SynthesisBMC public health2025
Associations between the living environment and sleep through the mediation of the physical activity: a systematic review.
Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo review the role of physical activity as a mediator in the association between the living environment and sleep. MATERIALS AND
methodsObservational and experimental studies in English were included regardless of participants' age, gender, or ethnicity. Searches were conducted in Medline (via PuMed), Scopus and Embase, supplemented by manual searches. Study selection was performed by two independent reviewers on the basis of titles, abstracts, and full-text articles. Data extraction and quality assessment (using JBI critical appraisal tools) were also carried out by two reviewers. The PRISMA 2020 guidelines were followed throughout.
resultsAfter removing duplicates, 1147 studies were screened, of which 5 studies (4 cross-sectional and 1 longitudinal) met the inclusion criteria. These studies were of moderate methodological quality. Improved access to recreational facilities was indirectly associated with longer sleep duration, lower risk of wake after sleep onset (WASO) and later wake time through increased physical activity. Strengthened neighborhood social cohesion, and reduced neighborhood violence and problems (i.e., noise, lack of access to shops and parks, litter, etc.) were indirectly associated with longer sleep duration, a lower risk of short sleep duration and better sleep quality through increased physical activity.
conclusionPhysical activity appears to be a potential promising mediator between the living environment and sleep, but evidence remains limited due to the small number of studies on this topic. Future studies using a rigorous mediation methodology and including household-level factors are needed.
trial registrationProspero [ID: CRD42024580376].
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