Effect of Exercise on Quality of Sleep in COVID-19 Patients: A Meta-Analysis
Background: Coronavirus occurs because the virus lowers the body immune, which can lead to several things such as decreased sleep quality. Gymnastics is one exercise that can improve sleep quality, gymnastics can also reduce stress levels and anxiety. This study aims to discover the effect of gymnastics on sleep quality in COVID-19 patients.
Subjects and Method: It was a systematic review and meta-analysis of primary studies. Article searches were conducted based on PICO model eligibility criteria. Population: COVID-19 patients. Intervention: administration of gymnastic intervention. Comparison: no gymnastics intervention. Outcome: improved sleep quality. Article search was conducted through journal databases including Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, BMC, Europe PMC, and Springer Link using search keywords: "gymnastic", "sleep quality", "gymnastic effect", "exercise", "exercise effect", "COVID-19", "randomized controlled trial", "gymnastic randomized controlled trial", "sleep quality -randomized controlled trial", AND "sleep quality on covid 19". The inclusion criteria used in this study were full paper articles with a Randomized Controlled Trial (RCT), with Odds Ratio (OR) for the effect size. The screened eligible articles were analyzed using RevMan 5.3.
Results: This meta-analysis included 9 articles from China, India, South Korea, South America, North America, and Brazil. Good sleep quality increased with gymnastics in COVID-19 patients (aOR= 1.19; 95% CI= 1.14 to 1.24; p<0.001). There was an overestimate publication bias.
Conclusion: The administration of gymnastics interventions to COVID-19 patients has a statisti-cally significant effect on improving sleep quality.
Keywords: COVID-19, gymnastics, meta-analysis, sleep quality.
Septyandi Ramadhan. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: firstname.lastname@example.org. Mobile: +6281936553398.
Adi S. (2018). Basic forms of gymnastic movements (1st ed.). Universitas Negeri Malang.
Alex MS, Subiono HS, Sutardji. (2012). The Effect of Low Impact and High Impact Aerobic Exercise on Physical Freshness. J Sports Sci Fitness. 1(1).
Bobo-arce M, Sierra-palmeiro E, Fernández-villarino MA, Bobo-arce M. (2021). Training in Rhythmic Gymnastics During the Pandemic. J Sport Exerc Psychol. 12: 1–8. doi: 10.3389/fpsyg.2021.658872.
Desjardins S, Tanguay-Labonté M. (2018). The Effects of Physical Activity on Sleep among Adolescents and Adults: A Narrative Review. J Sleep Res. doi: 10.14302/issn.2574-4518.jsdr-18-2065.
Diniz TA, Christofaro DGD, Tebar WR, Cucato GG, Botero JP, Correia MA, Ritti-dias RM, et al. (2020). Reduction of Physical Activity Levels During the COVID-19 Pandemic Might Negatively Disturb Sleep Pattern. Front Psychol. doi: 10.3389/fpsyg.2020.586157.
Yuliani RD, Prasetya H, Murti B. (2022). Meta-Analysis: Application of Health Belief Model Theory on COVID-19 Acceptance in General Population. J Health Promot Behav. 7(3): 225–237. doi: 10.26911/thejhpb.2022.07.03.05.
Fresna RH, Murti B, Prasetya H. (2021). Meta-Analysis the Effect of Residence on the Risk of Anxiety and Depression in General Population during COVID-19 Pandemic. J Epidemiol Public Health. 6(3): 381–391. doi: 10.26911/jepublichealth.2021.06.03.12.
Hofman A, Voortman T, Ikram MA, Luik AI (2022). Time spent in physical activity, sedentary behavior, and sleep: Associations with self-rated sleep quality in middle-aged and older adults. Sleep Health. 8(6): 701–704. doi: 10.1016/j.sleh.2022.06.009.
Kharroubi S, Saleh F (2020). Are Lockdown Measures Effective Against COVID-19? Frontiers in Public Health. Int J Environ Res Public Health. 8: 1–4. doi: 10.3389/fpubh.2020.549692.
Koohsari MJ, Yasunaga A, McCormack GR, Shibata A, Ishii K, Liao Y, Nagai Y, et al. (2023). Sedentary behaviour and sleep quality. Sci Rep. 13(1). Doi: 10.-1038/s41598-023-27882-z.
Kurniawati O, Prasetya H, Murti B (2021). Meta-Analysis the Effects of Obesity and Type 2 Diabetes Mellitus on COVID-19 Mortality. J Epidemiol Public Health. 6(2). doi: 10.26911/jepublichealth.2021.06.02.05.
Luciano F, Cenacchi V, Vegro V, Pavei G, Luciano F, Cenacchi V, Vegro V, et al. (2020). COVID-19 lockdown: physical activity, sedentary behavior and sleep in Italian medicine students. Eur J Sport Sci. doi: 10.1080/17461391.2020.1842910.
Mahfouz MS, Ali SA, Bahari AY, Ajeebi RE, Sabei HJ, Somaily SY, Madkhali YA, et al. (2020). Association between sleep quality and physical activity in Saudi Arabian University students. Nat Sci Sleep. 12: 775–782. doi: 10.2147/NSS.S267996.
Munawaroh SM, Prasetya H, Murti B. (2021). Meta-Analysis of the Effect of Asthma Comorbidity on the Mortality of COVID-19 Patients. J Epidemiol Public Health. 06(02), 256–267. doi: 10.26911/jepublichealth.2021.06.02.12.
Nyenhuis SM, Greiwe J, Zeiger JS, Nanda A. (2019). Exercise and Fitness in the Age of Social Distancing During the COVID-19 Pandemic. J Allergy Clin Immunol Pract. 8(7): 2152–2155. doi: 10.1016/j.jaip.2020. 04.039.
Sher L (2020). COVID-19, anxiety, sleep disturbances and suicide. J Clin Sleep. doi: 10.1016/j.sleep.2020.04.019.
Wang J, Gong Y, Chen Z, Wu J, Feng J, Yan S, Lv C, et al. (2020). Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors. J Clin Sleep Med. 74: 199–203. doi: 10.1016/j.sleep.2020.08.002.