Evidence map›Paper›PMID 40234380›Full record

ArticleNature communications2025

Dose-response relationship between evening exercise and sleep.

Josh Leota, David M Presby, Flora Le, Mark É Czeisler, Luis Mascaro, Emily R Capodilupo, Joshua F Wiley, Sean P A Drummond, Shantha M W Rajaratnam, Elise R Facer-Childs

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

10 authors.

Josh LeotaSchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia. josh.leota@monash.edu.ORCID http://orcid.org/0000-0002-7714-4630
David M PresbyDepartment of Data Science and Research, Whoop, Inc., Boston, MA, USA.
Flora LeSchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia.
Mark É CzeislerFrancis Weld Peabody Society, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3100-7347
Luis MascaroSchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia.ORCID http://orcid.org/0000-0003-1370-8609
Emily R CapodilupoDepartment of Data Science and Research, Whoop, Inc., Boston, MA, USA.
Joshua F WileySchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia.
Sean P A DrummondSchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia.ORCID http://orcid.org/0000-0002-9815-626X
Shantha M W RajaratnamSchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia.
Elise R Facer-ChildsSchool of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, 18 Innovation Walk, Clayton, 3800, Australia. elise.facer-childs@monash.edu.ORCID http://orcid.org/0000-0003-4549-9266

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Public health guidelines recommend exercise as a key lifestyle intervention for promoting and maintaining healthy sleep function and reducing disease risk. However, strenuous evening exercise may disrupt sleep due to heightened sympathetic arousal. This study examines the association between strenuous evening exercise and objective sleep, using data from 14,689 physically active individuals who wore a biometric device during a one-year study interval (4,084,354 person-nights). Here we show later exercise timing and higher exercise strain are associated with delayed sleep onset, shorter sleep duration, lower sleep quality, higher nocturnal resting heart rate, and lower nocturnal heart rate variability. Regardless of strain, exercise bouts ending ≥4 hours before sleep onset are not associated with changes in sleep. Our results suggest evening exercise-particularly involving high exercise strain-may disrupt subsequent sleep and nocturnal autonomic function. Individuals aiming to improve sleep health may benefit from concluding exercise at least 4 hours before sleep onset or electing lighter strain exercises within this window.

Indexed as

ExerciseSleepAdultCircadian RhythmFemaleHeart RateHumansMaleMiddle AgedSleep QualityTime FactorsYoung Adult

Identifiers

PMID40234380
PMCPMC12000559

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.