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Effects of exercise interventions on sleep quality in adolescents: a systematic review and meta-analysis

Yan H, Xin G, Chen R

Frontiers in public health, 2025

710 participants · 3 citations

Abstract

Objective: Adolescents' declining sleep quality has caught the attention of educators, parents, doctors, and schools. Research, especially focusing on teenagers, is still lacking, despite numerous studies examining the connection between physical exercise and sleep quality across other demographics. This study aims to systematically review and conduct a meta-analysis to evaluate the impact of exercise interventions on adolescents' sleep quality.

Methods: Investigate articles available until April 17, 2025, in databases such as PubMed, Cochrane, Web of Science, EBSCO, and Embase. Evaluate the quality of the studies based on the standards outlined in the Cochrane Handbook and conduct data analysis with Review Manager 5.3 software.

Results: After screening 2,312 articles, 8 studies involving 710 participants were ultimately included for meta-analysis. The meta-analysis results indicated that exercise effectively improves sleep quality in adolescents (SMD = -2.10, 95% CI: -2.86 to -1.35, p < 0.05). Various weekly exercise frequencies, single-session lengths, and total intervention durations all demonstrated statistically significant favorable impacts on adolescents' sleep quality, according to subgroup analyses. Regarding exercise modality, combined exercise demonstrated no significant effect on adolescents' sleep quality, whereas both aerobic and resistance exercise produced significant improvements.

Conclusion: Exercise can effectively improve sleep quality in adolescents. A…

How strong is the evidence?

Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 710 participants or records.

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