Evidence map›Paper›PMID 25516028›Full record

Trial reportJournal of the American Geriatrics Society2014

Effect of exercise and cognitive activity on self-reported sleep quality in community-dwelling older adults with cognitive complaints: a randomized controlled trial.

Judy Pa, William Goodson, Andrew Bloch, Abby C King, Kristine Yaffe, Deborah E Barnes

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Effects of resistance exercise training and stretching on chronic insomnia.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Judy PaDepartment of Neurology, University of California at San Francisco, San Francisco, California; Department of Neurology, Institute for Neuroimaging and Informatics, University of Southern California, Los Angeles, California.
William Goodson
Andrew Bloch
Abby C King
Kristine Yaffe
Deborah E Barnes

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
TR&D3: Intrinsic Surface MappingP41EB015922 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SHI, YONGGANG · 2012 to 2022
$14.1M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Changes in Sleep and Cognition in Older WomenR01AG026720 · NIA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI STONE, KATIE L, YAFFE, KRISTINE · 2006 to 2016
$7.5M
Functional MRI Investigations of Attention and Memory Systems in MCIK01AG034175 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PA, JUDY · 2009 to 2013
$614k
Physical Activity and Cognitive Decline in the ElderlyK01AG024069 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARNES, DEBORAH E. · 2005 to 2009
$550k
NCATS NIH HHS KL2 TR000143NCRR NIH HHS KL2 RR024130NIA NIH HHS K01 AG024069NIA NIH HHS K01-AG024069NIA NIH HHS K01 AG034175NIA NIH HHS K01-AG034175NIA NIH HHS R01 AG026720NIA NIH HHS R01-AG026720NIBIB NIH HHS P41 EB015922
6 · The paper itself

Abstract

objectivesTo compare the effects of different types of physical and mental activity on self-reported sleep quality over 12 weeks in older adults with cognitive and sleep complaints.

designRandomized controlled trial.

settingGeneral community.

participantsSeventy-two inactive community-dwelling older adults with self-reported sleep and cognitive problems (mean age 73.3 ± 6.1; 60% women).

interventionRandom allocation to four arms using a two-by-two factorial design: aerobic+cognitive training, aerobic+educational DVD, stretching+cognitive training, and stretching+educational DVD arms (60 min/d, 3 d/wk for physical and mental activity for 12 weeks). MEASUREMENTS: Change in sleep quality using seven questions from the Sleep Disorders Questionnaire on the 2005 to 2006 National Health and Nutrition Examination Survey (range 0-28, with higher scores reflecting worse sleep quality). Analyses used intention-to-treat methods.

resultsSleep quality scores did not differ at baseline, but there was a significant difference between the study arms in change in sleep quality over time (P < .005). Mean sleep quality scores improved significantly more in the stretching+educational DVD arm (5.1 points) than in the stretching+cognitive training (1.2 points), aerobic+educational DVD (1.1 points), or aerobic+cognitive training (0.25 points) arms (all P < .05, corrected for multiple comparisons). Differences between arms were strongest for waking at night (P = .02) and taking sleep medications (P = .004).

conclusionSelf-reported sleep quality improved significantly more with low-intensity physical and mental activities than with moderate- or high-intensity activities in older adults with self-reported cognitive and sleep difficulties. Future longer-term studies with objective sleep measures are needed to corroborate these results.

Indexed as

AgedCognition DisordersExerciseFemaleHumansMaleSleep Wake DisordersSurveys and QuestionnairesTreatment Outcomeagingcognitioninterventionphysical activitysleep

Identifiers

PMID25516028
PMCPMC4356237

What OpenQuestion holds

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Registered trials

None linked

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.