“My thesis focuses on physical activity and physical capacity in older adults, including both healthy older adults and patients with severe hip osteoarthritis. I have examined the reliability of various field-based physical fitness tests, compared physical capacity between healthy older adults and those with hip osteoarthritis, and evaluated how exercise affects physical capacity in older adults and how total hip arthroplasty affects physical capacity in patients with hip osteoarthritis”, says Manne Godhe , PhD student at the Department of Molecular Medicine and Surgery .

Which are the most important results?

“The most important results show that field-based physical fitness tests have generally good reliability for older adults and can be used in both research and clinical practice. Structured exercise programs of just eight weeks (twice weekly) provide significant improvements in muscular endurance, strength, cardiorespiratory fitness, and motor fitness in older adults”.

“Another key finding is that severe hip osteoarthritis significantly impairs physical function and activity levels compared to healthy older adults. Total hip arthroplasty leads to substantial improvements in both physical fitness and activity patterns. One year after surgery, patients achieved international physical activity recommendations”.

How can this new knowledge contribute to the improvement of people’s health?

“This knowledge can help promote exercise for older adults in community care, recreational activities, and healthcare. Simple, cost-effective field tests enable better evaluation of physical functions in older adults and allow monitoring of changes over time. For end-stage hip osteoarthritis patients, this knowledge can improve rehabilitation strategies and set realistic recovery expectations after surgery”.

“The results also emphasize the importance of regular physical activity for maintaining health and function in older adults and demonstrate that even short-term exercise interventions can provide meaningful benefits for this population”.

What are your future ambitions?

“In the future, I want to continue research on how exercise can be optimized for different groups of older adults. I also want to develop and validate more field-based tests that can be implemented in clinical practice and preventive healthcare”.

Dissertation

Friday May 23, 2025 at 09:00, GIH, Lidingövägen 1

Thesis

Physical Activity and Fitness Measurements in Healthy Older Adults and Osteoarthrities Patients Undergoing Total Hip Arthroplasty

Need a good night’s sleep? Cut back on exercising in the evening.
Getty Images

If you’d like to sleep well tonight, you should probably avoid exercising this evening, especially if your workout will be intense.

That’s the takeaway from a new study of almost 15,000 active men and women. It found that exercising within about four hours of bedtime makes it harder to fall asleep and reduces how long you spend slumbering by as much as 43 minutes.

The effects were most pronounced when workouts were long, intense or both, but almost any evening exercise influenced how well people slept.

“I do my best now to avoid exercising late in the evening,” said Josh Leota, a researcher at Monash University in Australia, who led the new study.

But there may be ways to minimize the effects if evening happens to be the only time you can — or care to — work out.

The link between exercise and sleep

For decades, researchers have been puzzled by the relationship between sleep and exercise. According to most past research, active people sleep better than the sedentary, but not always. Some studies suggest morning workouts improve sleep, while later workouts don’t, but others seem to show any movement, at any time, helps people nod off earlier.

Most of these studies have been quite small, though, often involving fewer than 20 volunteers, and relied on people’s memories of when and how they worked out and snoozed.

So for the new study, published in April in Nature Communications, researchers at Monash teamed up with the activity-tracker maker Whoop to parse anonymized data from 14,689 men and women aged 18 to 87 who’d worn a Whoop tracker for at least a year. (Whoop provided access to the data but “did not have any input into the analysis or results,” Leota said.)

The records included extensive details about when and how intensely people exercised every day, based on their heart rates, and also how well they’d slept that night, including when they’d nodded off, how long they’d remained asleep and the overall quality of their slumber.

36 extra minutes to fall asleep

The researchers were interested in how late-day exercise changes sleep — since previous studies had so often disagreed with one another. They first categorized people’s workouts as light, moderate, hard or maximal, corresponding, in broad terms, to a brisk walk, easy jog, long run or prolonged high-intensity interval training. They also took note of when people worked out and mapped their sleep.

Then they cross-checked. Did people sleep better or worse after they worked out close to bedtime? What if the exercise was gentle? What if they pushed themselves?

The answers consistently showed that “later exercise timing and higher exercise strain” were each strongly linked to worse sleep, the scientists wrote in the study. Even relatively modest evening workouts, such as light weight training or a gentle gym class, could somewhat disrupt sleep.

But the impacts intensified along with the intensity. If people ran an after-hours half-marathon or played a rousing late-night soccer, hockey or basketball game within about two hours of their usual bedtime, they needed an average of 36 extra minutes to fall asleep.

Finish that same strenuous exercise even later at night, after someone’s usual bedtime by an hour or two, and he or she would need an extra 80 minutes to doze off.

People also slept less, in total, after hard, evening exercise, and the quality of their sleep declined, with frequent waking, tossing and turning.

How to wind down after a late workout

The researchers didn’t look at why this happens, but they suspect people were too wound up, physiologically. Participants’ tracker data showed their heart rates were still elevated hours after strenuous evening exercise, while, at the same time, their heart rate variability, which should be somewhat high, remained stubbornly low.

In essence, Leota, said, people got too pumped up by vigorous, late-night workouts to easily drift off or stay asleep. “A basic rule of thumb,” he said, “is the harder you work out, the more time you need to give yourself to recover before going to sleep.”

If you do need to exercise late in the evening, you might want to try meditation, gentle yoga or other relaxation techniques afterward to calm your revved-up body, Leota said.

Even better, “if you can exercise earlier in the day, that would be preferable,” he said.

But if the evening is your best option, stick with it. “We are definitely not discouraging exercise,” Leota said. “For the vast majority of people, any exercise is better than no exercise. We would just recommend trying to finish as early as possible or opting for lighter workouts.”

For anyone who menstruates, you’ll know that your hormones can affect how you feel at different times in your cycle. However, did you know these hormones can also impact your athletic performance? If you didn’t, you’re not alone — a 2019 study conducted by researchers at St Mary’s University in Twickenham, England, analyzed more than 14,000 female Strava members. 72 percent of women said they have never received any education regarding exercise and their menstrual cycle.

If you have a ‘normal’ menstrual cycle — the monthly process where the rise and fall of certain hormones prepares your body for a possible pregnancy — then you will have, on average, 450 periods throughout a lifetime. So, it makes sense to understand what’s happening in your body and how movement can help. Research has continually found that exercise can help to beat a bad mood and even boost dwindling energy levels.