RT journal article T1 Effects of resistance training on sleep quality and disorders among individuals diagnosed with cancer: A systematic review and meta-analysis of randomized controlled trials A1 Maric, D. A1 Ficarra, Salvatore A1 Di Bartolo, L. A1 Rossi, C. A1 Asimakopoulou, Zoi A1 Vantarakis, Apostolos A1 Carbonell Baeza, Ana A1 Jiménez Pavón, David A1 Gomes, B. A1 Tavares, Paula A1 Baxter, R. A1 Pusa, S. A1 Thaller, P. A1 Papakonstantinou, Sofia A1 Kirkar, Musa A1 Glorioso, Francesca A1 Galioto, Marina A1 Gentile, Ambra A1 Thomas, E. A1 Bianco, Antonino A2 Didáctica de la Educación FísicaPlástica y Musical K1 exercise oncology, K1 insomnia K1 physical activity K1 quality of life K1 tumor AB Background: Sleep disorders are often complained by cancer patients and can last years after the end of therapies, leading to different negative consequences. Non-pharmacological strategies such as exercise interventions may be considered to counteract this phenomenon. The literature supports the beneficial effects of aerobic training (AT), while evidence on resistance training (RT) is scarce. Accordingly, our systematic review aims to investigate the potential novel effect of RT on sleep outcomes in cancer survivors. Methods: The literature search was conducted on MEDLINE (Pubmed), Web of Science, Scopus, and Cochrane Central Register of Controlled Trials databases, including only randomized controlled trials (RCTs). The screening procedure was conducted using the web-based software COVIDENCE. Sleep outcomes assessed through self-reported questionnaires or objective sleep measurements were extracted from RCTs recruiting cancer survivors of any age and gender, on or off treatment. The risk of bias (RoB) for each study was assessed using the Cochrane RoB 2 tool for RCTs. Meta-analytic syntheses were performed on sleep quality and insomnia. Results: A total of 21 studies were included in the review. Considering the mean percentage differences of all studies combined, promising positive results were found after combined aerobic and resistance exercise program (COMB) for sleep quality (−19%) and sleep disturbance (−17.3%). The meta-analysis results showed significant improvement for both sleep quality and insomnia (d = 0.28, SE: 0.11, Z = 2.51, p < 0.01, 95% CI: 0.07–0.49 and d = 0.43, SE: 0.20, Z = 2.18, p = 0.029, 95% CI: 0.07–0.49, respectively). Conclusion: RT interventions of 60 minutes per session, performed 2–3 times a week for 12 weeks, with exercise intensity ranging from 60% to 80% of one-repetition maximum can be administered to cancer survivors, aiming to improve sleep outcomes. PB Wiley SN 2045-7634 YR 2024 FD 2024 LK http://hdl.handle.net/10498/33673 UL http://hdl.handle.net/10498/33673 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026