The effects of aerobic exercise on sleep quality in overweight and obese individuals: a systematic review and meta-analysis

Nurul Farah Shafiqa Mahtar, Noor Fatihah Ilias, Sazzli Shahlan Kasim, Hashbullah Ismail

 

Nurul Farah Shafiqa Mahtar, Noor Fatihah Ilias, Sazzli Shahlan Kasim, Hashbullah Ismail – The effects of aerobic exercise on sleep quality in overweight and obese individuals: a systematic review and meta-analysis –  Fizjoterapia Polska 2025; 25(2); 60-69

DOI: https://doi.org/10.56984/8ZG7D1979F2

Abstract
Background. Sleep quality is vital for health, impacting physical recovery, cognitive function, and emotional stability. Poor sleep quality is common in overweight and obese individuals. Evidence suggests aerobic exercise improves sleep quality by positively affecting physiological systems related to sleep regulation, making it a potential intervention for this group.
Objectives. This study evaluates the effect of aerobic exercise on sleep quality in overweight and obese individuals through a systematic review and meta-analysis.
Methods. Four electronic databases (PubMed, ScienceDirect, Scopus, and Web of Science) were searched for randomized controlled trials (2008–2023) comparing aerobic exercise groups with control groups. Subjective sleep outcomes were measured using the Pittsburgh Sleep Quality Index (PSQI), and objective outcomes through actigraphy or polysomnography. Risk of bias was assessed using TESTEX, and meta-analyses utilized a random-effects model in RevMan 5.4.
Results. Sixteen trials (N = 1132) showed aerobic exercise significantly improved subjective sleep quality in overweight and obese individuals (lower PSQI scores, MD -1.53, 95% CI -2.88 to -0.19, p = 0.03). No significant improvements were observed in objective sleep outcomes (e.g., sleep time, latency, efficiency).
Conclusion. Aerobic exercise improves subjective sleep quality but not objective measures in overweight and obese populations. Further research is needed to explore its effects on objective sleep parameters.

Key words
aerobic exercise, sleep quality, subjective sleep quality, objective sleep quality, overweight, obese, meta-analysis

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Effectiveness of joint mobilization on heel fat pad syndrome among obese patient in geriatric population

N.Sathiyaseelan, Shenbaga Sundaram Subramanian, Kumaresan A, Surya Vishnuram, K.C.Gayathri, Madhanraj Sekar, A.K.Keerthana

 

N.Sathiyaseelan et al. – Effectiveness of joint mobilization on heel fat pad syndrome among obese patient in geriatric population –  Fizjoterapia Polska 2024; 24(4); 71-76

DOI: https://doi.org/10.56984/8ZG01A8J6K2

Abstract
Objective. To determine the effect of joint mobilization on Heel Fat Pad Syndrome among obese geriatrics. Methods. The randomized controlled study was performed at the Saveetha Physiotherapy OPD, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India. 202 samples aged above 60 years were collected based on the criterion for inclusion and exclusion. Interventions. The experimental Group (101Subjects) was treated with Ultrasound and Joint Mobilization. The Control Group (101 Subjects) was treated with Ultrasound and conventional Exercises. The lifestyle and Balance Assessment used the Foot Function Index and Berg balance scale. A numeric Pain Rating Scale was used to measure Pain. Results. The Wilcoxon Signed Rank Test revealed a significant difference (p < 0.001) in the experimental Group between the pre-test and post-test values of NPRS, FFI, and BBS. Similarly, the Control Group showed a significant difference (p < 0.001) in the pre-test and post-test values of NPRS, FFI, and BBS. The comparison of post-test scores between the Experimental Group and the Control Group also showed a significant difference (p < 0.001), indicating significant improvements in the experimental group. As a result, the effects of Joint Mobilization on Heel Pad Syndrome minimize the symptoms of heel fat pad syndrome, Improve Foot Function and balance and reduce pain. Conclusion. The study provided evidence that ultrasound and joint mobilization used in this study show a significant reduction in pain and balance with non-specific heel pain.
Keywords
heel fat pad syndrome, joint mobilization, obese, geriatrics
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Effects of different aerobic exercise protocols on regional body fatness and serum lipids in women with obesity: A randomized trial

Mark Monir Seddik, Awny Fouad Rahmy, Amir N Wadee, Ahmad Mahdi Ahmad

 

Mark Monir Seddik, Awny Fouad Rahmy, Amir N Wadee, Ahmad Mahdi Ahmad – Effects of different aerobic exercise protocols on regional body fatness and serum lipids in women with obesity: A randomized trial –  Fizjoterapia Polska 2024; 24(3); 174-182

DOI: https://doi.org/10.56984/8ZG020AYN5

Abstract:
Aim. This study aimed to compare the effects of high‑volume high‑intensity interval training (HV‑HIIT), low‑volume high‑intensity interval training (LV‑HIIT), and moderate‑intensity continuous training (MICT) on regional body fatness and serum lipids in adult obese women.
Methods. Forty‑six women with obesity and dyslipidemia completed this study. They were randomly allocated to HV‑HIIT protocol (n = 15), LV‑HIIT protocol (n = 14), and MICT protocol (n = 17). The protocols were performed three days a week for eight weeks. Measurements included body mass index (BMI), waist circumference (WC), sub-total fat, leg fat, trunk fat, arm fat, lean mass, fat-free mass, and bone mineral content via DXA, self-paced maximal cycle test for HRmax determination, and serum lipids (TC, HDL, LDL, TG).
Results. HV‑HIIT led to significantly greater improvements in HRmax, body fat measures, TC, and HDL compared to the other protocols (p < 0.05). Both LV‑HIIT and MICT were effective in reducing TC, but LV‑HIIT showed better results for improving HDL (p < 0.05).
Conclusion. HV‑HIIT was the most effective for reducing body fat and improving TC and HDL, while LV‑HIIT was superior to MICT in improving HDL.

Keywords:
aerobic exercise, high‑intensity interval training, regional body fatness, serum lipids, obese, women

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