The Bidirectional Relationship Between Exercise and Sleep: Implications for Exercise Adherence and Sleep Improvement

Kline, Christopher E.

doi:10.1177/1559827614544437

Cited by 364Sleep and related disordersPhysical Activity and HealthCircadian rhythm and melatonin

The Bidirectional Relationship Between Exercise and Sleep: Implications for Exercise Adherence and Sleep Improvement

Open access

Kline, Christopher E.·2014·American Journal of Lifestyle Medicine

DOI 10.1177/1559827614544437PMC PMC4341978

Open this paper in CoChat — free account

Abstract

Exercise has long been associated with better sleep, and evidence is accumulating on the efficacy of exercise as a nonpharmacologic treatment option for disturbed sleep. Recent research, however, has noted that poor sleep may contribute to low physical activity levels, emphasizing a robust bidirectional relationship between exercise and sleep. This article will briefly review the evidence supporting the use of exercise as a nonpharmacologic treatment for sleep disturbance, outline future research that is needed to establish the viability of exercise as a behavioral sleep treatment, describe recent research that has emphasized the potential influence of poor sleep on daytime activity levels, and discuss whether improving sleep may facilitate adoption and/or better adherence to a physically active lifestyle. With poor sleep and physical inactivity each recognized as key public health priorities, additional research into the bidirectional relationship between exercise and sleep has significant implications for facilitating greater exercise adherence and improving sleep in society.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1177/1559827614544437

Cites

54 of 54 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

In a review of the literature, Kline concluded that the three studies exclusively including patients diagnosed with chronic insomnia had the most robust results regarding insomnia.
“Kline [7], in a review of the literature, concluded that the three studies that exclusively included patients diagnosed with chronic insomnia had the most robust results regarding insomnia [8–10].”
From Is sleep disturbance in patients with chronic pain affected by physical exercise or ACT-based stress management? - A randomized controlled study (2018) · cites this paper as [7]
Associations of PA and sleep with PWB appear to operate independently in this sample.
“Although prior research suggests that PA and sleep are bidirectionally related, our findings indicate that associations with PWB appear to operate independently in this sample [34,35].”
From Relationships Between Physical Activity, Sleep, Psychological Well-Being, and Academic Performance Among Native American College Students (2026) · cites this paper as [34]
Physical activity and sleep are highly interrelated and bidirectional.
“Physical activity and sleep are highly interrelated and bidirectional [34].”
From Relationships Between Physical Activity, Sleep, Psychological Well-Being, and Academic Performance Among Native American College Students (2026) · cites this paper as [34]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Increased Prevalence of Sleep-Disordered Breathing in Adults
Peppard, P. E., Young, T., Barnet, J. H., Palta, M., Hagen, E. W., & Hla, K. M. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws342 · Cited by 4,618 · see citing works
Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits
Glass, J., Lanctôt, K. L., Herrmann, N., Sproule, B. A., & Busto, U. E. (2005) · BMJ · doi:10.1136/bmj.38623.768588.47 · Cited by 1,161 · see citing works
A systematic review of CPAP adherence across age groups: Clinical and empiric insights for developing CPAP adherence interventions
Sawyer, A. M., Gooneratne, N. S., Marcus, C. L., Ofer, D., Richards, K. C., & Weaver, T. E. (2011) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2011.01.003 · Cited by 900 · see citing works
Sleep: A Health Imperative
Luyster, F. S., Strollo, P. J., Zee, P. C., & Walsh, J. K. (2012) · SLEEP · doi:10.5665/sleep.1846 · Cited by 868 · see citing works
Excess weight and sleep-disordered breathing
Young, T., Peppard, P. E., & Taheri, S. (2005) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00587.2005 · Cited by 854 · see citing works
Sleep disorders and sleep deprivation: an unmet public health problem
(2007) · Choice Reviews Online · doi:10.5860/choice.44-5682 · Cited by 725 · see citing works
Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review
Yang, P., Ho, K.-H., Chen, H., & Chien, M. (2012) · Journal of physiotherapy · doi:10.1016/s1836-9553(12)70106-6 · Cited by 671 · see citing works
Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia
Reid, K. J., Baron, K. G., Lu, B., Naylor, E., Wolfe, L., & Zee, P. C. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.04.014 · Cited by 665 · see citing works
Prevalence and Perceived Health Associated with Insomnia Based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition Criteria: Results from the America Insomnia Survey
Roth, T. G., Coulouvrat, C., Hajak, G., Lakoma, M. D., Sampson, N. A., Shahly, V., Shillington, A. C., Stephenson, J. J., Walsh, J. K., & Kessler, R. C. (2011) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.10.023 · Cited by 477 · see citing works
A randomized controlled trial of high versus low intensity weight training versus general practitioner care for clinical depression in older adults
Singh, N. A., Stavrinos, T. M., Scarbek, Y., Galambos, G., Liber, C., & Fiatarone Singh, M. A. (2005) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/60.6.768 · Cited by 470 · see citing works
“Stepped care”: a health technology solution for delivering cognitive behavioral therapy as a first line insomnia treatment
Espie, C. A. (2009) · SLEEP · doi:10.1093/sleep/32.12.1549 · Cited by 422 · cited 1× · see citing works
“In contrast, cognitive–behavioral therapy for insomnia (CBT-I) provides greater long-term efficacy and fewer side effects than hypnotics; however, availability remains restricted.(8) Meanwhile, the primary treatment option for SDB, continuous positive airway pressure (CPAP), significantly reduces SDB symptoms when use…”
Background
The effects of acute exercise on sleep: a quantitative synthesis
Youngstedt, S. D., O'Connor, P. J., & Dishman, R. K. (1997) · Sleep · doi:10.1093/sleep/20.3.203 · Cited by 412 · see citing works
Short-term sleep loss decreases physical activity under free-living conditions but does not increase food intake under time-deprived laboratory conditions in healthy men
Schmid, S. M., Hallschmid, M., Jauch-Chara, K., Wilms, B., Benedict, C., Lehnert, H., Born, J., & Schultes, B. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.27984 · Cited by 400 · see citing works
The Effect of Exercise Training on Obstructive Sleep Apnea and Sleep Quality: A Randomized Controlled Trial
Kline, C. E., Crowley, E., Ewing, G. B., Burch, J. B., Blair, S. N., Durstine, J. L., Davis, J. M., & Youngstedt, S. D. (2011) · SLEEP · doi:10.5665/sleep.1422 · Cited by 358 · see citing works
Self-citation
Effects of Exercise Training on Sleep Apnea: A Meta-analysis
IFTIKHAR, I. H., Kline, C. E., & Youngstedt, S. D. (2013) · Lung · doi:10.1007/s00408-013-9511-3 · Cited by 249 · see citing works
Self-citation
Effects of moderate-intensity exercise on polysomnographic and subjective sleep quality in older adults with mild to moderate sleep complaints
King, A. C., Pruitt, L. A., Woo, S., Castro, C. M., Ahn, D. K., Vitiello, M. V., Woodward, S. H., & Bliwise, D. L. (2008) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/63.9.997 · Cited by 246 · see citing works
Association of physical activity and human sleep disorders
Sherrill, D. L., Kotchou, K., & Quan, S. F. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.17.1894 · Cited by 244 · see citing works
Effect of acute physical exercise on patients with chronic primary insomnia
Passos, G. S., Poyares, D., Santana, M. G., Garbuio, S. A., Tufik, S., & Mello, M. T. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27825 · Cited by 211 · see citing works
Exercise as a Treatment to Enhance Sleep
Buman, M. P., & King, A. C. (2010) · American Journal of Lifestyle Medicine · doi:10.1177/1559827610375532 · Cited by 189 · see citing works
Effects of moderate aerobic exercise training on chronic primary insomnia
Passos, G. S., Poyares, D., Santana, M. G., D’Aurea, C. V. R., Youngstedt, S. D., Tufik, S., & de Mello, M. T. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2011.02.007 · Cited by 182 · see citing works
Epidemiology of exercise and sleep
YOUNGSTEDT, S. D., & KLINE, C. E. (2006) · Sleep and Biological Rhythms · doi:10.1111/j.1479-8425.2006.00235.x · Cited by 182 · see citing works
Self-citation
Exercise to Improve Sleep in Insomnia: Exploration of the Bidirectional Effects
Baron, K., Reid, K., & Zee, P. (2013) · Journal of Clinical Sleep Medicine (JCSM) · doi:10.5664/jcsm.2930 · Cited by 175 · see citing works
Exercise as a synchroniser of human circadian rhythms: an update and discussion of the methodological problems
Atkinson, G., Edwards, B., Reilly, T., & Waterhouse, J. (2007) · European Journal of Applied Physiology · doi:10.1007/s00421-006-0361-z · Cited by 167 · see citing works
Effects of a Yearlong Moderate-Intensity Exercise and a Stretching Intervention on Sleep Quality in Postmenopausal Women
Tworoger, S. S., Yasui, Y., Vitiello, M. V., Schwartz, R. S., Ulrich, C. M., Aiello, E. J., Irwin, M. L., Bowen, D. J., Potter, J. D., & McTiernan, A. (2003) · SLEEP · doi:10.1093/sleep/26.7.830 · Cited by 166 · see citing works
Bidirectional associations between insomnia symptoms and unhealthy behaviours
Haario, P., Rahkonen, O., Laaksonen, M., Lahelma, E. T., & Lallukka, T. M. (2012) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2012.01043.x · Cited by 150 · see citing works
Nondrug treatment trials in psychophysiologic insomnia
Guilleminault, C. (1995) · Archives of Internal Medicine · doi:10.1001/archinte.1995.00430080076010 · Cited by 140 · see citing works
Short sleep duration among workers--United States, 2010.
(2012) · PubMed · Cited by 140 · see citing works
Sleep Restriction Decreases the Physical Activity of Adults at Risk for Type 2 Diabetes
Bromley, L. E., Booth, J. N., Kilkus, J. M., Imperial, J., & Penev, P. D. (2012) · SLEEP · doi:10.5665/sleep.1964 · Cited by 136 · see citing works
Exercise and sleep in community‐dwelling older adults: evidence for a reciprocal relationship
Dzierzewski, J. M., Buman, M. P., Giacobbi, P. R., Roberts, B. L., Aiken‐Morgan, A. T., Marsiske, M., & McCrae, C. S. (2013) · Journal of Sleep Research · doi:10.1111/jsr.12078 · Cited by 129 · see citing works
Daytime sleepiness, exercise, and physical function in older adults
Chasens, E. R., Sereika, S. M., Weaver, T. E., & Umlauf, M. G. (2007) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2007.00576.x · Cited by 124 · see citing works
A Longitudinal Examination of Sleep Quality and Physical Activity in Older Adults
Holfeld, B., & Ruthig, J. (2014) · Journal of Applied Gerontology · doi:10.1177/0733464812455097 · Cited by 119 · see citing works
Temporal Relationships between Physical Activity and Sleep in Older Women
Lambiase, M. J., Gabriel, K. P., Kuller, L. H., & Matthews, K. A. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31829e4cea · Cited by 110 · see citing works
Strength Training, Walking, and Social Activity Improve Sleep in Nursing Home and Assisted Living Residents: Randomized Controlled Trial
Richards, K. C., Lambert, C. W., Beck, C. K., Bliwise, D. L., Evans, W. J., Kalra, G. K., Kleban, M. H., Lorenz, R. A., Rose, K. M., Gooneratne, N. S., et al. (2011) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2010.03246.x · Cited by 101 · see citing works
The effect of continuous positive airway pressure treatment on physical activity in patients with obstructive sleep apnoea: A randomised controlled trial
West, S. D., Kohler, M., Nicoll, D. J., & Stradling, J. R. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2008.11.007 · Cited by 97 · see citing works
Does Physical Activity Improve Sleep in Impaired Nursing Home Residents?
Alessi, C. A., Schnelle, J. F., MacRae, P. G., Ouslander, J. G., Al‐Samarrai, N., Simmons, S. F., & Traub, S. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb07007.x · Cited by 97 · see citing works
Depression, physical activity, energy consumption, and quality of life in OSA patients before and after CPAP treatment
Diamanti, C., Manali, E. D., Ginieri-Coccossis, M., Vougas, K. N., Cholidou, K., Markozannes, E., Bakakos, P., Liappas, I., & Alchanatis, M. (2013) · Sleep And Breathing · doi:10.1007/s11325-013-0815-6 · Cited by 96 · see citing works
Better Quality Sleep Promotes Daytime Physical Activity in Patients with Chronic Pain? A Multilevel Analysis of the Within-Person Relationship
Tang, N. K. Y., & Sanborn, A. N. (2014) · PLoS ONE · doi:10.1371/journal.pone.0092158 · Cited by 95 · see citing works
Dose–response effects of exercise training on the subjective sleep quality of postmenopausal women: exploratory analyses of a randomised controlled trial
Kline, C. E., Sui, X., Hall, M. H., Youngstedt, S. D., Blair, S. N., Earnest, C. P., & Church, T. S. (2012) · BMJ Open · doi:10.1136/bmjopen-2012-001044 · Cited by 87 · see citing works
Self-citation
Physical Activity and Perception of Energy and Fatigue in Obstructive Sleep Apnea
Hong, S., & Dimsdale, J. E. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000074566.94791.24 · Cited by 83 · see citing works
Exercise Training Improves Selected Aspects of Daytime Functioning in Adults with Obstructive Sleep Apnea
Kline, C. E., Ewing, G. B., Burch, J. B., Blair, S. N., Durstine, J. L., Davis, J. M., & Youngstedt, S. D. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2022 · Cited by 81 · see citing works
Self-citation
Insomnia Symptoms and Cardiorespiratory Fitness in Healthy Individuals: The Nord-Trøndelag Health Study (HUNT)
Strand, L. B., Laugsand, L. E., Wisløff, U., Nes, B. M., Vatten, L., & Janszky, I. (2013) · SLEEP · doi:10.5665/sleep.2310 · Cited by 79 · see citing works
High self-perceived exercise exertion before bedtime is associated with greater objectively assessed sleep efficiency
Brand, S., Kalak, N., Gerber, M., Kirov, R., Pühse, U., & Holsboer‐Trachsler, E. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.05.016 · Cited by 77 · see citing works
Effects of exercise training associated with continuous positive airway pressure treatment in patients with obstructive sleep apnea syndrome
Ackel-D’Elia, C., da Silva, A. C., Silva, R. S., Truksinas, E., Sousa, B. S., Tufik, S. B., de Mello, M. T., & Bittencourt, L. (2011) · Sleep And Breathing · doi:10.1007/s11325-011-0567-0 · Cited by 74 · see citing works
Morningness–eveningness interferes with perceived health, physical activity, diet and stress levels in working women: A cross-sectional study
Haraszti, R. Á., Purebl, G., Salavecz, G., Poole, L., Dockray, S., & Steptoe, A. (2014) · Chronobiology International · doi:10.3109/07420528.2014.911188 · Cited by 72 · see citing works
Moderators and mediators of exercise-induced objective sleep improvements in midlife and older adults with sleep complaints.
Buman, M. P., Hekler, E. B., Bliwise, D. L., & King, A. C. (2011) · Health Psychology · doi:10.1037/a0024293 · Cited by 66 · see citing works
Habitual sleep/wake patterns in the Old Order Amish: heritability and association with non-genetic factors
Evans, D. S., Snitker, S., Wu, S.-H., Mody, A., Njajou, O. T., Perlis, M. L., Gehrman, P. R., Shuldiner, A. R., & Hsueh, W.-C. (2011) · SLEEP · doi:10.1093/sleep/34.5.661 · Cited by 53 · see citing works
Correlation between sleep parameters, physical activity and quality of life in somnolent moderate to severe obstructive sleep apnea adult patients
Verwimp, J., Ameye, L., & Bruyneel, M. (2013) · Sleep And Breathing · doi:10.1007/s11325-012-0796-x · Cited by 49 · see citing works
Subjective and Objective Appraisal of Activity in Adults with Obstructive Sleep Apnea
Chasens, E. R., Sereika, S. M., Houze, M. P., & Strollo, P. J. (2011) · Journal of Aging Research · doi:10.4061/2011/751819 · Cited by 41 · see citing works
Physical activity and sedentary time in persons with obstructive sleep apnea and overweight enrolled in a randomized controlled trial for enhanced physical activity and healthy eating
Igelström, H., Emtner, M., Lindberg, E., & Åsenlöf, P. (2013) · Sleep And Breathing · doi:10.1007/s11325-013-0831-6 · Cited by 36 · see citing works
Sleep Hygiene Behaviors Among Midlife Women with Insomnia or Sleep-Disordered Breathing: The SWAN Sleep Study
Kline, C. E., Irish, L. A., Buysse, D. J., Kravitz, H. M., Okun, M. L., Owens, J. F., & Hall, M. H. (2014) · Journal of Women s Health · doi:10.1089/jwh.2014.4730 · Cited by 36 · see citing works
Self-citation
Intention to Exercise in Patients with Obstructive Sleep Apnea
Smith, S. S., Doyle, G., Pascoe, T., Douglas, J. A., & Jorgensen, G. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27024 · Cited by 29 · see citing works
Tailored behavioral medicine intervention for enhanced physical activity and healthy eating in patients with obstructive sleep apnea syndrome and overweight
Igelström, H., Margareta, E., Eva, L., & Åsenlöf, P. (2013) · Sleep And Breathing · doi:10.1007/s11325-013-0929-x · Cited by 24 · see citing works
Improving Activity in Adults With Diabetes and Coexisting Obstructive Sleep Apnea
Chasens, E. R., Korytkowski, M. T., Sereika, S. M., Burke, L. E., Drumheller, O. J., & Strollo, P. J. (2013) · Western Journal of Nursing Research · doi:10.1177/0193945913500567 · Cited by 20 · see citing works
Clinical Implications of Impaired Sleep
Terre, L. (2014) · American Journal of Lifestyle Medicine · doi:10.1177/1559827614521955 · Cited by 12 · see citing works

Flagged first, then by citations

Sorted by citations

Interrelationship between Sleep and Exercise: A Systematic Review
Dolezal, B., Neufeld, E. V., Boland, D., Martin, J. L., & Cooper, C. (2017) · Advances in Preventive Medicine · doi:10.1155/2017/1364387 · Cited by 427 · see citing works
Sleep and physical activity in relation to all-cause, cardiovascular disease and cancer mortality risk
Huang, B.-H., Duncan, M. J., Cistulli, P. A., Nassar, N., Hamer, M., & Stamatakis, E. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-104046 · Cited by 345 · see citing works
Health behaviour changes during COVID-19 and the potential consequences: A mini-review
Arora, T., & Grey, I. (2020) · Journal of Health Psychology · doi:10.1177/1359105320937053 · Cited by 310 · see citing works
Physical exercise, mental health problems, and suicide attempts in university students
Grasdalsmoen, M., Eriksen, H. R., Lønning, K. J., & Sivertsen, B. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02583-3 · Cited by 362 · see citing works
The future of sleep health: a data-driven revolution in sleep science and medicine
Perez-Pozuelo, I., Zhai, B., Palotti, J., Mall, R., Aupetit, M., Garcia-Gomez, J. M., Taheri, S., Guan, Y., & Fernandez-Luque, L. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0244-4 · Cited by 311 · see citing works
The Effect of Physical Activity on Sleep Quality and Sleep Disorder: A Systematic Review
Alnawwar, M. A., Alraddadi, M. I., Algethmi, R. A., Salem, G. A., Salem, M. A., & Alharbi, A. A. (2023) · Cureus · doi:10.7759/cureus.43595 · Cited by 253 · see citing works
“One strategy to enhance sleep quality and lower the risk of sleep disorders is through physical activity, which has a reciprocal relationship with sleep quality [2].”
Background
Causes of obesity: A review
Masood, B., & Moorthy, M. (2023) · Clinical Medicine · doi:10.7861/clinmed.2023-0168 · Cited by 252 · see citing works
A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia
Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N. (2019) · BMC Research Notes · doi:10.1186/s13104-019-4713-2 · Cited by 221 · see citing works
Bi-directional relationships between co-morbid insomnia and sleep apnea (COMISA)
Sweetman, A., Lack, L., McEvoy, R. D., Smith, S., Eckert, D. J., Osman, A., Carberry, J. C., Wallace, D., Nguyen, P. D., & Catcheside, P. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101519 · Cited by 203 · see citing works
Daily associations between sleep and physical activity: A systematic review and meta-analysis
Atoui, S., Chevance, G., Romain, A. J., Kingsbury, C., Lachance, J.-P., & Bernard, P. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101426 · Cited by 186 · see citing works
Childhood sleep: physical, cognitive, and behavioral consequences and implications
Liu, J., Ji, X., Pitt, S., Wang, G., Rovit, E., Lipman, T. H., & Jiang, F. (2022) · World Journal of Pediatrics · doi:10.1007/s12519-022-00647-w · Cited by 187 · see citing works
Physical activity and sleep: An updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report
Kline, C. E., Hillman, C. H., Sheppard, B. B., Tennant, B., Conroy, D. E., Macko, R. F., Márquez, D. X., Petruzzello, S. J., Powell, K. E., & Erickson, K. I. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101489 · Cited by 144 · see citing works
Self-citation
Redefining Cardiovascular Health to Include Sleep: Prospective Associations With Cardiovascular Disease in the MESA Sleep Study
Makarem, N., Castro‐Diehl, C., St‐Onge, M., Redline, S. S., Shea, S., Lloyd‐Jones, D. M., Ning, H., & Aggarwal, B. (2022) · Journal of the American Heart Association · doi:10.1161/jaha.122.025252 · Cited by 138 · see citing works
Obstructive Sleep Apnea Syndrome, Objectively Measured Physical Activity and Exercise Training Interventions: A Systematic Review and Meta-Analysis
Mendelson, M., Bailly, S., Marillier, M., Flore, P., Borel, J. C., Vivodtzev, I., Doutreleau, S., Verges, S., Tamisier, R., & Pépin, J.-L. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.00073 · Cited by 134 · see citing works
“It has been associated with improved sleep and a bidirectional relationship between sleep and physical activity has been assumed (5).”
BackgroundMethod
COVID-19-related mobility reduction: heterogenous effects on sleep and physical activity rhythms
Ong, J. L., Lau, T., Massar, S. A. A., Chong, Z. T., Ng, B. K. L., Koek, D., Zhao, W., Yeo, B. T. T., Cheong, K., & Chee, M. W. L. (2020) · SLEEP · doi:10.1093/sleep/zsaa179 · Cited by 133 · see citing works
Multiple Roles in Neuroprotection for the Exercise Derived Myokine Irisin
Farshbaf, M. J., & Alviña, K. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.649929 · Cited by 143 · see citing works
Physical Activity, Sleep and Quality of Life in Older Adults: Influence of Physical, Mental and Social Well-being
Gothe, N. P., Ehlers, D. K., Salerno, E. A., Fanning, J., Kramer, A. F., & McAuley, E. (2020) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1690493 · Cited by 125 · see citing works
“Given the significance of improving QoL among older adults, this central role of sleep quality and its relationship with physical activity has implications for the design of physical activity behavior change trials (Kline, 2014; Murawski et al., 2018).”
BackgroundResult
Muscle-to-Brain Signaling Via Myokines and Myometabolites
Rai, M., & Demontis, F. (2022) · Brain Plasticity · doi:10.3233/bpl-210133 · Cited by 121 · see citing works
A Cross-Cultural Exploratory Study of Health Behaviors and Wellbeing During COVID-19
Ruiz, M. C., Devonport, T. J., Chen‐Wilson, J., Nicholls, W., Cagas, J. Y., Fernández‐Montalvo, J., Choi, Y., & Robazza, C. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.608216 · Cited by 107 · see citing works
Trends in sleeping difficulties among European adolescents: Are these associated with physical inactivity and excessive screen time?
Ghekiere, A., Cauwenberg, J. V., Vandendriessche, A., Inchley, J., de Matos, M. G., Borraccino, A., Gobiņa, I., Tynjälä, J., Deforche, B. I., & Clercq, B. D. (2018) · International Journal of Public Health · doi:10.1007/s00038-018-1188-1 · Cited by 96 · see citing works
Physical activity and sleep are inconsistently related in healthy children: A systematic review and meta-analysis
Antczak, D., Lonsdale, C., Lee, J. J., Hilland, T. A., Duncan, M. J., Cruz, B. D. P., Hulteen, R. M., Parker, P. D., & Sanders, T. (2020) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101278 · Cited by 95 · see citing works
Exercise training improves sleep quality: A randomized controlled trial
Jurado‐Fasoli, L., De‐la‐O, A., Molina‐Hidalgo, C., Migueles, J. H., Castillo, M. J., & Amaro‐Gahete, F. J. (2020) · European Journal of Clinical Investigation · doi:10.1111/eci.13202 · Cited by 91 · see citing works
Efficacy of a Multi-component m-Health Weight-loss Intervention in Overweight and Obese Adults: A Randomised Controlled Trial
Duncan, M., Fenton, S., Brown, W., Collins, C., Glozier, N., Kolt, G., Holliday, E., Morgan, P., Murawski, B., Plotnikoff, R., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176200 · Cited by 62 · see citing works
An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease
Wouters, E. F. �., Posthuma, R., Koopman, M., Liu, W.-Y., Sillen, M. J. H., Hajian, B., Sastry, M., Spruit, M. A., & Franssen, F. M. E. (2020) · Expert Review of Respiratory Medicine · doi:10.1080/17476348.2020.1700796 · Cited by 78 · see citing works
Cytokines as Biomarkers for Evaluating Physical Exercise in Trained and Non-Trained Individuals: A Narrative Review
Małkowska, P., & Sawczuk, M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241311156 · Cited by 72 · see citing works
Effect of exercise training on improving sleep disturbances: a systematic review and meta-analysis of randomized control trials
Amiri, S., Hasani, J., & Satkin, M. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.05.013 · Cited by 69 · see citing works
Efficacy of an m-Health Physical Activity and Sleep Health Intervention for Adults: A Randomized Waitlist-Controlled Trial
Murawski, B., Plotnikoff, R. C., Rayward, A. T., Oldmeadow, C. J., Vandelanotte, C., Brown, W. J., & Duncan, M. J. (2019) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2019.05.009 · Cited by 66 · see citing works
Daily Associations Between Sleep and Physical Activity
Mead, M. P., Baron, K. G., Sorby, M., & Irish, L. A. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09810-6 · Cited by 66 · see citing works
Exercise, sleep and cancer-related fatigue: Are they related?
Medysky, M. E., Temesi, J., Culos-Reed, S. N., & Millet, G. Y. (2017) · Neurophysiologie Clinique · doi:10.1016/j.neucli.2017.03.001 · Cited by 65 · see citing works
How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey
El-Osta, A. A. R., Alaa, A., Webber, I., Sasco, E. R., Bagkeris, E., Millar, H. L., Vidal-Hall, C., & Majeed, A. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-043397 · Cited by 61 · see citing works
Higher amounts of sedentary time are associated with short sleep duration and poor sleep quality in postmenopausal women
Creasy, S. A., Crane, T. E., Garcia, D. O., Thomson, C. A., Kohler, L. N., Wertheim, B. C., Baker, L. D., Coday, M., Hale, L. E., Womack, C. R., et al. (2019) · SLEEP · doi:10.1093/sleep/zsz093 · Cited by 61 · see citing works
Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly
Hsu, M.-F., Lee, K.-Y., Lin, T.-C., Liu, W., & Ho, S. (2021) · BMC Public Health · doi:10.1186/s12889-021-10206-z · Cited by 59 · see citing works
Health and well-being of university students before and during COVID-19 pandemic: A gender comparison
Gestsdóttir, S., Gísladóttir, Þ., Stefansdottir, R. S., Jóhannsson, E., Jakobsdottir, G., & Rögnvaldsdóttir, V. (2021) · PLoS ONE · doi:10.1371/journal.pone.0261346 · Cited by 59 · see citing works
Correlates of Physical Activity in 0- to 5-year-olds: A Systematic Umbrella Review and Consultation of International Researchers
Arts, J., Drotos, E., Singh, A. S., Chinapaw, M. J. M., Altenburg, T. M., & Gubbels, J. S. (2022) · Sports Medicine · doi:10.1007/s40279-022-01761-5 · Cited by 55 · see citing works
The burden of untreated insomnia disorder in a sample of 1 million adults: a cohort study
Grandner, M. A., Olivieri, A., Ahuja, A., Büsser, A., Freidank, M., & McCall, W. V. (2023) · BMC Public Health · doi:10.1186/s12889-023-16329-9 · Cited by 55 · see citing works
No Evidence of Reciprocal Associations between Daily Sleep and Physical Activity
Mitchell, J. A., Godbole, S. V., Moran, K., Murray, K. E., James, P., Laden, F., Hipp, J. A., Kerr, J., & Glanz, K. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001000 · Cited by 54 · see citing works
Health Behaviors of Higher Education Students from 7 Countries: Poorer Sleep Quality during the COVID-19 Pandemic Predicts Higher Dietary Risk
Du, C., Chong, M. H. Z., Cho, M. J., Fenton, J. I., Hsiao, P. Y., Hsiao, R., Keaver, L., Lai, C., Lee, H., Ludy, M., et al. (2021) · Clocks & Sleep · doi:10.3390/clockssleep3010002 · Cited by 60 · see citing works
The Implementation of Behavior Change Techniques in mHealth Apps for Sleep: Systematic Review
Arroyo, A. C., & Zawadzki, M. J. (2022) · JMIR mhealth and uhealth · doi:10.2196/33527 · Cited by 52 · see citing works
The Role of Artificial Intelligence in Obesity Risk Prediction and Management: Approaches, Insights, and Recommendations
Huang, L., Huhulea, E. N., Abraham, E., Bienenstock, R., Aifuwa, E., Hirani, R., Schulhof, A., Tiwari, R. K., & Etienne, M. (2025) · Medicina · doi:10.3390/medicina61020358 · Cited by 58 · see citing works
Sleep indices and eating behaviours in young adults: findings from Project EAT
Ogilvie, R. P., Lutsey, P. L., Widome, R., Laska, M. N., Larson, N., & Neumark‐Sztainer, D. (2017) · Public Health Nutrition · doi:10.1017/s1368980017003536 · Cited by 50 · see citing works
Detrimental Changes in Health during Menopause: The Role of Physical Activity
Hulteen, R. M., Marlatt, K. L., Allerton, T. D., & Lovre, D. (2023) · International Journal of Sports Medicine · doi:10.1055/a-2003-9406 · Cited by 60 · see citing works
The bidirectional association between sleep and physical activity: A 6.9 years longitudinal analysis of 38,601 UK Biobank participants
Huang, B., Hamer, M., Duncan, M. J., Cistulli, P. A., & Stamatakis, E. A. (2020) · Preventive Medicine · doi:10.1016/j.ypmed.2020.106315 · Cited by 49 · see citing works
Tailored exercise interventions to reduce fatigue in cancer survivors: study protocol of a randomized controlled trial
Twomey, R., Martin, T., Temesi, J., Culos-Reed, S. N., & Millet, G. Y. (2018) · BMC Cancer · doi:10.1186/s12885-018-4668-z · Cited by 47 · see citing works
Physical Activity Is Associated With Sleep Quality: Results of the ESSE-RF Epidemiological Study
Dubinina, E., Korostovtseva, L., Rotar, O., Amelina, V., Boyarinova, M., Bochkarev, M., Shashkova, T., Baranova, E., Libis, R., Duplyakov, D., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.705212 · Cited by 43 · see citing works
Is sleep disturbance in patients with chronic pain affected by physical exercise or ACT-based stress management? - A randomized controlled study
Wiklund, T., Linton, S. J., Alföldi, P., & Gerdle, B. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-2020-z · Cited by 45 · see citing works
“Kline [7], in a review of the literature, concluded that the three studies that exclusively included patients diagnosed with chronic insomnia had the most robust results regarding insomnia [8–10].”
Result
Examining the day-to-day bidirectional associations between physical activity, sedentary behavior, screen time, and sleep health during school days in adolescents
Kim, Y., Umeda, M., Lochbaum, M. R., & Sloan, R. A. (2020) · PLoS ONE · doi:10.1371/journal.pone.0238721 · Cited by 44 · see citing works
Balanced: a randomised trial examining the efficacy of two self-monitoring methods for an app-based multi-behaviour intervention to improve physical activity, sitting and sleep in adults
Duncan, M. J., Vandelanotte, C., Trost, S. G., Rebar, A. L., Rogers, N., Burton, N. W., Murawski, B., Rayward, A., Fenton, S., & Brown, W. J. (2016) · BMC Public Health · doi:10.1186/s12889-016-3256-x · Cited by 43 · see citing works
Physical activity, exercise and adverse cardiovascular outcomes in individuals with pre-existing cardiovascular disease: a narrative review
Kunutsor, S. K., & Laukkanen, J. A. (2024) · Expert Review of Cardiovascular Therapy · doi:10.1080/14779072.2024.2328644 · Cited by 47 · see citing works
Psychophysiological foundations of human physical activity behavior and motivation: theories, systems, mechanisms, evolution, and genetics
Gerber, M., Cheval, B., Cody, R., Colledge, F., Hohberg, V., Klimentidis, Y. C., Lang, C., Looser, V. N., Ludyga, S., Stults‐Kolehmainen, M., et al. (2025) · Physiological Reviews · doi:10.1152/physrev.00021.2024 · Cited by 53 · see citing works
Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial
Steindorf, K., Wiskemann, J., Ulrich, C. M., & Schmidt, M. E. (2017) · Breast Cancer Research and Treatment · doi:10.1007/s10549-017-4141-8 · Cited by 42 · see citing works
How are bariatric patients coping during the coronavirus disease 2019 (COVID-19) pandemic? Analysis of factors known to cause weight regain among postoperative bariatric patients
Athanasiadis, D. I., Hernandez, E., Hilgendorf, W. A., Roper, A., Embry, M., Selzer, D. J., & Stefanidis, D. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2020.11.021 · Cited by 40 · see citing works
Sleep health mediates the relationship between physical activity and depression symptoms
Barham, W. T., Buysse, D. J., Kline, C. E., Kubala, A. G., & Brindle, R. C. (2021) · Sleep And Breathing · doi:10.1007/s11325-021-02496-9 · Cited by 45 · see citing works
Self-citation
The effects of napping on night‐time sleep in healthy young adults
Mograss, M., Abi‐Jaoude, J., Frimpong, E., Chalati, D., Moretto, U., Tarelli, L., Lim, A. S. P., & Dang‐Vu, T. T. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13578 · Cited by 43 · see citing works
Factors Associated With Ambulatory Activity in De Novo Parkinson Disease
Christiansen, C. L., Moore, C. G., Schenkman, M. L., Kluger, B. M., Kohrt, W. M., Delitto, A., Berman, B. D., Hall, D. A., Josbeno, D. A., Poon, C., et al. (2017) · Neurology Report · doi:10.1097/npt.0000000000000169 · Cited by 40 · see citing works
A cross-sectional cluster analysis of the combined association of physical activity and sleep with sociodemographic and health characteristics in mid-aged and older adults
Rayward, A. T., Duncan, M. J., Brown, W. J., Plotnikoff, R. C., & Burton, N. W. (2017) · Maturitas · doi:10.1016/j.maturitas.2017.05.013 · Cited by 40 · see citing works
Efficacy of an m-Health Physical Activity and Sleep Intervention to Improve Sleep Quality in Middle-Aged Adults: The Refresh Study Randomized Controlled Trial
Rayward, A. T., Plotnikoff, R. C., Murawski, B., Vandelanotte, C., Brown, W. J., Holliday, E. G., & Duncan, M. J. (2020) · Annals of Behavioral Medicine · doi:10.1093/abm/kaz064 · Cited by 40 · see citing works
Sleep Deprivation: Cytokine and Neuroendocrine Effects on Perception of Effort
Cullen, T., Thomas, G., & Wadley, A. J. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002207 · Cited by 39 · see citing works
Physical Activity and Inhibitory Control: The Mediating Role of Sleep Quality and Sleep Efficiency
Li, L., Yu, Q., Zhao, W., Herold, F., Cheval, B., Kong, Z., Li, J., Mueller, N. G., Kramer, A. F., Cui, J., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11050664 · Cited by 38 · see citing works
Addictive Eating and Its Relation to Physical Activity and Sleep Behavior
Li, J., Pursey, K., Duncan, M. J., & Burrows, T. L. (2018) · Nutrients · doi:10.3390/nu10101428 · Cited by 37 · see citing works
Short-term effect of physical activity on sleep health: A population-based study using accelerometry
Wendt, A., da Silva, I. C. M., Gonçalves, H., Menezes, A., Barros, F., & Wehrmeister, F. (2020) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2020.04.007 · Cited by 38 · see citing works
The Effect of Emotion Regulation on Non-Suicidal Self-Injury Among Adolescents: The Mediating Roles of Sleep, Exercise, and Social Support
Lan, Z., Kee, P., Yusof, H. M., & Huang, X. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s363433 · Cited by 43 · see citing works
Associations between Changes in Activity and Sleep Quality and Duration over Two Years
Rayward, A. T., Burton, N. W., Brown, W. J., Holliday, E. G., Plotnikoff, R. C., & Duncan, M. J. (2018) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001715 · Cited by 35 · see citing works
Adult hypothalamic neurogenesis and sleep–wake dysfunction in aging
Kostin, A., Alam, A., McGinty, D., & Alam, M. N. (2020) · SLEEP · doi:10.1093/sleep/zsaa173 · Cited by 35 · see citing works
Protective effect of restorative possibilities on cognitive function and mental health in children and adolescents: A scoping review including the role of physical activity
Dzhambov, A. M., Lercher, P., Vincens, N., Waye, K. P., Klatte, M., Leist, L., Lachmann, T., Schreckenberg, D., Belke, C., Ристовска, Г., et al. (2023) · Environmental Research · doi:10.1016/j.envres.2023.116452 · Cited by 35 · see citing works
Resistance training in addition to aerobic activity is associated with lower likelihood of depression and comorbid depression and anxiety symptoms: A cross sectional analysis of Australian women
Oftedal, S., Smith, J., Vandelanotte, C., Burton, N. W., & Duncan, M. J. (2019) · Preventive Medicine · doi:10.1016/j.ypmed.2019.105773 · Cited by 34 · see citing works
Randomised controlled trial using a theory-based m-health intervention to improve physical activity and sleep health in adults: the Synergy Study protocol
Murawski, B., Plotnikoff, R. C., Rayward, A. T., Vandelanotte, C., Brown, W. J., & Duncan, M. J. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-018997 · Cited by 36 · see citing works
Changes in physical activity, diet, sleep, and mental well-being when starting university: A qualitative exploration of Australian student experiences
Oftedal, S., Fenton, S., Hansen, V., Whatnall, M. C., Ashton, L., Haslam, R. L., Hutchesson, M., & Duncan, M. J. (2023) · Journal of American College Health · doi:10.1080/07448481.2023.2194426 · Cited by 33 · see citing works
Psychological distress and quality of life in Iranian adolescents with overweight/obesity: mediating roles of weight bias internalization and insomnia
Lin, C., Imani, V., Broström, A., Huus, K., Björk, M., Hodges, E. A., & Pakpour, A. H. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00795-5 · Cited by 32 · see citing works
Bidirectional associations of accelerometer-determined sedentary behavior and physical activity with reported time in bed: Women's Health Study
Gabriel, K. P., Sternfeld, B., Shiroma, E. J., Pérez, A., Cheung, J., & Lee, I.-M. M. (2016) · Sleep Health · doi:10.1016/j.sleh.2016.10.001 · Cited by 32 · see citing works
Prevalence of poor sleep quality and its associated factors among hypertensive patients on follow up at Jimma University Medical Center
Etefa, T., Getachew, B., Gerbi, A., & Dereje, D. (2020) · Journal of Human Hypertension · doi:10.1038/s41371-020-0320-x · Cited by 32 · see citing works
MS care: integrating advanced therapies and holistic management
Giovannoni, G., Ford, H. L., Schmierer, K., Middleton, R., Stennett, A., Pomeroy, I. M., Fisniku, L. K., Scalfari, A., Bannon, C., Stross, R., et al. (2024) · Frontiers in Neurology · doi:10.3389/fneur.2023.1286122 · Cited by 28 · see citing works
'Sleepless in Lockdown': Unpacking Differences in Sleep Loss During the Coronavirus Pandemic in the UK
Falkingham, J., Evandrou, M., Qin, M., & Vlachantoni, A. (2020) · BMJ Open · doi:10.1136/bmjopen-2021-053094 · Cited by 32 · see citing works
Sociodemographic and behavioral correlates of insufficient sleep in Australian adults
Gordon, S., Vandelanotte, C., Rayward, A. T., Murawski, B., & Duncan, M. J. (2018) · Sleep Health · doi:10.1016/j.sleh.2018.06.002 · Cited by 30 · see citing works
Nutritional Modulation of Sleep Latency, Duration, and Efficiency: A Randomized, Repeated-Measures, Double-Blind Deception Study
Langan‐Evans, C., Hearris, M. A., Gallagher, C., LONG, S., Thomas, C., Moss, A., CHEUNG, W., Howatson, G., & Morton, J. P. (2022) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003040 · Cited by 29 · see citing works
COVID‐19, Social Determinants of Health, and Opportunities for Preventing Cardiovascular Disease: A Conceptual Framework
Russo, R. G., Li, Y., Ðoàn, L. N., Ali, S. H., Siscovick, D. S., Kwon, S. C., & Yi, S. S. (2021) · Journal of the American Heart Association · doi:10.1161/jaha.121.022721 · Cited by 28 · see citing works
Exploring the Role of Dairy Products In Sleep Quality: From Population Studies to Mechanistic Evaluations
St‐Onge, M., Zuraikat, F. M., & Neilson, M. (2023) · Advances in Nutrition · doi:10.1016/j.advnut.2023.01.004 · Cited by 26 · see citing works
Not so sweet dreams: adults' quantity, quality, and disruptions of sleep during the initial stages of the COVID-19 pandemic
Shillington, K. J., Vanderloo, L. M., Burke, S. M., Ng, V., Tucker, P., & Irwin, J. D. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.02.028 · Cited by 26 · see citing works
Does Modern Lifestyle Favor Neuroimmunometabolic Changes? A Path to Obesity
Marques, C. G., Quaresma, M. V. L. D. S., Nakamoto, F. P., Magalhães, A. C. O., Lucin, G. A., & dos Santos, R. V. T. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.705545 · Cited by 28 · see citing works
Promoting physical activity during the COVID-19 lockdown in Australia: The roles of psychological predictors and commercial physical activity apps
Petersen, J. M., Kemps, E., Lewis, L. K., & Prichard, I. J. (2021) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2021.102002 · Cited by 25 · see citing works
Examining the Role of Exercise Timing in Weight Management: A Review
Blankenship, J. M., Rosenberg, R. C., Rynders, C. A., Melanson, E. L., Catenacci, V. A., & Creasy, S. A. (2021) · International Journal of Sports Medicine · doi:10.1055/a-1485-1293 · Cited by 24 · see citing works
Physical activity and sleep problems in homeless adults
Taylor, A., Murillo, R., Businelle, M. S., Chen, T. A., Kendzor, D. E., McNeill, L. H., & Reitzel, L. R. (2019) · PLoS ONE · doi:10.1371/journal.pone.0218870 · Cited by 24 · see citing works
Weekday and weekend sleep duration and mortality among middle-to-older aged White and Black adults in a low-income southern US cohort
Xiao, Q., Blot, W. J., & Matthews, C. E. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.04.008 · Cited by 22 · see citing works
Seasonal variability of the vitamin D effect on physical fitness in adolescents
Milani, G. P., Simonetti, G. D., Edefonti, V. C., Lava, S. A. G., Agostoni, C. V., Curti, M., Stettbacher, A., Bianchetti, M. G., & Muggli, F. (2021) · Scientific Reports · doi:10.1038/s41598-020-80511-x · Cited by 24 · see citing works
Associations among self-perceived work and life stress, trouble sleeping, physical activity, and body weight among Canadian adults
Sampasa‐Kanyinga, H., & Chaput, J. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.12.013 · Cited by 22 · see citing works
Get Outside! Promoting Adolescent Health through Outdoor After-School Activity
Barfield, P. A., Ridder, K., Hughes, J., & Rice, K. R. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147223 · Cited by 24 · see citing works
Sleep disturbances and their correlation with cardiovascular risk, obesity, and mood disorders in people with HIV
Mazzitelli, M., Trunfio, M., Milinkovic, A., Castelli, E., Sasset, L., Leoni, D., Salvucci, M., Cazzaro, R., Calcinoni, I., Balducci, P., et al. (2023) · AIDS · doi:10.1097/qad.0000000000003493 · Cited by 22 · see citing works
Stress perçu et santé physique des doctorants dans les universités françaises
Haag, P., Shankland, R., Осин, Е. Н., Boujut, É., Cazalis, F., Bruno, A., Vrignaud, P., & Gay, M. (2017) · Pratiques Psychologiques · doi:10.1016/j.prps.2017.04.005 · Cited by 23 · see citing works
The Impact of Wearable Device Enabled Health Initiative on Physical Activity and Sleep
Crowley, O. V., Pugliese, L., & Kachnowski, S. (2016) · Cureus · doi:10.7759/cureus.825 · Cited by 22 · see citing works
Impact of engagement in exercise on sleep quality among veterans with posttraumatic stress disorder symptoms
Bosch, J., Weaver, T. L., Neylan, T. C., Herbst, E., & McCaslin, S. E. (2017) · Military Medicine · doi:10.7205/milmed-d-16-00385 · Cited by 21 · see citing works
To explore the relationship between physical activity and sleep quality of college students based on the mediating effect of stress and subjective well-being
Yin, J., Cheng, X., Yi, Z.-X., Deng, L., & Liu, Y. (2025) · BMC Psychology · doi:10.1186/s40359-025-03303-w · Cited by 22 · see citing works
The interaction of physical activity and sleep quality with depression and anxiety in older adults
Yuan, Y., Huang, W., Hu, C., & Zhang, W. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1674459 · Cited by 26 · see citing works
Insomnia and depressive symptoms in relation to unhealthy eating behaviors in bariatric surgery candidates
Wrzosek, M., Wojnar, M., Sawicka, A., Tałałaj, M., & Nowicka, G. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1734-7 · Cited by 22 · see citing works
Sleep behavior of New York City taxi drivers compared to the general US population
Mujawar, I., Leng, J. C. F., Roberts-Eversley, N., Narang, B., Kim, S. Y., & Gany, F. M. (2021) · Journal of Transport & Health · doi:10.1016/j.jth.2021.101237 · Cited by 22 · see citing works
Chronotype and poor sleep quality in young adults – a pilot study on the role of rumination
Nowakowska‐Domagała, K., Juraś-Darowny, M., Pietras, T., Stecz, P., & Mokros, Ł. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.08.012 · Cited by 21 · see citing works
Anxiety symptoms and mild cognitive impairment among community-dwelling older adults from low- and middle-income countries
Smith, L., Jacob, L., Sánchez, G. F. L., Butler, L., Barnett, Y., Veronese, N., Soysal, P., Yang, L., Grabovac, I., Tully, M. A., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.076 · Cited by 20 · see citing works
Sleep, Diet, Physical Activity, and Stress during the COVID-19 Pandemic: A Qualitative Analysis
Orr, K., Ta, Z., Shoaf, K., Halliday, T. M., Tobin, S. Y., & Baron, K. G. (2022) · Behavioral Sciences · doi:10.3390/bs12030066 · Cited by 20 · see citing works
Physical Activity Levels and Sleep in Schoolchildren (6–17) with and without School Sport
Larrínaga-Undabarrena, A., Río, X., Sáez, I., Angulo-Garay, G., Aguirre-Betolaza, A. M., Albisua, N., Aguirre, G. M. D. L., Isla, J. R. S., García, N., Urbano, M., et al. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021263 · Cited by 25 · see citing works
Adolescent sleep characteristics and body-mass index in the Family Life, Activity, Sun, Health, and Eating (FLASHE) Study
Schneider, A. C., Zhang, D., & Xiao, Q. (2020) · Scientific Reports · doi:10.1038/s41598-020-70193-w · Cited by 20 · see citing works
Poor self‐reported sleep is associated with risk factors for cardiovascular disease: A cross‐sectional analysis in half a million adults
Valenzuela, P. L., Santos‐Lozano, A., Torres‐Barrán, A., Morales, J. S., Castillo‐García, A., Ruilope, L. M., Insua, D. R., Ordovás, J. M., & Lucía, A. (2021) · European Journal of Clinical Investigation · doi:10.1111/eci.13738 · Cited by 21 · see citing works
Effect of sleep on weight loss and adherence to diet and physical activity recommendations during an 18-month behavioral weight loss intervention
Creasy, S. A., Ostendorf, D. M., Blankenship, J. M., Grau, L., Arbet, J., Bessesen, D. H., Melanson, E. L., & Catenacci, V. A. (2022) · International Journal of Obesity · doi:10.1038/s41366-022-01141-z · Cited by 21 · see citing works

Authors: Kline, C. E.
Affiliations: University of Pittsburgh (US)
Corresponding author: Kline, Christopher E.
ORCID: Kline, Christopher E.
Venue: American Journal of Lifestyle Medicine
Publisher: SAGE Publications
Published: 2014-08-07
Volume: 8
Issue: 6
Pages: 375-379
ISSN: 1559-8276 (ISSN-L)
1559-8284
DOI: 10.1177/1559827614544437
PMC: PMC4341978
OpenAlex: W1986793789
Cited by: 364
References: 54
Citations by year: 2026: 30 · 2025: 40 · 2024: 45 · 2023: 56 · 2022: 48 · 2021: 47 · 2020: 41 · 2019: 17 · 2018: 20 · 2017: 11 · 2016: 9
FWCI: 9.28
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: American Journal of Lifestyle Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Heart, Lung, and Blood Institute (K23HL118318)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Physiology › Physical Activity and Health
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords: physical activity, sleep, bidirectional relationship, sleep disorders, non-pharmacological treatment, physical inactivity, exercise adherence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

The Bidirectional Relationship Between Exercise and Sleep: Implications for Exercise Adherence and Sleep Improvement

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Self-check

Cites

Cited by

Related

Record

About these checks