{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1361137044136379776.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.7717/peerj.5172"}},{"identifier":{"@type":"URI","@value":"https://peerj.com/articles/5172.pdf"}},{"identifier":{"@type":"URI","@value":"https://peerj.com/articles/5172.xml"}},{"identifier":{"@type":"URI","@value":"https://peerj.com/articles/5172.html"}},{"identifier":{"@type":"PMID","@value":"30018855"}}],"dc:title":[{"@value":"Exercise can improve sleep quality: a systematic review and meta-analysis"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:sec>\n                    <jats:title>Background</jats:title>\n                    <jats:p>Insomnia 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.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>We 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.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>We 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.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion</jats:title>\n                    <jats:p>Our 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.</jats:p>\n                  </jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1381137044136379777","@type":"Researcher","foaf:name":[{"@value":"Masahiro Banno"}],"jpcoar:affiliationName":[{"@value":"Department of Psychiatry, Seichiryo Hospital, Nagoya City, Aichi Prefecture, Japan"},{"@value":"Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya City, Aichi Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379776","@type":"Researcher","foaf:name":[{"@value":"Yudai Harada"}],"jpcoar:affiliationName":[{"@value":"Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya City, Aichi Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379778","@type":"Researcher","foaf:name":[{"@value":"Masashi Taniguchi"}],"jpcoar:affiliationName":[{"@value":"Division of Physical Therapy, Rehabilitation Units, Shiga University of Medical Science Hospital, Otsu City, Shiga Prefecture, Japan"},{"@value":"Department of Physical Therapy, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379780","@type":"Researcher","foaf:name":[{"@value":"Ryo Tobita"}],"jpcoar:affiliationName":[{"@value":"Division of Physical Therapy, Rehabilitation Units, Shiga University of Medical Science Hospital, Otsu City, Shiga Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379781","@type":"Researcher","foaf:name":[{"@value":"Hiraku Tsujimoto"}],"jpcoar:affiliationName":[{"@value":"Hospital Care Research Unit, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki City, Hyogo Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379783","@type":"Researcher","foaf:name":[{"@value":"Yasushi Tsujimoto"}],"jpcoar:affiliationName":[{"@value":"Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto Prefecture, Japan"},{"@value":"Department of Nephrology and Dialysis, Kyoritsu Hospital, Kawanishi City, Hyogo Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379782","@type":"Researcher","foaf:name":[{"@value":"Yuki Kataoka"}],"jpcoar:affiliationName":[{"@value":"Hospital Care Research Unit, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki City, Hyogo Prefecture, Japan"},{"@value":"Department of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki City, Hyogo Prefecture, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1381137044136379779","@type":"Researcher","foaf:name":[{"@value":"Akiko Noda"}],"jpcoar:affiliationName":[{"@value":"Chubu University Graduate School of Life and Health Sciences, Kasugai City, Aichi Prefecture, Japan"},{"@value":"Clinical Laboratory Technical Education Center, Chubu University, Kasugai City, Aichi Prefecture, Japan"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"21678359"}],"prism:publicationName":[{"@value":"PeerJ"}],"dc:publisher":[{"@value":"PeerJ"}],"prism:publicationDate":"2018-07-11","prism:volume":"6","prism:startingPage":"e5172"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","dc:rights":["http://creativecommons.org/licenses/by/4.0/"],"url":[{"@id":"https://peerj.com/articles/5172.pdf"},{"@id":"https://peerj.com/articles/5172.xml"},{"@id":"https://peerj.com/articles/5172.html"}],"createdAt":"2018-07-11","modifiedAt":"2020-11-05","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Physical%20activity","dc:title":"Physical activity"},{"@id":"https://cir.nii.ac.jp/all?q=QH301-705.5","dc:title":"QH301-705.5"},{"@id":"https://cir.nii.ac.jp/all?q=Epidemiology","dc:title":"Epidemiology"},{"@id":"https://cir.nii.ac.jp/all?q=R","dc:title":"R"},{"@id":"https://cir.nii.ac.jp/all?q=Sleep%20disorders","dc:title":"Sleep disorders"},{"@id":"https://cir.nii.ac.jp/all?q=Systematic%20reviews","dc:title":"Systematic reviews"},{"@id":"https://cir.nii.ac.jp/all?q=Meta-analysis","dc:title":"Meta-analysis"},{"@id":"https://cir.nii.ac.jp/all?q=Medicine","dc:title":"Medicine"},{"@id":"https://cir.nii.ac.jp/all?q=Biology%20(General)","dc:title":"Biology (General)"},{"@id":"https://cir.nii.ac.jp/all?q=Exercise","dc:title":"Exercise"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360013168874737664","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"A systematic review of the effect of sleep interventions on presenteeism"}]},{"@id":"https://cir.nii.ac.jp/crid/1360020303295342720","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Sense of coherence on the relationship between <scp>COVID</scp>‐19‐related stress and sleep quality among 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