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Sleep disorders and exercise: a mini-review.

Neeraj Mukesh Shah1,2,3, Christina Bennett1,3, Hira Hassan1,3

  • 1Lane Fox Respiratory Service, St. Thomas' Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.

Journal of Thoracic Disease
|November 16, 2023
PubMed
Summary
This summary is machine-generated.

Exercise therapy shows promise for improving sleep quality in various sleep disturbances, though more research is needed. While beneficial for general populations and obstructive sleep apnea, its impact on primary sleep disorders requires further investigation.

Keywords:
Exerciseinsomniarestless leg syndromesleepsleep apnoea

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Area of Science:

  • Sleep Medicine
  • Exercise Physiology

Background:

  • Sleep disturbances are increasingly prevalent, driving interest in non-pharmaceutical interventions like exercise therapy.
  • Exercise's positive effects on sleep architecture in healthy individuals are known, but mechanisms are not fully understood.

Purpose of the Study:

  • To review the current evidence on exercise therapy's effectiveness across different sleep disorders.
  • To identify gaps in research regarding exercise timing and its impact on sleep.

Main Methods:

  • Literature review of studies investigating exercise interventions for sleep disturbances.
  • Analysis of exercise effects on sleep architecture, daytime sleepiness, and specific sleep conditions.

Main Results:

  • Exercise improves sleep in healthy individuals and may reduce daytime sleepiness in obstructive sleep apnea (OSA).
  • Evidence for exercise in primary sleep disorders (insomnia, narcolepsy) is limited and of low quality.
  • Evening exercise may delay sleep onset, while cardiorespiratory fitness appears protective for shift workers.

Conclusions:

  • Exercise therapy holds potential for managing sleep disturbances, but high-quality evidence is lacking for many conditions.
  • Further large-scale prospective studies are crucial to establish evidence-based recommendations for exercise in sleep disorders.