SynthesisSleep medicine reviews2021
Physical activity and sleep: An updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report.
Synthesis in Sleep medicine reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 2 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
82 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effectiveness of exercise interventions targeting sleep in older adults with cognitive impairment or Alzheimer's disease and related dementias (AD/ADRD): A systematic review and meta-analysis.Journal of sleep research · 2024Pooled it
- Determinants of natural adult sleep: An umbrella review.PloS one · 2022Pooled it
- Temporal Associations of Physical Activity Volume, Intensity, and Timing With Sleep in Preschool-Aged Children.Journal of sleep research · 2026Trial
- Trial
- The Influence of 25- and 90-Min Afternoon Nap Opportunities on Subsequent Nighttime Sleep in Student Athletes.Journal of sleep research · 2026Trial
- The impact of breaking up prolonged sitting with physical activity during simulated dayshifts and nightshifts on sleep architecture: a randomised controlled trial.Scientific reports · 2025Trial
- 24-Hour time use and cognitive performance in late adulthood: results from the Investigating Gains in Neurocognition in an Intervention Trial of Exercise (IGNITE) study.Age and ageing · 2025Trial
- Trial
- Effects of a randomized controlled hiking intervention on daily activities, sleep, and stress among adults during the COVID-19 pandemic.BMC public health · 2023Trial
- Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial.International journal of environmental research and public health · 2022Trial
- Exploring the Interplay of Movement Dispersion, Sleep, and Quality of Life Among Men With and Without HIV.AIDS and behavior · 2026Article
- Association of Domain-Specific Physical Activity with Sleep Disorders in U.S. Adults: A Cross-Sectional Study Based on NHANES.Healthcare (Basel, Switzerland) · 2026Article
- Sleep and Movement Behaviours in Preschool Children: A Cross-Sectional Study With Compositional Data Analysis.Journal of sleep research · 2026Article
- Differential Associations of Occupational and Total Physical Activity with Sleep Quality Among Adults in the United Arab Emirates: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Insufficient Sleep, Sleep Disturbance, and Napping in Australia: A Cross-Sectional Analysis From a Household-Based Panel Study.International journal of behavioral medicine · 2026Article
- Elevating sleep to a global health priority: The One Sleep Health framework.Cell reports. Medicine · 2026Review
- Effectiveness of Total Body Resistance Exercise Intervention on Sleep Quality Among Nursing Staff.The journal of nursing research : JNR · 2026Article
- Article
- Associations of long-term PMBMC public health · 2026Article
- Is martial arts participation associated with sleep quality among Chinese adolescents? A cross-sectional baseline survey.Frontiers in medicine · 2026Article
22 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Physical activity (PA) is widely considered to improve sleep, but a comprehensive review of the research on this topic has not been performed. In this umbrella review, conducted initially for the 2018 Physical Activity Guidelines for Americans Advisory Committee and updated to reflect more recent research, we examined whether PA enhances sleep outcomes across the lifespan as well as among individuals with sleep disorders. Systematic reviews and meta-analyses were utilized to assess the evidence. We also examined dose-response considerations and whether the association between PA and sleep was moderated by various factors (e.g., timing, sociodemographic characteristics). We found strong evidence that both acute bouts of PA and regular PA improved sleep outcomes. Moderate evidence indicated that longer bouts of PA (both acute and regular) improved sleep, and that the effects of PA on sleep outcomes were generally preserved across adult age groups and sex. Finally, moderate evidence demonstrated that PA improved sleep in adults with insomnia symptoms or obstructive sleep apnea. Several important areas in need of future research were also identified. Overall, the review supported the claim that PA improves sleep, but highlighted gaps that need to be addressed to facilitate more widespread utilization of PA for improving sleep.
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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.