Effect of acute physical exercise on patients with chronic primary insomnia
Open accessAbstract
Study objectives The aim was to assess and to compare the acute effects of three different modalities of physical exercise on sleep pattern of patients with chronic primary insomnia.Methods Forty-eight insomnia patients, 38 female (mean age 44.4 +/- 8 y) were randomly assigned to 4 groups: control (CTR, n=12), moderate-intensity aerobic exercise (MAE, n=12), high-intensity aerobic exercise (HAE, n=12), and moderate-intensity resistance exercise (MRE, n=12). The patients were assessed on sleep pattern (by polysomnogram and daily sleep log) and anxiety (STAI) before and after the acute exercise.Results The polysomnogram data showed reduction in the sleep onset latency (SOL) (55%) and in the total wake time (TWT) (30%); increase in total sleep time (TST) (18%), and in the sleep efficiency (SE) (13%) in the MAE group. The daily sleep log data showed increase in the TST (26%) and reduction in the SOL (39%). In addition, reduction (15%) in anxiety was also observed after moderate-intensity aerobic exercise.Conclusions Acute moderate-intensity aerobic exercise appears to reduce pre-sleep anxiety and improve sleep in patients with chronic primary insomnia.
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Recent randomized controlled trials have confirmed that exercise has positive effects on sleep quality, sleep onset latency, total sleep time, sleep efficiency, and insomnia severity.
“Recent randomized controlled trials (RCTs) have confirmed that exercise has positive effects on sleep quality, sleep onset latency, total sleep time, sleep efficiency, and insomnia severity (Passos et al., 2010; Reid et al., 2010; Hartescu, Morgan & Stevinson, 2015).”
From Exercise can improve sleep quality: A systematic review and meta-analysis (2018) · cites this paper as Passos et al., 2010
In patients with chronic primary insomnia, acute moderate aerobic exercise reduces sleep onset latency and total wake time and increases total sleep time and sleep efficiency.
“Polysomnography (PSG) data demonstrated a reduction in the sleep onset latency (SOL - 55%) and total wake time (TWT - 30%) as well as an increase in total sleep time (TST - 18%) and sleep efficiency (SE - 13%).”
From Is exercise an alternative treatment for chronic insomnia? (2012) · cites this paper as [26]
With the exception of acute aerobic exercise, interventions were not associated with statistically significant improvements in sleep efficiency (MD, -0.90%; 95%CI: -4.52-2.73).
“With the exception of acute aerobic exercise (80.9% relative to 81.9% in the Control Group), ( 15 ) which was associated with statistically significant differences, interventions were not associated with statistically significant improvements in sleep efficiency (MD, -0.90%; 95%CI: -4.52-2.73).”
From Physical exercise as a therapeutic approach for adults with insomnia: Systematic review and meta-analysis (2022) · cites this paper as [15]
Acute aerobic exercise was the only intervention associated with a statistically significant increase in sleep onset latency.
“Acute aerobic exercise ( 15 ) was the only intervention associated with a statistically significant increase in SOL.”
From Physical exercise as a therapeutic approach for adults with insomnia: Systematic review and meta-analysis (2022) · cites this paper as [15]
Regular exercise has been shown to facilitate weight loss, prevent pain and improve mood and sleep quality in patients with insomnia.
“Regular exercise has been shown to facilitate weight loss, prevent pain and improve mood and sleep quality in patients with insomnia. Also, potential positive impacts on exercise performance create a positive circle. ( 15 - 18 )”
From Physical exercise as a therapeutic approach for adults with insomnia: Systematic review and meta-analysis (2022) · cites this paper as [15]
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References 35 · Cited by 211
Research works printed but not linked: 5
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- Authors
- Passos, G. S., Poyares, D., Santana, M. G., Garbuio, S. A., Tufik, S., & Mello, M. T.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Instituto do Sono (BR)
- Venue
- Journal of Clinical Sleep Medicine
- Published
- 2010-06-15
- Volume
- 6
- Issue
- 3
- Pages
- 270-275
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- PMC
- PMC2883039
- OpenAlex
- W28675002
- Cited by
- 211
- References
- 35
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 12 · 2023: 11 · 2022: 36 · 2021: 18 · 2020: 15 · 2019: 10 · 2018: 16 · 2017: 8 · 2016: 6 · 2015: 14 · 2014: 16 · 2013: 8 · 2012: 8
- FWCI
- 10.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Sleep Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Americanae (AECID Library) (submittedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- 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
- chronic primary insomnia, acute exercise, moderate-intensity aerobic exercise, high-intensity aerobic exercise, resistance training, sleep latency, total sleep time, sleep efficiency, sleep quality
- MeSH terms
- Adult, Analysis of Variance, Anxiety, Chronic Disease, Physical Exertion, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Exercise, Polysomnography
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