticipants (N = 66, 67% women, 55-79 years) were randomized to moderate-intensity exercise or health education control. Putative moderators were gender, age, physical function, self-reported global sleep quality, and physical activity levels. Putative mediators were changes in BMI, depressive symptoms, and physical function at 6 months. Objective sleep outcomes measured by in-home polysomnography were percent time in Stage I sleep, percent time in Stage II sleep, and number of awakenings during the first third of sleep at 12 months.
resultsBaseline physical function and sleep quality moderated changes in Stage I sleep; individuals with higher initial physical function (p = .01) and poorer sleep quality (p = .03) had greater improvements. Baseline physical activity level moderated changes in Stage II sleep (p = .04) and number of awakenings (p = .01); more sedentary individuals had greater improvements. Decreased depressive symptoms (CI:-1.57 to -0.02) mediated change in Stage I sleep. Decreased depressive symptoms (CI:-0.75 to -0.01), decreased BMI (CI:-1.08 to -0.06), and increased physical function (CI: 0.01 to 0.72) mediated change in number of awakenings.
conclusionsInitially less active individuals with higher initial physical function and poorer sleep quality improved the most. Affective, functional, and metabolic mediators specific to sleep architecture parameters were suggested. These results indicate strategies to more efficiently treat poor sleep through exercise in older adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.