The effects of different meditation exercises on sleep quality in older people: a network meta-analysis
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Key summary points
The purpose of this research was to estimate the effects of different meditation exercises on the improvement of sleep disorders in older people using pairwise and network meta-analyses.
Qigong, Yoga, and Tai Chi could help older people improve their sleep disorders.
Meditation exercises may have a role in the management of insomnia in older people.
Chronic sleep loss or sleep disorders is a public health problem affecting older people and cause many health problems. We aim to estimate the effects of different meditation exercises on relieving and improvement of sleep disorders in older people using the pairwise and network meta-analyses.
Randomized controlled trials, which were published in English and reported on meditation exercises for sleep disorders in the older people, were retrieved from PubMed and EMBASE up to May 2018. Publication bias of the included studies were assessed by the Cochrane Collaboration recommendations. Network meta-analysis was performed by ADDIS, and all test models used random-effects model. Pooled effect sizes were presented with weighted mean differences (WMDs) and 95% confidence interval (CI).
A total of ten studies were included in our research. Pairwise comparisons indicated that Qigong could significantly improve the quality of sleep in older people with sleep disorders compared with Activities (WMD = − 4.28, 95% CI − 5.75 to − 2.81). In addition, there were significant differences in Education vs. Usual care (WMD = 2.60, 95% CI 1.03–4.17) and Tai Chi vs. Activities (WMD = − 1.05, 95% CI − 1.73 to − 0.38). With great consistence and convergence, network meta-analysis showed that there was a significant difference in Qigong vs. Activities (WMD = − 4.23, 95% CI − 8.31 to − 0.21). Moreover, Qigong showed a best outcome in relieving sleep disorders, followed by Yoga.
Qigong, Yoga, and Tai Chi improved sleep disorders in the older people, and Qigong intervention had the best effect followed by Yoga. A long-term clinical verification should be needed in the future.
KeywordsMeditation exercise Sleep disorder Older people Systematic review Meta-analysis
This work is supported by the Key projects of Shanghai Science and Technology Commission (Polysomnography in Clinical Verification of OSAS and Insomnia) (No. 11DZ1921309).
Compliance with ethical standards
Conflict of interest
The authors declare no conflict of interest.
This article does not contain any studies with human participants performed by any of the authors.
- 10.Maness DL, Khan M (2015) Nonpharmacologic management of chronic insomnia. Am Fam Physician 92(12):1058–1064Google Scholar
- 11.Irwin MR, Olmstead R, Motivala SJ (2008) Improving sleep quality in older adults with moderate sleep complaints: a randomized controlled trial of Tai Chi Chih. Sleep 31(7):1001–1008Google Scholar
- 12.Halpern J et al (2014) Yoga for improving sleep quality and quality of life for older adults. Altern Ther Health Med 20(3):37–46Google Scholar
- 21.Brooks SP, Gelman A (1998) General methods for monitoring convergence of iterative simulations. J Comput Graph Stat 7(4):434–455Google Scholar
- 25.Hariprasad V et al (2013) Effects of yoga intervention on sleep and quality-of-life in elderly: a randomized controlled trial. Indian J Psychiatry 55(Suppl 3):S364Google Scholar
- 37.Chan AS et al (2012) A Chinese Chan-based mind-body intervention improves sleep on patients with depression: a randomized controlled trial. Sci World J 2012(235206):10Google Scholar
- 38.Sengupta P (2012) Health impacts of yoga and pranayama: a state-of-the-art review. Int J Prev Med 3(7):444Google Scholar