Author: Faizul Hasan1, Yu-Kang Tu2, Chih-Ming Lin3, Li-Pang Chuang4, Chii Jeng1, Lia Taurussia Yuliana1, Ting-Jhen Chen5, Hsiao-Yean Chiu6
Affiliation:
1 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
2 Department of Public Health and Institute of Epidemiology & Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan.
3 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
4 School of Medicine, Chang Gung University, Taoyuan, Taiwan; Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
5 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Faculty of Science, Medicine and Health, School of Nursing, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia.
6 School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan. Electronic address: hychiu0315@tmu.edu.tw.
Conference/Journal: Sleep Med Rev
Date published: 2022 Aug 27
Other:
Volume ID: 65 , Pages: 101673 , Special Notes: doi: 10.1016/j.smrv.2022.101673. , Word Count: 211
The efficacies of various exercise modalities in improving older adults' sleep quality remain unclear. Therefore, in this study, network meta-analysis was performed by comparing the efficacies of various exercise regimens in improving sleep quality in this age group. Six electronic databases were searched for relevant studies between the date of database creation and August 13, 2021. Only randomized controlled trials reporting the effects of exercise on sleep quality in this population were included. Random-effects network meta-analysis based on a frequentist framework was conducted. In total, 35 trials involving 3519 older adults were included. Cognitive behavioral therapy for insomnia, muscle endurance training combined with walking, Tai chi, Baduanjin, resistance training combined with walking, and resistance training significantly improved sleep quality to a greater degree than did usual care (P < 0.05). Muscle endurance training combined with walking led to significantly higher sleep quality than did regimens involving sleep hygiene, Pilates, only walking, health education, resistance training, Taichi, resistance training combined with walking, or yoga. Muscle endurance training combined with walking was identified as the optimal exercise program (88.9%) for enhancing sleep quality in older adults. The results of this study support the claim that exercise can improve sleep quality in this population. PROSPERO registration number: CRD42020178209.
Keywords: Exercise; Network meta-analysis; Older adults; Sleep quality.
PMID: 36087457 DOI: 10.1016/j.smrv.2022.101673
