Optimal exercise type and dose to improve sleep quality in older adults: a systematic review and network meta-analysis

作者：Zhiyu Xiong, Yuan Yuan, Bopeng Qiu, Yong Yang, Ying Bai, Junyu Wang, Tao Wang, Hao Liu, Yuwen Shangguan, Shihua Jiang, Fuhong Wang, Wu Ding, Zhongli Wang, Yiqi Li, Lin Zhang · 发表于：BMC Geriatrics · 年份：2025 · DOI：10.1186/s12877-025-06607-z · 被引用次数：6 · 研究领域：Cardiovascular and exercise physiology、Balance, Gait, and Falls Prevention、Sleep and related disorders

BACKGROUND: Sleep quality decreased can result in a major health issue in older people with age. While not all sleep changes are pathological in older people's life, severe disturbances may lead to depression, cognitive impairments, deterioration of quality of life, significant stresses for careers and increased healthcare costs. Despite the known benefits of exercise for improving sleep quality, it is necessary to identify the optimal exercise type and dose. OBJECTIVE: This systematic review and network meta-analysis (NMA) combined to examine evaluated the existing evidence on the effectiveness of different exercises, and to examine the dose and response relationship between overall and specific types with improving sleep quality in older people. METHODS: PubMed, Cochrane Central, Web of Science, and Embase were systematically searched for this review, including studies up to April 2025. Only randomized controlled trials were included. Studies involved at least one type of exercise intervention and reported changes in sleep quality assessments. To address the limitations of relying solely on statistical significance, we also calculated the minimal clinically important difference (MCID) to determine the smallest meaningful improvement in sleep quality among older people, both overall and across different exercise doses. Data analysis and visualization were conducted using the "meta", "netmeta", "MBNMA", and "ggplot2" packages in the R environment. RESULTS: A total of 62 RCTs ...