ArticleBMJ open2024
Association between physical activity over a 10-year period and current insomnia symptoms, sleep duration and daytime sleepiness: a European population-based study.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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
14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Comparative Effects of Various Delivery Methods of Cognitive Behavioral Therapy for Insomnia Among Patients With Cancers: Systematic Review and Network Meta-Analysis.Psycho-oncology · 2026Pooled it
- Optimal types and doses of exercise for improving sleep quality in perinatal women: a systematic review and network meta-analysis based on randomized controlled trials.BMC pregnancy and childbirth · 2026Pooled it
- Associations between the living environment and sleep through the mediation of the physical activity: a systematic review.BMC public health · 2025Pooled it
- Evaluating the global prevalence of insomnia during pregnancy through standardized questionnaires and diagnostic criteria: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Physical activity and insomnia in adolescents: the chain mediating role of anxiety and short video addiction.Scientific reports · 2026Article
- The joint association of sleep duration and physical activity with frailty among older adults: the first evidence from CHARLS.BMC geriatrics · 2026Article
- Buffering the effects of work stress on anxiety and depression: a moderated mediation model of physical activity enjoyment and sleep disturbance in China.BMC psychology · 2026Article
- Which exercise prescription is most effective for patients with sleep disorders?: a network meta-analysis of 30 randomized controlled trials.Sleep and biological rhythms · 2025Review
- Comparative analysis of sleep duration and stroke prevalence in China and the U.S. before and during COVID-19.Journal of cardiothoracic surgery · 2025Article
- Associations between sleep duration and quality and physical frailty in community-dwelling older adults: a cross-sectional study.Scientific reports · 2025Article
- National Trends in Asthma Prevalence among Adolescents in South Korea, 2007-2023: A National Representative Serial Study.International archives of allergy and immunology · 2025Article
- Effects of Walking Practice in Menopausal Women Monitored Using a Mobile Application.Telemedicine reports · 2025Article
- Exploring Health Promotion Behaviors, Occupational Burnout, and Sleep Disturbances in Traditional Industry Workers.Healthcare (Basel, Switzerland) · 2024Article
- Rapid Lifestyle Recommendations to Improve Urologic, Heart and Overall Health.Current urology reports · 2024Review
Corrections and comments
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Authors and funding
16 authors at 12 institutions in 9 countries.
Funding
Abstract
objectivesTo explore the relationship between physical activity over a 10-year period and current symptoms of insomnia, daytime sleepiness and estimated sleep duration in adults aged 39-67.
designPopulation-based, multicentre cohort study.
setting21 centres in nine European countries.
methodsIncluded were 4339 participants in the third follow-up to the European Community Respiratory Health Survey (ECRHS III), who answered questions on physical activity at baseline (ECRHS II) and questions on physical activity, insomnia symptoms, sleep duration and daytime sleepiness at 10-year follow-up (ECRHS III). Participants who reported that they exercised with a frequency of at least two or more times a week, for 1 hour/week or more, were classified as being physically active. Changes in activity status were categorised into four groups: persistently non-active; became inactive; became active; and persistently active.
main outcome measuresInsomnia, sleep time and daytime sleepiness in relation to physical activity.
resultsAltogether, 37% of participants were persistently non-active, 25% were persistently active, 20% became inactive and 18% became active from baseline to follow-up. Participants who were persistently active were less likely to report difficulties initiating sleep (OR 0.60, 95% CI 0.45-0.78), a short sleep duration of ≤6 hours/night (OR 0.71, 95% CI 0.59-0.85) and a long sleep of ≥9 hours/night (OR 0.53, 95% CI 0.33-0.84) than persistently non-active subjects after adjusting for age, sex, body mass index, smoking history and study centre. Daytime sleepiness and difficulties maintaining sleep were not related to physical activity status.
conclusionPhysically active people have a lower risk of some insomnia symptoms and extreme sleep durations, both long and short.
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