ArticleEuropean child & adolescent psychiatry2018
Sleep quality moderates the association between physical activity frequency and feelings of energy and fatigue in adolescents.
Article in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Physical Activity and Sleep Quality Association in Different Populations: A Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Trait Energy and Fatigue Modify the Effects of Caffeine on Mood, Cognitive and Fine-Motor Task Performance: A Post-Hoc Study.Nutrients · 2021Trial
- Physical Activity Profile of School-Aged Children Born Very Preterm and Its Association With Sleep.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Worldwide Prevalence of Poor Sleep Quality in Adolescents Aged 10-19 Years: A Systematic Review and Meta-Analysis.Iranian journal of child neurology · 2026Review
- A study of the relationship between physical fitness index and sleep quality in Chinese adolescents.Sleep & breathing = Schlaf & Atmung · 2025Article
- Breaking the cycle: Psychological and social dimensions of pediatric functional gastrointestinal disorders.World journal of clinical pediatrics · 2025Article
- Effectiveness of a Cannabinoids Supplement on Sleep and Mood in Adults With Subthreshold Insomnia: A Randomized Double-Blind Placebo-Controlled Crossover Pilot Trial.Health science reports · 2025Article
- Fatigue and quality of sleep jointly influence the association between physical activity and health-related quality of life in patients with chronic kidney disease: a cross-sectional study.Frontiers in nephrology · 2025Article
- Remote learning and physical activity in medical students from Latin America: a cross-sectional study during the first wave of the COVID-19 pandemic.Frontiers in sports and active living · 2025Article
- Magnesium-L-threonate improves sleep quality and daytime functioning in adults with self-reported sleep problems: A randomized controlled trial.Sleep medicine: X · 2024Article
- The dynamics of psychological attributes and symptomatic comorbidity of depression in children and adolescents.Social psychiatry and psychiatric epidemiology · 2024Article
- Associations between screen-time, physical activity and depressive symptoms differ based on gender and screen-time mode.European child & adolescent psychiatry · 2023Article
- Prevalence and correlates of excessive fatigue among Moroccan school adolescents: A cross-sectional study.Journal of public health in Africa · 2023Article
- Mapping associations between anxiety and sleep problems among outpatients in high-altitude areas: a network analysis.BMC psychiatry · 2023Article
- Preventive Medicine via Lifestyle Medicine Implementation Practices Should Consider Individuals' Complex Psychosocial Profile.Healthcare (Basel, Switzerland) · 2022Article
- Longitudinal epidemiological study of subjective sleep quality in Japanese adolescents to investigate predictors of poor sleep quality.Sleep and biological rhythms · 2022Article
- Managing Asthma and Obesity Related Symptoms (MATADORS): An mHealth Intervention to Facilitate Symptom Self-Management among Youth.International journal of environmental research and public health · 2020Article
- Adolescent psychiatry-from the viewpoint of a child and adolescent psychiatrist.European child & adolescent psychiatry · 2018Article
- Unravelling symptom interplay of depression, anxiety, insomnia and suicidality in adolescents: A network analysis.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
Physical activity (PA) can improve sleep quality, low energy, and fatigue. Though poor sleep quality may induce feelings of low energy and fatigue, the potential moderating effect of sleep quality on associations between PA and feelings of energy and fatigue among adolescents is unknown. Thus, this study examined the moderating effect of sleep quality on associations between PA frequency and feelings of energy and fatigue among adolescents in Ireland. Adolescents (N = 481; 281 males, 200 females) aged 15.1 ± 1.7 years self-reported PA frequency, feelings of energy and fatigue, and sleep quality (September to December 2015). Two-way ANCOVAs examined variation in feelings of energy and fatigue according to the interaction of PA and sleep quality. Standardized mean difference (d) quantified the magnitude of differences. Poor sleepers with low PA reported greater feelings of fatigue compared to normal sleepers with low PA (d = 1.02; 95% CI 0.60, 1.44), and poor sleepers with moderate PA reported greater feelings of fatigue compared to normal sleepers with moderate PA (d = 0.50; 0.17, 0.82). Poor sleepers with low PA reported greater feelings of fatigue compared to both poor sleepers with moderate PA (d = 0.44; 0.05, 0.83) and poor sleepers with high PA (d = 0.87; 0.46, 1.28). Poor sleepers with moderate PA reported greater feelings of fatigue compared to poor sleepers with high PA (d = 0.52; 0.14, 0.91). Poor sleep did not moderate the association between PA and feelings of energy. Sleep quality moderates the association between PA frequency and feelings of fatigue. Fatigue symptoms improve as PA frequency increases among adolescents with poor sleep quality.
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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.