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Exercise and Sleep

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Sleep Medicine and Physical Therapy

Abstract

Exercise promotes positive effects on the sleep of individuals with and without sleep problems. In addition, it is known that disorders such as obstructive sleep apnea and insomnia, or poor sleep quality, can be improved by exercise training. However, as there are several variables to consider regarding exercise (e.g., intensity, duration, frequency, mode, and timing), it remains unclear how these variables interact to impact sleep for adults. This chapter describes some important aspects of how exercise training relates to sleep.

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References

  1. Horne JA, Staff LH. Exercise and sleep: body-heating effects. Sleep. 1983;6(1):36–46. https://doi.org/10.1093/sleep/6.1.36.

    Article  CAS  PubMed  Google Scholar 

  2. Rogers NL, Bowes J, Lushington K, Dawson D. Thermoregulatory changes around the time of sleep onset. Physiol Behav. 2007;90(4):643–7. https://doi.org/10.1016/j.physbeh.2006.11.018.

    Article  CAS  PubMed  Google Scholar 

  3. Raymann RJ, Swaab DF, Van Someren EJ. Skin temperature and sleep-onset latency: changes with age and insomnia. Physiol Behav. 2007;90(2–3):257–66. https://doi.org/10.1016/j.physbeh.2006.09.008.

    Article  CAS  PubMed  Google Scholar 

  4. Miller DJ, Sargent C, Roach GD, Scanlan AT, Vincent GE, Lastella M. Moderate-intensity exercise performed in the evening does not impair sleep in healthy males. Eur J Sport Sci. 2020;20(1):80–9. https://doi.org/10.1080/17461391.2019.1611934.

    Article  CAS  PubMed  Google Scholar 

  5. O’Connor PJ, Breus MJ, Youngstedt SD. Exercise-induced increase in core temperature does not disrupt a behavioral measure of sleep. Physiol Behav. 1998;64(3):213–7. https://doi.org/10.1016/s0031-9384(98)00049-3.

    Article  PubMed  Google Scholar 

  6. Thomas C, Jones H, Whitworth-Turner C, Louis J. High-intensity exercise in the evening does not disrupt sleep in endurance runners. Eur J Appl Physiol. 2020;120(2):359–68. https://doi.org/10.1007/s00421-019-04280-w.

    Article  PubMed  Google Scholar 

  7. Driver HS, Taylor SR. Exercise and sleep. Sleep Med Rev. 2000;4(4):387–402. https://doi.org/10.1053/smrv.2000.0110.

    Article  PubMed  Google Scholar 

  8. Landolt HP. Sleep homeostasis: a role for adenosine in humans? Biochem Pharmacol. 2008;75(11):2070–9. https://doi.org/10.1016/j.bcp.2008.02.024.

    Article  CAS  PubMed  Google Scholar 

  9. Dworak M, Diel P, Voss S, Hollmann W, Struder HK. Intense exercise increases adenosine concentrations in rat brain: implications for a homeostatic sleep drive. Neuroscience. 2007;150(4):789–95. https://doi.org/10.1016/j.neuroscience.2007.09.062.

    Article  CAS  PubMed  Google Scholar 

  10. Dworak M, Wiater A, Alfer D, Stephan E, Hollmann W, Struder HK. Increased slow wave sleep and reduced stage 2 sleep in children depending on exercise intensity. Sleep Med. 2008;9(3):266–72. https://doi.org/10.1016/j.sleep.2007.04.017.

    Article  PubMed  Google Scholar 

  11. Youngstedt SD, O'Connor PJ, Crabbe JB, Dishman RK. The influence of acute exercise on sleep following high caffeine intake. Physiol Behav. 2000;68(4):563–70. https://doi.org/10.1016/s0031-9384(99)00213-9.

    Article  CAS  PubMed  Google Scholar 

  12. Arenas DJ, Thomas A, Wang J, DeLisser HM. A systematic review and meta-analysis of depression, anxiety, and sleep disorders in US adults with food insecurity. J Gen Intern Med. 2019;34(12):2874–82. https://doi.org/10.1007/s11606-019-05202-4.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kalmbach DA, Anderson JR, Drake CL. The impact of stress on sleep: pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. J Sleep Res. 2018;27(6):e12710. https://doi.org/10.1111/jsr.12710.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc Groselj L, Ellis JG, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675–700. https://doi.org/10.1111/jsr.12594.

    Article  PubMed  Google Scholar 

  15. Alvaro PK, Roberts RM, Harris JK. A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression. Sleep. 2013;36(7):1059–68. https://doi.org/10.5665/sleep.2810.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hallgren M, Herring MP, Owen N, Dunstan D, Ekblom O, Helgadottir B, et al. Exercise, physical activity, and sedentary behavior in the treatment of depression: broadening the scientific perspectives and clinical opportunities. Front Psych. 2016;7:36. https://doi.org/10.3389/fpsyt.2016.00036.

    Article  Google Scholar 

  17. Youngstedt SD, Elliott JA, Kripke DF. Human circadian phase-response curves for exercise. J Physiol. 2019;597(8):2253–68. https://doi.org/10.1113/JP276943.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Richardson CE, Gradisar M, Short MA, Lang C. Can exercise regulate the circadian system of adolescents? Novel implications for the treatment of delayed sleep-wake phase disorder. Sleep Med Rev. 2017;34:122–9. https://doi.org/10.1016/j.smrv.2016.06.010.

    Article  PubMed  Google Scholar 

  19. Kline C. Sleep quality. In: Gellman M, editor. Encyclopedia of behavioral medicine. New York: Springer; 2020.

    Google Scholar 

  20. Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, et al. National Sleep Foundation’s sleep quality recommendations: first report. Sleep Health. 2017;3(1):6–19. https://doi.org/10.1016/j.sleh.2016.11.006.

    Article  PubMed  Google Scholar 

  21. Jurado-Fasoli L, De-la OA, Molina-Hidalgo C, Migueles JH, Castillo MJ, Amaro-Gahete FJ. Exercise training improves sleep quality: a randomized controlled trial. Eur J Clin Invest. 2020;50(3):e13202. https://doi.org/10.1111/eci.13202.

    Article  PubMed  Google Scholar 

  22. Lins-Filho OL, Pedrosa RP, Gomes JML, Dantas Moraes SL, Vasconcelos BCE, Lemos CAA, et al. Effect of exercise training on subjective parameters in patients with obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med. 2020;69:1–7. https://doi.org/10.1016/j.sleep.2019.12.022.

    Article  PubMed  Google Scholar 

  23. Mendelson M, Borowik A, Michallet AS, Perrin C, Monneret D, Faure P, et al. Sleep quality, sleep duration and physical activity in obese adolescents: effects of exercise training. Pediatr Obes. 2016;11(1):26–32. https://doi.org/10.1111/ijpo.12015.

    Article  CAS  PubMed  Google Scholar 

  24. Yang PY, Ho KH, Chen HC, Chien MY. Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. J Physiother. 2012;58(3):157–63. https://doi.org/10.1016/S1836-9553(12)70106-6.

    Article  PubMed  Google Scholar 

  25. Kovacevic A, Mavros Y, Heisz JJ, Fiatarone Singh MA. The effect of resistance exercise on sleep: a systematic review of randomized controlled trials. Sleep Med Rev. 2018;39:52–68. https://doi.org/10.1016/j.smrv.2017.07.002.

    Article  PubMed  Google Scholar 

  26. Steindorf K, Wiskemann J, Ulrich CM, Schmidt ME. Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial. Breast Cancer Res Treat. 2017;162(3):489–99. https://doi.org/10.1007/s10549-017-4141-8.

    Article  PubMed  Google Scholar 

  27. Elavsky S, McAuley E. Lack of perceived sleep improvement after 4-month structured exercise programs. Menopause. 2007;14(3 Pt 1):535–40. https://doi.org/10.1097/01.gme.0000243568.70946.d4.

    Article  PubMed  Google Scholar 

  28. Kline CE, Hillman CH, Bloodgood Sheppard B, Tennant B, Conroy DE, Macko RF, et al. Physical activity and sleep: an updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report. Sleep Med Rev. 2021;58:101489. https://doi.org/10.1016/j.smrv.2021.101489.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep. 1999;22(8):1134–56. https://doi.org/10.1093/sleep/22.8.1134.

    Article  CAS  PubMed  Google Scholar 

  30. Santiago LDCS, Lyra MJ, Cunha Filho M, Cruz PWDS, Santos MAMD, Falcão APST. Efeito de uma sessão de treinamento de força sobre a qualidade do sono de adolescentes. Rev Bras Med Esporte. 2015;21:148–52.

    Article  Google Scholar 

  31. Flausino NH, Da Silva Prado JM, de Queiroz SS, Tufik S, de Mello MT. Physical exercise performed before bedtime improves the sleep pattern of healthy young good sleepers. Psychophysiology. 2012;49(2):186–92. https://doi.org/10.1111/j.1469-8986.2011.01300.x.

    Article  PubMed  Google Scholar 

  32. Buman MP, Phillips BA, Youngstedt SD, Kline CE, Hirshkowitz M. Does nighttime exercise really disturb sleep? Results from the 2013 National Sleep Foundation Sleep in America Poll. Sleep Med. 2014;15(7):755–61. https://doi.org/10.1016/j.sleep.2014.01.008.

    Article  PubMed  Google Scholar 

  33. Stutz J, Eiholzer R, Spengler CM. Effects of evening exercise on sleep in healthy participants: a systematic review and meta-analysis. Sports Med. 2019;49(2):269–87. https://doi.org/10.1007/s40279-018-1015-0.

    Article  PubMed  Google Scholar 

  34. Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S, et al. Sleep apnea: types, mechanisms, and clinical cardiovascular consequences. J Am Coll Cardiol. 2017;69(7):841–58. https://doi.org/10.1016/j.jacc.2016.11.069.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Quan SF, O’Connor GT, Quan JS, Redline S, Resnick HE, Shahar E, et al. Association of physical activity with sleep-disordered breathing. Sleep Breath. 2007;11(3):149–57. https://doi.org/10.1007/s11325-006-0095-5.

    Article  PubMed  Google Scholar 

  36. Tufik S, Santos-Silva R, Taddei JA, Bittencourt LR. Obstructive sleep apnea syndrome in the Sao Paulo Epidemiologic Sleep Study. Sleep Med. 2010;11(5):441–6. https://doi.org/10.1016/j.sleep.2009.10.005.

    Article  PubMed  Google Scholar 

  37. Simpson L, McArdle N, Eastwood PR, Ward KL, Cooper MN, Wilson AC, et al. Physical inactivity is associated with moderate-severe obstructive sleep apnea. J Clin Sleep Med. 2015;11(10):1091–9. https://doi.org/10.5664/jcsm.5078.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Murillo R, Reid KJ, Arredondo EM, Cai J, Gellman MD, Gotman NM, et al. Association of self-reported physical activity with obstructive sleep apnea: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prev Med. 2016;93:183–8. https://doi.org/10.1016/j.ypmed.2016.10.009.

    Article  PubMed  PubMed Central  Google Scholar 

  39. da Silva RP, Martinez D, Pedroso MM, Righi CG, Martins EF, Silva LM, et al. Exercise, occupational activity, and risk of sleep apnea: a cross-sectional study. J Clin Sleep Med. 2017;13(2):197–204. https://doi.org/10.5664/jcsm.6446.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kline CE, Crowley EP, Ewing GB, Burch JB, Blair SN, Durstine JL, et al. The effect of exercise training on obstructive sleep apnea and sleep quality: a randomized controlled trial. Sleep. 2011;34(12):1631–40. https://doi.org/10.5665/sleep.1422.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Kline CE, Ewing GB, Burch JB, Blair SN, Durstine JL, Davis JM, et al. Exercise training improves selected aspects of daytime functioning in adults with obstructive sleep apnea. J Clin Sleep Med. 2012;8(4):357–65. https://doi.org/10.5664/jcsm.2022.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Ueno LM, Drager LF, Rodrigues AC, Rondon MU, Braga AM, Mathias W Jr, et al. Effects of exercise training in patients with chronic heart failure and sleep apnea. Sleep. 2009;32(5):637–47. https://doi.org/10.1093/sleep/32.5.637.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Desplan M, Mercier J, Sabate M, Ninot G, Prefaut C, Dauvilliers Y. A comprehensive rehabilitation program improves disease severity in patients with obstructive sleep apnea syndrome: a pilot randomized controlled study. Sleep Med. 2014;15(8):906–12. https://doi.org/10.1016/j.sleep.2013.09.023.

    Article  CAS  PubMed  Google Scholar 

  44. Karlsen T, Nes BM, Tjonna AE, Engstrom M, Stoylen A, Steinshamn S. High-intensity interval training improves obstructive sleep apnoea. BMJ Open Sport Exerc Med. 2016;2(1). https://doi.org/10.1136/bmjsem-2016-000155.

  45. Servantes DM, Javaheri S, Kravchychyn ACP, Storti LJ, Almeida DR, de Mello MT, et al. Effects of exercise training and CPAP in patients with heart failure and OSA: a preliminary study. Chest. 2018;154(4):808–17. https://doi.org/10.1016/j.chest.2018.05.011.

    Article  PubMed  Google Scholar 

  46. Iftikhar IH, Kline CE, Youngstedt SD. Effects of exercise training on sleep apnea: a meta-analysis. Lung. 2014;192(1):175–84. https://doi.org/10.1007/s00408-013-9511-3.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Andrade FMDD, Pedrosa RP. The role of physical exercise in obstructive sleep apnea. J Bras Pneumol. 2016;42:457–64.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Norman JF, Von Essen SG, Fuchs RH, McElligott M. Exercise training effect on obstructive sleep apnea syndrome. Sleep Res Online. 2000;3(3):121–9.

    CAS  PubMed  Google Scholar 

  49. Sengul YS, Ozalevli S, Oztura I, Itil O, Baklan B. The effect of exercise on obstructive sleep apnea: a randomized and controlled trial. Sleep Breath. 2011;15(1):49–56. https://doi.org/10.1007/s11325-009-0311-1.

    Article  PubMed  Google Scholar 

  50. Servantes DM, Pelcerman A, Salvetti XM, Salles AF, de Albuquerque PF, de Salles FC, et al. Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes. Clin Rehabil. 2012;26(1):45–57. https://doi.org/10.1177/0269215511403941.

    Article  PubMed  Google Scholar 

  51. Gottlieb DJ, Punjabi NM. Diagnosis and management of obstructive sleep apnea: a review. JAMA. 2020;323(14):1389–400. https://doi.org/10.1001/jama.2020.3514.

    Article  PubMed  Google Scholar 

  52. Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA. 2000;284(23):3015–21. https://doi.org/10.1001/jama.284.23.3015.

    Article  CAS  PubMed  Google Scholar 

  53. Newman AB, Foster G, Givelber R, Nieto FJ, Redline S, Young T. Progression and regression of sleep-disordered breathing with changes in weight: the Sleep Heart Health Study. Arch Intern Med. 2005;165(20):2408–13. https://doi.org/10.1001/archinte.165.20.2408.

    Article  PubMed  Google Scholar 

  54. Friedman O, Bradley TD, Chan CT, Parkes R, Logan AG. Relationship between overnight rostral fluid shift and obstructive sleep apnea in drug-resistant hypertension. Hypertension. 2010;56(6):1077–82. https://doi.org/10.1161/HYPERTENSIONAHA.110.154427.

    Article  CAS  PubMed  Google Scholar 

  55. Redolfi S, Bettinzoli M, Venturoli N, Ravanelli M, Pedroni L, Taranto-Montemurro L, et al. Attenuation of obstructive sleep apnea and overnight rostral fluid shift by physical activity. Am J Respir Crit Care Med. 2015;191(7):856–8. https://doi.org/10.1164/rccm.201412-2192LE.

    Article  PubMed  Google Scholar 

  56. Mendelson M, Lyons OD, Yadollahi A, Inami T, Oh P, Bradley TD. Effects of exercise training on sleep apnoea in patients with coronary artery disease: a randomised trial. Eur Respir J. 2016;48(1):142–50. https://doi.org/10.1183/13993003.01897-2015.

    Article  PubMed  Google Scholar 

  57. Morgan K. Daytime activity and risk factors for late-life insomnia. J Sleep Res. 2003;12(3):231–8. https://doi.org/10.1046/j.1365-2869.2003.00355.x.

    Article  PubMed  Google Scholar 

  58. Kim K, Uchiyama M, Okawa M, Liu X, Ogihara R. An epidemiological study of insomnia among the Japanese general population. Sleep. 2000;23(1):41–7.

    Article  CAS  PubMed  Google Scholar 

  59. Passos GS, Poyares D, Santana MG, Garbuio SA, Tufik S, Mello MT. Effect of acute physical exercise on patients with chronic primary insomnia. J Clin Sleep Med. 2010;6(3):270–5.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Reid KJ, Baron KG, Lu B, Naylor E, Wolfe L, Zee PC. Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Med. 2010;11(9):934–40. https://doi.org/10.1016/j.sleep.2010.04.014.

    Article  PubMed  PubMed Central  Google Scholar 

  61. D’Aurea CVR, Poyares D, Passos GS, Santana MG, Youngstedt SD, Souza AA, et al. Effects of resistance exercise training and stretching on chronic insomnia. Braz J Psychiatry. 2019;41(1):51–7. https://doi.org/10.1590/1516-4446-2018-0030.

    Article  PubMed  Google Scholar 

  62. Hartescu I, Morgan K, Stevinson CD. Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial. J Sleep Res. 2015;24(5):526–34. https://doi.org/10.1111/jsr.12297.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Sleep and Heart Laboratory, Cardiovascular Emergency Room of Pernambuco, University of Pernambuco, Recife, PE, Brazil

    Ozeas Lins-Filho

  2. Associate Graduate Program in Physical Education, University of Pernambuco, Recife, PE, Brazil

    Maria Julia Lyra

  3. Department of Health and Human Development, University of Pittsburgh, Pittsburgh, PA, USA

    Christopher E. Kline

Authors
  1. Ozeas Lins-Filho
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  2. Maria Julia Lyra
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  3. Christopher E. Kline
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Editors and Affiliations

  1. Neurology and Neurosurgery Department, Escola Paulista de Medicina Federal University of São Paulo, São Paulo, Brazil

    Cristina Frange

  2. Neurology and Neurosurgery Department, Escola Paulista de Medicina Federal University of São Paulo, São Paulo, Brazil

    Fernando Morgadinho Santos Coelho

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Lins-Filho, O., Lyra, M.J., Kline, C.E. (2022). Exercise and Sleep. In: Frange, C., Coelho, F.M.S. (eds) Sleep Medicine and Physical Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-85074-6_29

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  • DOI: https://doi.org/10.1007/978-3-030-85074-6_29

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