Improved sleep quality was demonstrated from a meta-analysis that involved walking interventions. A further two systematic reviews demonstrated equivocal evidence on sleep quality in 1 review and likely showing benefit in a the second review – however the conclusion being that there is likely benefit. [13, 14] A meta-analyses demonstrated no significant effect on sleep measures.
Quality of evidence
Grade B – Moderate quality of evidence. The studies are highly heterogenous and mostly looked at walking interventions. From current evidence walking interventions are likely to be most beneficial.
Strength of recommendation
Grade 2 – weak recommendation – more rigorous RCTs are needed, however it is likely that physical activity would be beneficial to patients to improve sleep quality
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