Evidence map›Paper›PMID 41737812›Full record

ReviewFrontiers in digital health2026

The effects of exergaming on sleep quality: a systematic review and meta-analysis of randomized controlled trials.

Ziyu Hao, Yaxin Hu, Ke Chen, Karen Yiu, Pingping Jia, Kelvin Tsoi

Abstract readReview
In one paragraph

Review in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ziyu HaoJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Yaxin HuJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Ke ChenJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Karen YiuStanley Ho Big Data Decision Analytics Research Centre, The Chinese University of Hong Kong, Hong Kong, China.
Pingping JiaJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Kelvin TsoiJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Reduced sleep quality is a growing concern that can affect both mental and physical health in individuals of all ages. Exergames, which combine physical activity with gaming elements through digital technology, are an emergent popular intervention nowadays. This review aims to review the potential effects of exergames on sleep quality. Methods: This review is registered in PROSPERO under the identifier CRD42024601725. A systematic search of the literature was performed on February 13, 2025, across MEDLINE, EMBASE, SCOPUS, Web of Science, CENTRAL, CBM, and CNKI. Randomized controlled trials comparing the effects of exergame interventions on sleep quality were included. Standardized mean differences (SMD) with 95% confidence intervals (CI) were calculated to compare various sleep quality scales. Heterogeneity was assessed using the I² statistic and Cochran's Results: Our search identified a total of 800 studies, and 11 articles comprising 521 participants were included. Participants ranged in age from 9 to over 80 years old, with 41% being male. Among 9 studies comparing exergaming with no intervention, participants who received exergaming intervention showed better sleep quality [SMD [95% CI] of -0.31[-0.60, -0.01], k = 9]. Subgroup analysis indicated participants who had interventions lasting 8 weeks or longer [-0.35(-0.64, -0.06), k = 5], engaging in aerobic exercise-based exergaming experienced [-0.35 (-0.59, -0.11), k = 7], aged 60 and older [-1.38 (-2.75, -0.00), k = 2] showed significant improvements in sleep. Moreover, three studies comparing exergaming with traditional exercise showed no significant differences. Conclusions: Exergame interventions positively influence sleep quality, particularly for older adults or those with health conditions. Given their accessibility and ease of use, exergames can serve as a self-driven, long-term intervention at home. Systematic Review Registration: PROSPERO CRD42024601725.

Indexed as

aerobic exerciseinsomniaolder adultsPSQIvirtual reality

Identifiers

PMID41737812
PMCPMC12926418

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Registered trials

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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.