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EmergingRandomised Controlled Trial

The effects of moderate to high intensity badminton exercise on sleep quality in children with autism.

Developmental neurorehabilitation2025

Zhan Xiaomei, Yuan Chunlian, Kuang Ziwei, Zhong Yi, Shi Tonglin

What this study means for families

Researchers studied whether badminton exercise could help autistic children sleep better. 42 children were split into two groups - one did badminton training 3 times a week for 8 weeks, the other continued normal activities. The badminton group showed big improvements: they fell asleep faster, woke up less during the night, and had less trouble going to bed. Sleep was measured using questionnaires and special watches that track movement. This suggests regular, energetic badminton exercise might be a helpful way to improve sleep problems in autistic children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This randomized controlled trial investigated the effects of moderate to high intensity badminton exercise on sleep quality in 42 children with autism over 8 weeks. The intervention group participated in badminton sessions 3 times per week for 80 minutes at 60-80% maximum heart rate, while controls maintained usual routines. Sleep quality was measured using both the Children's Sleep Habits Questionnaire (CSHQ) and objective actigraphy. Results showed significant improvements in the intervention group, including reduced bedtime resistance, decreased night wakings, lower total CSHQ scores, shorter sleep latency, and reduced wake after sleep onset.

The study concludes that structured, moderate to high intensity badminton exercise can effectively improve sleep quality in autistic children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    8 weeks of moderate to high intensity badminton (3x/week, 80 min sessions at 60-80% HRmax) significantly improved multiple sleep parameters

    Confidence: moderateRelevance: Provides structured exercise protocol that clinicians can implement to address common sleep difficulties in autism
  • 2

    Intervention reduced bedtime resistance, night wakings, sleep latency, and wake after sleep onset

    Confidence: moderateRelevance: Addresses key sleep problems frequently reported by parents of autistic children
  • 3

    Total CSHQ scores decreased, indicating overall sleep quality improvement

    Confidence: moderateRelevance: Demonstrates clinically meaningful change using validated autism sleep assessment tool

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Moderate to high intensity badminton exercise shows promise as a non-pharmacological intervention for sleep difficulties in autism. The structured protocol (3x/week, 80 minutes, 60-80% HRmax) provides clear implementation guidelines for clinicians. Further research needed to establish long-term efficacy and optimal participant selection criteria.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size (n=42) limits generalizability. Study duration was relatively short at 8 weeks. Long-term sustainability of benefits unclear. No information provided about participant characteristics, age range, or autism severity levels, which may affect intervention applicability.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

To evaluate the effectiveness and application value of moderate to high intensity badminton activities on the sleep quality of children with autism. Forty-eight children with autism were randomly divided into experimental and control group (42 were included for data analysis). The experimental group underwent 8 weeks of moderate to high intensity badminton intervention (3 times/week, 80 min/time, 60 ~ 80% HRmax), the control group maintained daily routines. Sleep quality was assessed both objectively Children's Sleep Habits Questionnaire (CSHQ) and subjectively (ActigraPh wGT3X-BT triaxial accelerometer).

After 8 weeks of moderate to high intensity badminton intervention, children in the experimental group showed decreased bedtime resistance, night wakings and total CSHQ scores, sleep latency, and wake after sleep onset were reduced. Conclusions: Eight weeks of moderate to high intensity badminton has significant effects on improving sleep quality in children with autism.

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Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Randomised Controlled Trial
Journal
Developmental neurorehabilitation
Year
2025
PMID
41378834
DOI
10.1080/17518423.2025.2597765

MeSH Terms

HumansMaleFemaleChildAutistic DisorderSleep QualityRacquet SportsExercise TherapySurveys and QuestionnairesTreatment OutcomeActigraphySleep