SynthesisJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2024
Effects of different types of exercise on sleep quality based on Pittsburgh Sleep Quality Index in middle-aged and older adults: a network meta-analysis.
Synthesis in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- From factory floors to dream doors: a systematic review of sleep interventions in industrial workers.BMC public health · 2026Pooled it
- Research advances in physical activity and insomnia: a bibliometric and thematic evolution analysis.Frontiers in psychiatry · 2026Pooled it
- Efficacy of different exercise modalities for sleep quality in Parkinson's disease: a systematic review and network meta-analysis.Frontiers in physiology · 2026Pooled it
- Optimal exercise type and dose to improve sleep quality in older adults: a systematic review and network meta-analysis.BMC geriatrics · 2025Pooled it
- The effect of combined ergonomic training and exercises on musculoskeletal pain and ergonomic risks in supermarket cashiers: a randomized controlled trial.International archives of occupational and environmental health · 2025Trial
- Behavioral and Clinical Correlates of Poor Sleep and Anxiety Symptoms in Adults Aged 50 Years and Older: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Article
- Body and Mind Intertwined: Physical Activity Intensity, Sleep Quality, and Depressive Symptoms: Cross-Sectional Associations and Exploratory Path Analysis.Journal of clinical medicine · 2026Article
- Adherence to 24-hour movement guidelines and mental health outcomes in Chinese university students.BMC psychology · 2026Article
- Mediating Effect of Sleep Quality on the Association Between Psychological Stress and Acne Vulgaris in Chinese College Students: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Factors associated with sleep quality in community-dwelling older adults: a latent class analysis.BMC geriatrics · 2026Article
- Mind-body exercise and anxiety in middle-aged and older adults: a sequential mediation model of emotion regulation and sleep quality.Frontiers in public health · 2026Article
- The relationship between intracranial artery hemodynamics and subjective cognitive decline in patients with cerebral small vessel disease: a 4D flow study.Frontiers in neuroscience · 2026Article
- Impact of enhanced recovery after surgery on postoperative pain management and functional recovery in patients with colorectal cancer.World journal of gastrointestinal surgery · 2025Article
- Predicting Sleep Quality Based on Metabolic, Body Composition, and Physical Fitness Variables in Aged People: Exploratory Analysis with a Conventional Machine Learning Model.Journal of functional morphology and kinesiology · 2025Article
- Independent and joint associations of physical activity and a body shape index with sleep disorders in older adults with cardiometabolic multimorbidity: a cross-sectional study.BMC geriatrics · 2025Article
- The interaction of physical activity and sleep quality with depression and anxiety in older adults.Frontiers in public health · 2025Article
- Analysis of influencing factors of cognitive frailty in older adults community patients based on restricted cubic spline.Frontiers in public health · 2025Article
- Association between sleep quality and psychological wellbeing in 175 elite adult athletes: a cross-sectional study.Frontiers in public health · 2025Article
- Time-effect relationship between spare-time exercise and sleep quality in middle school student by parallel latent growth and cross-lagged panel model.Frontiers in psychology · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesA 2021 survey by the World Health Organization showed that 27% of the global population experiences sleep problems and that middle-aged and older adults are more likely to have sleep disorders. Sleep deprivation increases cardiovascular disease risk. This study aimed to assess the effects of aerobic exercise, resistance exercise, combined training, and yoga on the quality of sleep in middle-aged and older adults through their effects on the Pittsburgh Sleep Quality Index (PSQI) and its components. Direct and indirect comparisons were used to determine which exercise modality most effectively improves sleep quality in middle-aged and older adults.
methodsThis study conducted a systematic review and frequency network meta-analysis of all randomized controlled trials comparing the effects of aerobic exercise, resistance exercise, combined training, and yoga with a control group on sleep quality in middle-aged and older adults.
resultsWe included 28 studies involving 3,460 participants. According to the surface under the cumulative ranking (SUCRA) curve results, aerobic exercise was the most effective in improving total PSQI score (SUCRA = 93.2%), sleep latency (SUCRA = 96.8%), and sleep medication use (SUCRA = 77.1%). In addition, yoga was the most effective in improving sleep disorders (SUCRA = 90.4%), sleep efficiency (SUCRA = 95.9%), sleep duration (SUCRA = 93.8%), and daytime dysfunction (SUCRA = 98.3%).
conclusionsAerobic exercise is the most effective exercise modality for improving PSQI total score in middle-aged and older adults. SYSTEMATIC REVIEW REGISTRATION: Registry: PROSPERO; Identifier: CRD42023454237. CITATION: Gao X, Qiao Y, Chen Q, Wang C, Zhang P. Effects of different types of exercise on sleep quality based on Pittsburgh Sleep Quality Index in middle-aged and older adults: a network meta-analysis.
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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.