{"title":"运动对女性睡眠质量的影响——一项系统回顾和荟萃分析。","authors":"Yunheng Qiao , Chen Wang , Qin Chen , Peizhen Zhang","doi":"10.1016/j.jsams.2024.11.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Insomnia affects at least one-third of the global population and is more common in women. Exercise has been reported to improve sleep quality and subsequent use of hypnotics. Therefore, we performed a meta-analysis to assess the effect of exercise on sleep quality in adult women.</div></div><div><h3>Design</h3><div>This meta-analysis systematically assessed the effects of exercise on women's sleep quality using a random-effects model.</div></div><div><h3>Methods</h3><div>We searched seven databases for randomised controlled trials examining the effect of exercise on sleep quality in women. Inclusion criteria were women aged 18 or older with insomnia symptoms, exercise used as an intervention, and the Pittsburgh Sleep Quality Index or Insomnia Severity Index as outcome measures. We excluded studies using other treatments, those involving cancer patients or pregnant women, and those with unclear, unanalysable data. A random-effects model was used for meta-analysis, with outcomes expressed as the weighted mean difference and 95 % confidence interval. Risk of bias was assessed using Cochrane Handbook criteria.</div></div><div><h3>Results</h3><div>The meta-analysis included 16 studies. The results indicated that exercise significantly reduced the Pittsburgh Sleep Quality Index total score. Exercise implemented for <<!--> <!-->12 weeks was more effective in improving sleep quality and daytime dysfunction, whilst interventions ≥<!--> <!-->12 weeks reduced the use of sleep medication.</div></div><div><h3>Conclusions</h3><div>Exercise training can significantly improve sleep quality in adult women, as measured by the Pittsburgh Sleep Quality Index. Therefore, exercise can be crucial in promoting health, especially as a non-pharmacological treatment. When more studies will be available in the future, it will be possible to further explore the impact of age, type of exercise, and time of exercise.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 4","pages":"Pages 274-281"},"PeriodicalIF":3.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of exercise on sleep quality in women — A systematic review and meta-analysis\",\"authors\":\"Yunheng Qiao , Chen Wang , Qin Chen , Peizhen Zhang\",\"doi\":\"10.1016/j.jsams.2024.11.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>Insomnia affects at least one-third of the global population and is more common in women. Exercise has been reported to improve sleep quality and subsequent use of hypnotics. Therefore, we performed a meta-analysis to assess the effect of exercise on sleep quality in adult women.</div></div><div><h3>Design</h3><div>This meta-analysis systematically assessed the effects of exercise on women's sleep quality using a random-effects model.</div></div><div><h3>Methods</h3><div>We searched seven databases for randomised controlled trials examining the effect of exercise on sleep quality in women. Inclusion criteria were women aged 18 or older with insomnia symptoms, exercise used as an intervention, and the Pittsburgh Sleep Quality Index or Insomnia Severity Index as outcome measures. We excluded studies using other treatments, those involving cancer patients or pregnant women, and those with unclear, unanalysable data. A random-effects model was used for meta-analysis, with outcomes expressed as the weighted mean difference and 95 % confidence interval. Risk of bias was assessed using Cochrane Handbook criteria.</div></div><div><h3>Results</h3><div>The meta-analysis included 16 studies. The results indicated that exercise significantly reduced the Pittsburgh Sleep Quality Index total score. Exercise implemented for <<!--> <!-->12 weeks was more effective in improving sleep quality and daytime dysfunction, whilst interventions ≥<!--> <!-->12 weeks reduced the use of sleep medication.</div></div><div><h3>Conclusions</h3><div>Exercise training can significantly improve sleep quality in adult women, as measured by the Pittsburgh Sleep Quality Index. Therefore, exercise can be crucial in promoting health, especially as a non-pharmacological treatment. When more studies will be available in the future, it will be possible to further explore the impact of age, type of exercise, and time of exercise.</div></div>\",\"PeriodicalId\":16992,\"journal\":{\"name\":\"Journal of science and medicine in sport\",\"volume\":\"28 4\",\"pages\":\"Pages 274-281\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of science and medicine in sport\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1440244024005905\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of science and medicine in sport","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1440244024005905","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Effects of exercise on sleep quality in women — A systematic review and meta-analysis
Objectives
Insomnia affects at least one-third of the global population and is more common in women. Exercise has been reported to improve sleep quality and subsequent use of hypnotics. Therefore, we performed a meta-analysis to assess the effect of exercise on sleep quality in adult women.
Design
This meta-analysis systematically assessed the effects of exercise on women's sleep quality using a random-effects model.
Methods
We searched seven databases for randomised controlled trials examining the effect of exercise on sleep quality in women. Inclusion criteria were women aged 18 or older with insomnia symptoms, exercise used as an intervention, and the Pittsburgh Sleep Quality Index or Insomnia Severity Index as outcome measures. We excluded studies using other treatments, those involving cancer patients or pregnant women, and those with unclear, unanalysable data. A random-effects model was used for meta-analysis, with outcomes expressed as the weighted mean difference and 95 % confidence interval. Risk of bias was assessed using Cochrane Handbook criteria.
Results
The meta-analysis included 16 studies. The results indicated that exercise significantly reduced the Pittsburgh Sleep Quality Index total score. Exercise implemented for < 12 weeks was more effective in improving sleep quality and daytime dysfunction, whilst interventions ≥ 12 weeks reduced the use of sleep medication.
Conclusions
Exercise training can significantly improve sleep quality in adult women, as measured by the Pittsburgh Sleep Quality Index. Therefore, exercise can be crucial in promoting health, especially as a non-pharmacological treatment. When more studies will be available in the future, it will be possible to further explore the impact of age, type of exercise, and time of exercise.
期刊介绍:
The Journal of Science and Medicine in Sport is the official journal of Sports Medicine Australia (SMA) and is an an international refereed research publication covering all aspects of sport science and medicine.
The Journal considers for publication Original research and Review papers in the sub-disciplines relating generally to the broad sports medicine and sports science fields: sports medicine, sports injury (including injury epidemiology and injury prevention), physiotherapy, podiatry, physical activity and health, sports science, biomechanics, exercise physiology, motor control and learning, sport and exercise psychology, sports nutrition, public health (as relevant to sport and exercise), and rehabilitation and injury management. Manuscripts with an interdisciplinary perspective with specific applications to sport and exercise and its interaction with health will also be considered.