# Effectiveness of Total Body Resistance Exercise Intervention on Sleep Quality Among Nursing Staff

**Authors:** Li-Chun YANG, Ke-Hsin CHUEH, Bih-O LEE, Chien-Chang HO, Peng-Cheng HSU

PMC · DOI: 10.1097/jnr.0000000000000739 · The Journal of Nursing Research · 2026-03-25

## TL;DR

This study shows that a 12-week resistance exercise program improves sleep quality for nursing staff.

## Contribution

The study introduces a structured TRX exercise intervention specifically targeting sleep quality in nurses.

## Key findings

- TRX training improved overall sleep quality in nursing staff over 12 weeks.
- The program enhanced subjective sleep quality and reduced daytime dysfunction.
- Positive effects were observed as early as week 6 of the intervention.

## Abstract

The sleep quality of nursing staff is a critical issue worldwide due to the significant impact of their unique work patterns on public health and their job performance. However, research on the efficacy of exercise interventions in terms of improving sleep quality in nurses is inadequate.

This study was designed to explore the effects of a total resistance exercise (TRX) training program performed twice a week on improving the sleep quality of nursing staff.

A quasi-experimental design was employed, and a total of 65 nursing staff were enrolled as participants. The experimental group (33 participants) participated in a 12-week TRX training program, conducted twice a week for 90 min per session. The control group (32 participants) received no intervention. Sleep quality was assessed using the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) at baseline, week 6, and week 12. Generalized estimating equations were used to evaluate the effectiveness of the intervention.

The TRX training program demonstrated positive effects in terms of improving overall sleep quality, enhancing subjective sleep quality, and alleviating daytime dysfunction. These results demonstrate a positive impact of TRX on sleep quality in nurses throughout the intervention period.

The findings of this study highlight the potential benefits of implementing a 12-week TRX exercise intervention for nursing staff. It is recommended that hospital management consider incorporating this or a similar exercise program into comprehensive health promotion strategies to enhance the sleep health of nursing personnel.

## Full-text entities

- **Genes:** TXN (thioredoxin) [NCBI Gene 7295] {aka TRDX, TRX, TRX1, TXN1, Trx80}
- **Diseases:** depression (MESH:D003866), daytime dysfunction (MESH:D006970), infected (MESH:D007239), injury (MESH:D014947), impairments in cognitive functions (MESH:D003072), sleep disorders (MESH:D012893), burnout (MESH:D002055), insufficient sleep (MESH:D012892), COVID-19 (MESH:D000086382), anxiety (MESH:D001007), muscle hypertrophy (MESH:C536106), metabolic syndrome (MESH:D024821), fatigue (MESH:D005221)
- **Chemicals:** lactic acid (MESH:D019344), cortisol (MESH:D006854)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

36 references — full list in the complete paper: https://tomesphere.com/paper/PMC13023097/full.md

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Source: https://tomesphere.com/paper/PMC13023097