The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis

Lang, Christin; Kalak, Nadeem; Brand, Serge; Holsboer‐Trachsler, Edith; Pühse, Uwe; Gerber, Markus

doi:10.1016/j.smrv.2015.07.004

Cited by 165 publications

(159 citation statements)

References 97 publications

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“…Variations in the methods of these investigations make it difficult to compare the findings across studies; however, it is worth discussing the differences as they may allude to further understanding of the sleep-exercise relationship. A review by Lang et al explored these various differences in methodology and found that participants who engaged in high levels of physical activity were more likely to experience better sleep quality [31]. Yamanaka et al evaluated the acute effects of daily aerobic exercise in young adult males over the course of six nights in a living facility using plasma melatonin, rectal temperature, polysomnography, and heart rate variability as various physiological measures [32].…”

Section: Discussionmentioning

confidence: 99%

Interrelationship between Sleep and Exercise: A Systematic Review

Dolezal

Neufeld

Boland

et al. 2017

Advances in Preventive Medicine

245

194

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Although a substantial body of literature has explored the relationship between sleep and exercise, comprehensive reviews and definitive conclusions about the impact of exercise interventions on sleep are lacking. Electronic databases were searched for articles published between January 2013 and March 2017. Studies were included if they possessed either objective or subjective measures of sleep and an exercise intervention that followed the guidelines recommended by the American College of Sports Medicine. Thirty-four studies met these inclusion criteria. Twenty-nine studies concluded that exercise improved sleep quality or duration; however, four found no difference and one reported a negative impact of exercise on sleep. Study results varied most significantly due to participants' age, health status, and the mode and intensity of exercise intervention. Mixed findings were reported for children, adolescents, and young adults. Interventions conducted with middle-aged and elderly adults reported more robust results. In these cases, exercise promoted increased sleep efficiency and duration regardless of the mode and intensity of activity, especially in populations suffering from disease. Our review suggests that sleep and exercise exert substantial positive effects on one another; however, to reach a true consensus, the mechanisms behind these observations must first be elucidated.

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Section: Discussionmentioning

confidence: 99%

Interrelationship between Sleep and Exercise: A Systematic Review

Dolezal

Neufeld

Boland

et al. 2017

Advances in Preventive Medicine

245

194

View full text Add to dashboard Cite

show abstract

“…Another study showed that fatigue severity and PA during adolescence predicted fatigue during young adulthood [26]. Although few experimental data exist on the impact of exercise on sleep in adolescents [27], a meta-analysis of 12 studies of 16,549 individuals found that greater levels of physical activity were associated with greater sleep efficiency and greater sleep quality [28]. However, these studies did not adequately consider fatigue outcomes [28].…”

Section: Introductionmentioning

confidence: 99%

“…Although few experimental data exist on the impact of exercise on sleep in adolescents [27], a meta-analysis of 12 studies of 16,549 individuals found that greater levels of physical activity were associated with greater sleep efficiency and greater sleep quality [28]. However, these studies did not adequately consider fatigue outcomes [28]. Thus, there is a continued need to investigate both the association between PA and fatigue and factors which may influence that association (e.g., sleep) in adolescents.…”

Section: Introductionmentioning

confidence: 99%

Sleep quality moderates the association between physical activity frequency and feelings of energy and fatigue in adolescents

Herring

Monroe

Kline

et al. 2018

Eur Child Adolesc Psychiatry

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Physical activity (PA) can improve sleep quality, low energy, and fatigue. Though poor sleep quality may induce feelings of low energy and fatigue, the potential moderating effect of sleep quality on associations between PA and feelings of energy and fatigue among adolescents is unknown. Thus, this study examined the moderating effect of sleep quality on associations between PA frequency and feelings of energy and fatigue among adolescents in Ireland. Adolescents (N = 481; 281 males, 200 females) aged 15.1 ± 1.7 years self-reported PA frequency, feelings of energy and fatigue, and sleep quality (September to December 2015). Two-way ANCOVAs examined variation in feelings of energy and fatigue according to the interaction of PA and sleep quality. Standardized mean difference (d) quantified the magnitude of differences. Poor sleepers with low PA reported greater feelings of fatigue compared to normal sleepers with low PA (d = 1.02; 95% CI 0.60, 1.44), and poor sleepers with moderate PA reported greater feelings of fatigue compared to normal sleepers with moderate PA (d = 0.50; 0.17, 0.82). Poor sleepers with low PA reported greater feelings of fatigue compared to both poor sleepers with moderate PA (d = 0.44; 0.05, 0.83) and poor sleepers with high PA (d = 0.87; 0.46, 1.28). Poor sleepers with moderate PA reported greater feelings of fatigue compared to poor sleepers with high PA (d = 0.52; 0.14, 0.91). Poor sleep did not moderate the association between PA and feelings of energy. Sleep quality moderates the association between PA frequency and feelings of fatigue. Fatigue symptoms improve as PA frequency increases among adolescents with poor sleep quality.

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“…It is thus not surprising that sleep-related disorders, like obstructive sleep apnea and restless leg syndrome, are associated with increased rates of depression [11]. Physical activity may assist in combating both depression [12] and sleep disorders as increased levels of physical activity have been shown to lower the rate of sleep disorders in depressed individuals [13]. Therefore, this study aimed to determine the trends, differences, and to explore associations between the levels of depression, sleep patterns and physical activity levels in both healthy and people with depression.…”

Section: Introductionmentioning

confidence: 99%

Temporal sleep patterns between healthy and depressed individuals

Alotaibi

Halaki

Chow

2017

IJBAS

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Background: Individuals with depression differ in their sleep patterns from healthy subjects. However, there are no studies that compare the temporal sleep patterns between healthy and depressed people or explore the relations between depressive symptomatology and physical activity levels. This study is an attempt to address this gap. Method: Participants recruited were 20 healthy and 20 depressed individuals. Data related to sleep-wake patterns, and activity levels were collected over four weeks using actigraph device (Actiwatch 2) and depressive symptoms were collected using the Depression Anxiety and Stress Scale (DASS) and Quick Inventory of Depressive Symptoms (QIDS) questionnaire. The data for the two groups were compared using t-tests. Correlation analyses were employed to test for associations between depressive symptoms, activity level and sleep patterns for each group. Result: The depressed group had significantly higher scores for depression, longer total sleep time, and lower level of activity compared to the healthy group. Sleep onset latency (SOL) was significantly correlated with the anxiety subscale of DASS, the depression score as measured by QIDS, and the activity level in the depressed group. The positive association between activity level and SOL was anomalous, and did not reflect the expected pattern seen in healthy individuals. Conclusion: The depressed group was confirmed to have significantly higher levels of depression, stress and anxiety, and lower level of physical activity. Increased anxiety and depression predicted delayed sleep onset. Depressive symptoms may have masked the expected relation between physical activity and SOL seen in healthy individuals.

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The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis

Cited by 165 publications

References 97 publications

Interrelationship between Sleep and Exercise: A Systematic Review

Interrelationship between Sleep and Exercise: A Systematic Review

Sleep quality moderates the association between physical activity frequency and feelings of energy and fatigue in adolescents

Temporal sleep patterns between healthy and depressed individuals

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