Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial
- PMID: 25903450
- DOI: 10.1111/jsr.12297
Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial
Abstract
While high levels of activity and exercise training have been associated with improvements in sleep quality, minimum levels of activity likely to improve sleep outcomes have not been explored. A two-armed parallel randomized controlled trial (N=41; 30 females) was designed to assess whether increasing physical activity to the level recommended in public health guidelines can improve sleep quality among inactive adults meeting research diagnostic criteria for insomnia. The intervention consisted of a monitored program of ≥150 min of moderate- to vigorous-intensity physical activity per week, for 6 months. The principal end-point was the Insomnia Severity Index at 6 months post-baseline. Secondary outcomes included measures of mood, fatigue and daytime sleepiness. Activity and light exposure were monitored throughout the trial using accelerometry and actigraphy. At 6 months post-baseline, the physical activity group showed significantly reduced insomnia symptom severity (F(8,26) = 5.16, P = 0.03), with an average reduction of four points on the Insomnia Severity Index; and significantly reduced depression and anxiety scores (F(6,28) = 5.61, P = 0.02; and F(6,28) = 4.41, P = 0.05, respectively). All of the changes were independent of daily light exposure. Daytime fatigue showed no significant effect of the intervention (F(8,26) = 1.84, P = 0.18). Adherence and retention were high. Internationally recommended minimum levels of physical activity improve daytime and night-time symptoms of chronic insomnia independent of daily light exposure levels.
Keywords: RCT; chronic insomnia; physical exercise; walking.
© 2015 European Sleep Research Society.
Comment in
-
Physical Activity and Insomnia, Short Sleep and Insulin Resistance, and Effect of Poor Sleep on Children's Academic Performance.Am J Respir Crit Care Med. 2016 May 1;193(9):1058-60. doi: 10.1164/rccm.201512-2347RR. Am J Respir Crit Care Med. 2016. PMID: 26840801 No abstract available.
Similar articles
-
Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia.Sleep Med. 2010 Oct;11(9):934-40. doi: 10.1016/j.sleep.2010.04.014. Epub 2010 Sep 1. Sleep Med. 2010. PMID: 20813580 Free PMC article. Clinical Trial.
-
Impact of group treatment for insomnia on daytime symptomatology: Analyses from a randomized controlled trial in primary care.Int J Nurs Stud. 2018 Sep;85:126-135. doi: 10.1016/j.ijnurstu.2018.05.002. Epub 2018 May 24. Int J Nurs Stud. 2018. PMID: 29886347 Clinical Trial.
-
Sham sleep feedback delivered via actigraphy biases daytime symptom reports in people with insomnia: Implications for insomnia disorder and wearable devices.J Sleep Res. 2018 Dec;27(6):e12726. doi: 10.1111/jsr.12726. Epub 2018 Jul 10. J Sleep Res. 2018. PMID: 29989248
-
Novel Augmentation Strategies in Major Depression.Dan Med J. 2017 Apr;64(4):B5338. Dan Med J. 2017. PMID: 28385173 Review.
-
Nonpharmacological Treatments of Insomnia for Long-Term Painful Conditions: A Systematic Review and Meta-analysis of Patient-Reported Outcomes in Randomized Controlled Trials.Sleep. 2015 Nov 1;38(11):1751-64. doi: 10.5665/sleep.5158. Sleep. 2015. PMID: 25902806 Free PMC article. Review.
Cited by
-
The changing dynamics of work from home and its association with sleep disturbance through work-family conflict during the COVID-19 pandemic.J Occup Health. 2024 Jan 4;66(1):uiae014. doi: 10.1093/joccuh/uiae014. J Occup Health. 2024. PMID: 38569527 Free PMC article.
-
Prevalence of excessive daytime sleepiness and its association with daily life factors in Japanese first-year university students.Sleep Biol Rhythms. 2023 Jul 24;22(1):33-40. doi: 10.1007/s41105-023-00470-4. eCollection 2024 Jan. Sleep Biol Rhythms. 2023. PMID: 38476855 Free PMC article.
-
Effect of physical activity on sleep problems in sedentary adults: a scoping systematic review.Sleep Biol Rhythms. 2023 Oct 28;22(1):13-31. doi: 10.1007/s41105-023-00494-w. eCollection 2024 Jan. Sleep Biol Rhythms. 2023. PMID: 38476845 Review.
-
2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults - Brazilian Sleep Association.Sleep Sci. 2023 Nov 22;16(Suppl 2):507-549. doi: 10.1055/s-0043-1776281. eCollection 2023 Oct. Sleep Sci. 2023. PMID: 38370879 Free PMC article. Review.
-
Body mass index is associated with health-related quality of life and disease characteristics in young adults with juvenile idiopathic arthritis.Pediatr Rheumatol Online J. 2024 Feb 2;22(1):25. doi: 10.1186/s12969-023-00931-7. Pediatr Rheumatol Online J. 2024. PMID: 38308280 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous