Efficacy of Mind-body Exercise to Reduce Sleep Disturbance and Depression Among Older Adults: A Systematic Review and Meta-analysis
10.1016/j.anr.2024.08.002
- Author:
Makhfudli MAKHFUDLI
1
;
Santo I. TONAPA
;
Eka M.M. HAS
;
Mei-Chan CHONG
;
Ferry EFENDI
Author Information
1. Faculty of Nursing, Universitas Airlangga, Indonesia
- Publication Type:Review Article
- From:Asian Nursing Research
2024;18(4):408-419
- CountryRepublic of Korea
- Language:English
-
Abstract:
Methods:We searched eight databases to identify relevant articles from their inception to April 2024. Experimental studies that evaluate the effects of mind-body movement therapy on sleep disturbance and depression in older adults were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0. Moreover, subgroup analysis was utilized to understand the effect size on each form of mind-body exercise and to determine the source of heterogeneity.
Results:A total of 27 studies were eligible and synthesized. The mind-body exercise appears statistically significant in reducing sleep disturbance (SMD = −0.60, 95% CI: 0.76 ∼ 0.44) and depression (SMD = −0.56, 95% CI: 0.75 ∼ 0.36) among older adults. Each form of mind-body exercise, including pilates, yoga, qigong, and tai-chi, effectively decreases sleep disturbance and depression, but there were no significant differences in the effects between these practices.
Conclusion:The cumulative evidence concludes that older adults who participated in mind-body exercise programs showed potential improvements in sleep disturbance and depression. This finding may serve as evidence for professionals to use this approach as a non-pharmacological approach to help older adults in the community and long-term care facilities who are having sleep disturbance and depression. More clinical trials are needed for an in-depth meta-analysis that can rank and compare the efficacy of each mind-body exercise practice.
