Dataset Information

The effectiveness of different exercise modalities on sleep quality: A protocol for systematic review and network meta-analysis.

ABSTRACT:

Background

Recently, the effect of exercise on sleep quality has been paid increasing attention by researchers. A number of systematic reviews and direct meta-analyses have explored the effectiveness of exercise on sleep quality. However, which type of exercise is optimal for sleep quality is still not clear. Therefore, this study aims to adopt network meta-analysis to evaluate the effect of different exercise modalities on sleep quality and find the most effective one for improving sleep quality.

Methods

The databases searched included PubMed, Web of Science, EMBASE, CENTRAL, PsycINFO, and SPORTDiscus. Studies published in English and from the dates of database inception to October 8, 2019, were included. Besides, we also checked the reference lists of systematic reviews published in recent years. Two independent researchers screened all studies, included the studies that met eligible criteria and will then extract data. The risk of bias will be assessed by the 2 researchers according to the modified Cochrane Risk of Bias Tool. During these processes, any disagreement will be discussed to reach a consensus. STATA 14.0 software will be used for direct meta-analysis and network meta-analysis.

Results

High-quality synthesis of current evidences will be provided from Pittsburgh sleep quality index. And the effectiveness of different exercise modalities for sleep quality will also be shown.

Conclusion

This study will provide the evidence of the most effective exercise for better sleep quality.

Registration

This study was registered with the International Platform of Registered Systematic Review and Meta-Analysis Protocols (registration number: INPLASY202050096).

SUBMITTER: Cao P

PROVIDER: S-EPMC7373514 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Publications

The effectiveness of different exercise modalities on sleep quality: A protocol for systematic review and network meta-analysis.

Cao Peiye P Cai Ying Y Zhang Shifang S Wan Qiaoqin Q

Medicine 20200701 29

<h4>Background</h4>Recently, the effect of exercise on sleep quality has been paid increasing attention by researchers. A number of systematic reviews and direct meta-analyses have explored the effectiveness of exercise on sleep quality. However, which type of exercise is optimal for sleep quality is still not clear. Therefore, this study aims to adopt network meta-analysis to evaluate the effect of different exercise modalities on sleep quality and find the most effective one for improving slee ...[more]

PMID: 32702874

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Project description:IntroductionHeart transplantation is the gold standard treatment for selected patients with end-stage heart failure. Although this procedure can improve quality and prolong life expectancy, several of these patients persist with decreased exercise tolerance. Evidence suggests that exercise training can bring multifactorial benefits to heart transplant (HTx) recipients. However, it is unclear that exercise modality should be preferred. Therefore, the aim of this systematic review and network meta-analysis is to compare the efficacy and safety of different training modalities in HTx recipients.Methods and analysisWe will perform a comprehensive literature search in PubMed/MEDLINE, Embase, The Cochrane Library, CINAHL, Scopus, SportDISCUS, Web of Science Core Collection and PEDro from inception until November 2020. Two registries (ClinicalTrials.gov and REBEC) will also be searched for potential results in unpublished studies. There will be no restriction on language, date of publication, publication status or sample size. We will include randomised controlled trials enrolling adult HTx recipients with the presence of at least one exercise training group, which might be compared with another training modality and/or a non-exercise control group for a minimum of 4 weeks of intervention. The primary outcomes will be peak oxygen consumption and occurrence of adverse events. As secondary outcomes, the interaction between pulmonary ventilation, pulmonary perfusion and cardiac output, oxygen uptake efficiency slope, heart rate response, oxygen pulse, peak blood pressure and peak subjective perception of effort. In addition, we will evaluate the 6 min walking distance, health-related quality of life, endothelial function, muscle strength, body fat percentage and lean mass. Risk of bias will be assessed using the Cochrane RoB V.2.0 tool, and we plan to use the Confidence in Network Meta-Analysis tool to assess confidence in the results. All materials (raw data, processed data, statistical code and outputs) will be shared in a public repository.Ethics and disseminationGiven the nature of this study, no ethical approval will be required. We believe that the findings of this study may show which is the most efficacious and safe physical training modality for HTx recipients. The completed systematic review and network meta-analysis will be submitted to a peer-reviewed journal.Prospero registration numberCRD42020191192.

Project description:BackgroundLifestyle modification based on exercise intervention is still the primary way to delay or reverse the development of diabetes in patients with prediabetes. However, there are still challenges in setting up a detailed exercise prescription for people with prediabetes. This study mainly ranks exercise prescriptions by comparing the improvement of glucose and lipid metabolism and the level of weight loss in patients.MethodAll studies on exercise intervention in prediabetes were identified by searching five electronic databases. Risk assessment and meta-analysis were performed on eligible studies.ResultsTwenty-four studies involving 1946 patients with prediabetes and seven exercise intervention models were included in the final analysis. The meta-analysis showed that exercise of any type was more effective for glycemic control in prediabetes than no exercise. However, the changes in blood glucose were moderate. In prediabetes, combining moderate-intensity aerobic exercise with low-to moderate-load resistance training showed the most significant improvements in glycosylated hemoglobin (HbA1c), body mass index (BMI), body weight (BW), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL) (P-score=0.82; 0.70; 0.87; 1; 0.99), low-to moderate-load resistance training showed the most significant improvements in fasting blood glucose (FBG) (P-score=0.98), the vigorous-intensity aerobic exercise showed the most significant improvements in 2-hour post-meal blood glucose (2hPG) and systolic blood pressure (SBP) (P-score=0.79; 0.78), and moderate-intensity aerobic exercise showed the most significant improvements in diastolic blood pressure (DBP) (P-score=0.78).ConclusionIn summary, moderate-intensity aerobic exercise, low-to moderate-load resistance training and the combination of both have beneficial effects on glycemic control, weight loss, and cardiovascular health in patients with prediabetes. These findings provide valuable guidance for rehabilitation clinicians and patients alike to follow.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD 42021284922.

Project description:BackgroundInsomnia is common. However, no systematic reviews have examined the effect of exercise on patients with primary and secondary insomnia, defined as both sleep disruption and daytime impairment. This systematic review and meta-analysis aimed to examine the effectiveness/efficacy of exercise in patients with insomnia.MethodsWe searched the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, PsycINFO, World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov to identify all randomized controlled trials that examined the effects of exercise on various sleep parameters in patients with insomnia. All participants were diagnosed with insomnia, using standard diagnostic criteria or predetermined criteria and standard measures. Data on outcome measures were subjected to meta-analyses using random-effects models. The Cochrane Risk of Bias Tool and Grading of Recommendations, Assessment, Development, and Evaluation approach were used to assess the quality of the individual studies and the body of evidence, respectively.ResultsWe included nine studies with a total of 557 participants. According to the Pittsburgh Sleep Quality Index (mean difference [MD], 2.87 points lower in the intervention group; 95% confidence interval [CI], 3.95 points lower to 1.79 points lower; low-quality evidence) and the Insomnia Severity Index (MD, 3.22 points lower in the intervention group; 95% CI, 5.36 points lower to 1.07 points lower; very low-quality evidence), exercise was beneficial. However, exercise interventions were not associated with improved sleep efficiency (MD, 0.56% lower in the intervention group; 95% CI, 3.42% lower to 2.31% higher; moderate-quality evidence). Only four studies noted adverse effects. Most studies had a high or unclear risk of selection bias.DiscussionOur findings suggest that exercise can improve sleep quality without notable adverse effects. Most trials had a high risk of selection bias. Higher quality research is needed.

Dataset Information

The effectiveness of different exercise modalities on sleep quality: A protocol for systematic review and network meta-analysis.

Background

Methods

Results

Conclusion

Registration

Publications

The effectiveness of different exercise modalities on sleep quality: A protocol for systematic review and network meta-analysis.

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