Optimal types and doses of exercise for improving sleep quality in perinatal women: a systematic review and network meta-analysis based on randomized controlled trials
Abstract
Background: The perinatal period spans from the onset of pregnancy to one year postpartum. Sleep quality is particularly critical during this period. An appropriate exercise regimen can significantly improve their sleep quality. Previous studies have demonstrated that exercise effectively enhances sleep quality; however, the optimal regimen remains unclear. To address this limitation, this study employs a network meta-analysis to systematically evaluate the effects of different types of exercise and dosage (including duration, frequency, and session length) on the sleep quality of perinatal women. This analysis provides evidence-based recommendations to improve sleep quality in perinatal women.
Methods: Using a combination of manual and computer-assisted search strategies, we searched PubMed, Web of Science, EBSCO, Cochrane Library, Scopus, Embase, ProQuest, CNKI, and Wanfang databases to identify randomized controlled trials on the effects of different exercise interventions on the sleep quality of perinatal women. The search was conducted up to August 5, 2025.The risk of bias was assessed using RevMan 5.4.1 software, and traditional meta-analysis and network meta-analysis were conducted using Stata 16.0 software to generate forest plots, network evidence plots, funnel plots, Surface Under the Cumulative Ranking Curve (SUCRA) plots, and GRADE evaluation plots. Results were reported using standardized mean difference (SMD) and 95% confidence intervals (CI).
Results: This…
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: 1,862 participants or records.
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