{"title":"The Effect of Meditation-Based Mind-Body Interventions on Older Adults with Poor Sleep Quality: A Meta-Analysis of Randomized Controlled Trials.","authors":"Yue Li, Jiaxing Tang, Gaopeng Chen","doi":"10.1080/15402002.2025.2475911","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims and objective: </strong>This study aims to evaluate the effect of meditation-based mind-body interventions (MBIs) (Mindfulness, Tai Chi, Yoga, and Qigong) for older adults with poor sleep quality.</p><p><strong>Background: </strong>Poor sleep quality exerts negative impact on life quality of old adults. The meditation-based mind-body interventions, with merits of simplicity, practicality, accessibility, and widespread dissemination, have been widely used to improve sleep in the older adults. However, the effects of MBIs on sleep quality of old adults are largely unknown.</p><p><strong>Method: </strong>A comprehensive systematic review and meta-analysis were carried out following the PRISMA-P guidelines. Embase, PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science, and CNKI databases were searched to gather randomized controlled trials (RCTs) on the effects of MBIs on older adults with poor sleep quality. Study quality was evaluated by the Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>This study included 11 randomized controlled trials (with 1,052 participants) published between 2008 and 2023. Compared to the control group, there was a significant improvement in sleep quality (SMD= -0.66, 95%CI [-0.894, -0.426], P<0.00001), depression (SMD=-1.60, 95% CI [-1.89, 0.23], P=0.005), and anxiety (SMD= -1.46, 95% CI [-3.67, 0.75], P=0.026) for older adults with poor sleep quality. However, there was no statistically significant difference in the treatment effect for stress (SMD= -4.45, 95% CI [-10.24, 1.35], P=0.196).</p><p><strong>Conclusion: </strong>Meditation-based mind-body interventions significantly improved the sleep quality of older adults with poor sleep quality. Nevertheless, more evidence is needed to support this.</p><p><strong>Registration: </strong>The protocol for this study was registered with PROSPERO (CRD42023445082). https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082.</p><p><strong>Prospero registration number: </strong>CRD42023445082.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"341-359"},"PeriodicalIF":1.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behavioral Sleep Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15402002.2025.2475911","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/18 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Aims and objective: This study aims to evaluate the effect of meditation-based mind-body interventions (MBIs) (Mindfulness, Tai Chi, Yoga, and Qigong) for older adults with poor sleep quality.
Background: Poor sleep quality exerts negative impact on life quality of old adults. The meditation-based mind-body interventions, with merits of simplicity, practicality, accessibility, and widespread dissemination, have been widely used to improve sleep in the older adults. However, the effects of MBIs on sleep quality of old adults are largely unknown.
Method: A comprehensive systematic review and meta-analysis were carried out following the PRISMA-P guidelines. Embase, PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science, and CNKI databases were searched to gather randomized controlled trials (RCTs) on the effects of MBIs on older adults with poor sleep quality. Study quality was evaluated by the Cochrane Risk of Bias tool.
Results: This study included 11 randomized controlled trials (with 1,052 participants) published between 2008 and 2023. Compared to the control group, there was a significant improvement in sleep quality (SMD= -0.66, 95%CI [-0.894, -0.426], P<0.00001), depression (SMD=-1.60, 95% CI [-1.89, 0.23], P=0.005), and anxiety (SMD= -1.46, 95% CI [-3.67, 0.75], P=0.026) for older adults with poor sleep quality. However, there was no statistically significant difference in the treatment effect for stress (SMD= -4.45, 95% CI [-10.24, 1.35], P=0.196).
Conclusion: Meditation-based mind-body interventions significantly improved the sleep quality of older adults with poor sleep quality. Nevertheless, more evidence is needed to support this.
Registration: The protocol for this study was registered with PROSPERO (CRD42023445082). https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082.
期刊介绍：
Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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