Sleep

Effects of brisk walking and Tai Chi interventions on sleep quality in university students with insomnia.

TL;DR

Both Tai Chi and brisk walking are associated with significant reductions in global PSQI scores among university students with insomnia, indicating their potential as effective non-pharmacological interventions for improving sleep quality in this population.

Key Findings

Both Tai Chi and brisk walking produced statistically significant reductions in PSQI total scores after 24 weeks compared to a control group.

  • Statistically significant differences in PSQI total scores were observed among the three groups following the intervention (P < 0.001)
  • Tai Chi group PSQI scores reduced from 7.20 ± 1.63 to 4.52 ± 1.92 (P < 0.001)
  • Brisk walking group PSQI scores reduced from 6.88 ± 1.65 to 4.42 ± 1.67 (P < 0.001)
  • Control group received no intervention and maintained usual lifestyle and academic activities
  • 75 university students with PSQI > 5 were enrolled, with mean age 18.77 ± 0.73 years

Tai Chi intervention was associated with significant improvements in the specific PSQI subdomains of sleep duration, sleep efficiency, and daytime dysfunction.

  • Within the Tai Chi group, significant improvements were noted in sleep duration, sleep efficiency, and daytime dysfunction (all P < 0.05)
  • The Tai Chi group did not show statistically significant improvement in the subjective sleep quality subdomain specifically
  • Sessions consisted of 60-minute sessions performed three times per week over 24 weeks
  • 25 participants were allocated to the Tai Chi group in a 1:1:1 randomization

Brisk walking intervention was associated with significant improvements in PSQI subdomains of sleep quality, sleep duration, sleep efficiency, and daytime dysfunction.

  • The brisk walking group showed marked improvements in sleep quality, sleep duration, sleep efficiency, and daytime dysfunction (all P < 0.05)
  • The brisk walking group improved in one additional subdomain (subjective sleep quality) compared to the Tai Chi group
  • Sessions consisted of 60-minute sessions performed three times per week over 24 weeks
  • 25 participants were allocated to the brisk walking group in a 1:1:1 randomization

Multiple linear regression confirmed that both exercise modalities were independently associated with significant reductions in PSQI total scores relative to the control group.

  • Tai Chi group regression coefficient: B = -1.889, P < 0.001
  • Brisk walking group regression coefficient: B = -1.992, P < 0.001
  • The regression coefficients for both groups were similar in magnitude, suggesting comparable effectiveness
  • The analysis indicated that both exercise modalities effectively improved sleep quality compared to no intervention

The study enrolled university students with clinically relevant sleep disturbance using the PSQI as the inclusion criterion and outcome measure.

  • Eligible participants had a Pittsburgh Sleep Quality Index (PSQI) score > 5, which is indicative of sleep disturbance
  • Total sample of 75 students was recruited from an undergraduate institution in Anhui Province
  • The study was conducted between December 2023 and June 2024
  • Participants were randomly allocated in a 1:1:1 ratio to Tai Chi, brisk walking, or control groups (25 per group)
  • Mean age of the final analyzed sample was 18.77 ± 0.73 years

What This Means

This research suggests that two popular forms of exercise — brisk walking and Tai Chi — can meaningfully improve sleep quality in college students who struggle with insomnia. The study followed 75 university students in China over six months, with students either practicing one of the two exercises for one hour, three times per week, or continuing their normal routine without any exercise intervention. Sleep quality was measured using a standardized questionnaire called the Pittsburgh Sleep Quality Index (PSQI), where higher scores indicate worse sleep. After 24 weeks, both exercise groups showed significant drops in their PSQI scores, moving from levels indicating sleep disturbance toward more normal sleep. The control group, which did not exercise, did not show the same improvements. Both Tai Chi and brisk walking led to better sleep duration, sleep efficiency, and less daytime impairment. Brisk walking additionally improved subjective sleep quality ratings. Importantly, the two exercise types produced very similar overall benefits, suggesting that the type of exercise may matter less than simply engaging in regular physical activity. This research suggests that structured, moderate-intensity exercise programs — whether mind-body practices like Tai Chi or straightforward aerobic exercise like brisk walking — could serve as practical, drug-free options for addressing sleep problems in young adults. Given that insomnia is common among university students and can negatively affect academic performance and well-being, these findings highlight accessible, low-cost strategies that students and institutions might consider. The study was limited to a single university population of young adults, so results may not generalize to other age groups or settings.

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Citation

Zhou X, Li F, Feng N, Teng Y, Yu Q. (2026). Effects of brisk walking and Tai Chi interventions on sleep quality in university students with insomnia.. Frontiers in public health. https://doi.org/10.3389/fpubh.2025.1732579