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The worst time to exercise for a good night’s sleep

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The worst time to exercise for a good night’s sleep

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

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“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.

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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?

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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

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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.”

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World Fitness Bodies Release Study Supporting Exercise’s Impact on GLP-1s

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World Fitness Bodies Release Study Supporting Exercise’s Impact on GLP-1s
Fitness trade organizations from the U.S., U.K., Australia, New Zealand and Canada collaborated on a study revealing numerous benefits of an integrated care model that combines weight-loss drugs with exercise, especially strength training

Major international health and fitness organizations have joined forces to study the long-term impact exercise can have on GLP-1 users, with the findings showing optimistic results.

The white paper, which emerged from the collaboration of trade organizations including the U.S.-based Health & Fitness Association, U.K.-based ukactive, Australia-based AUSactive, Exercise New Zealand and Fitness Industry Council of Canada, finds that pairing GLP-1 therapy with regular structured exercise has multiple downstream benefits. Those include improved long-term health outcomes, reduced subsequent costs and positive economic returns across multiple countries.

The study dove into whether structured exercise can improve the long-term clinical and economic value of GLP-1 treatment by comparing the impacts of GLP-1 therapy as a standalone obesity treatment versus GLP-1 therapy combined with exercise, utilizing a health-economic model across Australia, Canada, New Zealand, the U.K. and the U.S.

The financial component of the study found:

  • U.K.: £2.7 billion in economic and societal value over 10 years and a 164% return on investment, rising to 717% and £13 billion over 30 years.
  • U.S.: $120 billion in economic and societal value over 10 years and a 496% return on investment, rising to 1,572% and $393 billion over 30 years.
  • Australia: AU$182 million in economic and societal value over 10 years and a 59% return on investment, rising to 457% and AU$1.4 billion over 30 years.
  • Canada: CA$3.5 billion in economic and societal value over 10 years and a 105% return on investment, rising to 526% and CA $17.9 billion over 30 years.
  • New Zealand: NZ$51 million in economic and societal value over 10 years and a 27% return on investment, rising to 306% and NZ$592 million over 30 years.

Meanwhile, the addition of structured exercise to a GLP-1 treatment plan had numerous positive health impacts, including:

  • Preserving muscle during weight loss
  • Maintaining strength, mobility and bone health
  • Keeping more weight off over time
  • Reducing weight regain after stopping medication
  • Lowering the risk of costly health events later on.

Additionally, the paper highlighted a reduction in acute cardiovascular events and joint replacements; improved patient longevity and quality of life; and reduced spending on medical costs and productivity losses.

Based on those results, the bodies are once again urging for the deeper integration of physical activity and strength training in GLP-1 treatment, after releasing a statement earlier this year calling on governments, health systems and international institutions to ensure that as drugs like Ozempic and Wegovy continue to dominate obesity treatment, they’re supported by lifestyle interventions including physical activity and nutrition.

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“GLP-1 medications are rapidly changing obesity treatment, but weight loss alone is not the full measure of success,” said HFA president and interim CEO Greta Wagner. 

From those results, the bodies have come up with a plan for how best to implement fitness-forward practices into a systemic treatment plan for GLP-1 users. They propose the following roadmap for policymakers, payers and healthcare systems:

  1. Recognise structured exercise, especially strength training, as an essential part of obesity care
  2. Embed exercise support into GLP-1 care models
  3. Build referral pathways between healthcare providers and qualified exercise professionals and fitness facilities
  4. Support patient access to qualified exercise professionals and fitness facilities
  5. Measure outcomes beyond weight loss, including long-term health and economic value.

The organizations also suggested policy shifts such as reimbursement, coverage, tax-preferred treatment or subsidy models that lower financial barriers to structured exercise for GLP-1 users, making exercise more widely recognized as a crucial component of GLP-1 therapy.

“The health and fitness industry has long known that lasting wellness requires more than a number on a scale, it requires strength, function and sustainable healthy life habits,” Wagner added. “This research confirms that exercise, especially strength training, helps patients sustain the benefits of GLP-1 treatment over time. It sends a clear message that exercise belongs at the center of GLP-1 care.”

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Adding Exercise to GLP‑1 Therapy Improves Long-Term Benefits, Multinational Study Finds – Health & Fitness Association

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Adding Exercise to GLP‑1 Therapy Improves Long-Term Benefits, Multinational Study Finds – Health & Fitness Association

The combination could save billions in healthcare costs, leading fitness organizations to call for deeper integration of structured exercise in GLP-1 treatment.

Pairing GLP-1 therapy with regular structured exercise would improve long-term health outcomes, reduce downstream costs, and generate positive economic returns across multiple countries, according to new multinational research by the Health & Fitness Association developed by FTI Consulting’s Center for Healthcare Economics and Policy. 

Released as a white paper entitled From Weight Loss to Lasting Value: Structured Exercise and the Economics of GLP-1 Therapy, the research compares impacts of GLP-1 therapy as a standalone obesity treatment with GLP-1 therapy combined with exercise in five countries. 

The research was developed in collaboration with the HFA Foundation and four fitness industry federations: AUSactive, Exercise New Zealand, Fitness Industry Council of Canada, and ukactive.

The white paper provides some of the strongest evidence to date that exercise significantly enhances the value of GLP-1 treatment for patients, healthcare systems, employers, and society as a whole.

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Across all five countries studied, the analysis found that a combined approach supports improved long-term health outcomes, reduced healthcare costs, and produced positive economic returns.

Combining regular exercise with GLP-1 therapy is estimated to generate:

  • United States: US$120 billion in economic and societal value over 10 years and a 496% return on investment, rising to 1,572% and US$393 billion over 30 years.
  • Australia: A$182 million in economic and societal value over 10 years and a 59% return on investment, rising to 457% and A$1.4 billion over 30 years.
  • Canada: C$3.5 billion in economic and societal  value over 10 years and a 105% return on investment, rising to 526% and C$17.9 billion over 30 years.
  • New Zealand: NZ$51 million in economic and societal  value over 10 years and a 27% return on investment, rising to 306% and NZ$592 million over 30 years.
  • United Kingdom: £2.7 billion in economic and societal  value over 10 years and a 164% return on investment, rising to 717% and £13 billion over 30 years.

The findings demonstrate that as GLP-1 use expands, exercise should play an essential role in helping patients and health systems maximize the long-term value from new generations of weight-loss drugs.

The fitness industry has an unprecedented opportunity to be part of the solution as GLP-1 usage continues to grow. 

“GLP-1 medications are rapidly changing obesity treatment, but weight loss alone is not the full measure of success,” says Greta Wagner, interim president and CEO of the Health & Fitness Association and president of the HFA Foundation. “The health and fitness industry has long known that lasting wellness requires more than a number on a scale; it requires strength, function, and sustainable healthy life habits. This research confirms that exercise, especially strength training, helps patients sustain the benefits of GLP-1 treatment over time. It sends a clear message that exercise belongs at the center of GLP-1 care.”

Based on this data, HFA, HFA Foundation, AUSactive, Exercise New Zealand, Fitness Industry Council of Canada, and ukactive are calling on policymakers, payers, and healthcare systems to integrate structured exercise into GLP-1 treatment pathways. 

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Specifically, the groups are asking that: 

  1. Structured exercise, including strength training, be recognized as an essential part of obesity care;
  2. GLP-1 care models include exercise support;
  3. Referral pathways are established between healthcare providers and qualified exercise professionals;
  4. Patient access to qualified exercise professionals and fitness facilities be supported; and
  5. Outcomes beyond weight loss be measured, including long-term health and economic value.

This call to action builds on a recent joint position statement signed by the participating fitness industry groups, the World Obesity Federation (WOF), and the World Federation of the Sporting Goods Industry (WFSGI), which emphasized the urgency of ensuring physical activity and nutrition are central to systems supporting the global roll-out of obesity medications. 

Download the complimentary full report to see how structured exercise can help unlock the full promise of GLP-1 therapy.

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From Weight Loss to Lasting Value: Structured Exercise and the Economics of GLP-1 Therapy – Health & Fitness Association

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From Weight Loss to Lasting Value: Structured Exercise and the Economics of GLP-1 Therapy – Health & Fitness Association

This white paper is complimentary.

GLP-1 medications are reshaping obesity care and creating new opportunities to improve long-term health outcomes. But weight loss alone is not the full measure of success. As use of these medications grows, policymakers, payers, healthcare providers, and patients face an important question: what helps ensure that the benefits of GLP-1 therapy are sustained over time?

This first-of-its kind multi-country research examines the health and economic value of combining GLP-1 therapy with structured exercise. The findings make clear that structured exercise help protect and extend the investment being made in GLP-1 treatment by supporting more sustainable health outcomes, reducing costly downstream medical events, and generating substantial economic value.

Across all five studied markets, the research projects that combining structured exercise with GLP-1 therapy can generate substantial health, economic, and societal value compared with GLP-1 therapy alone:

  • United States: US$120 billion in economic and societal value over 10 years and a 496% return on investment, rising to 1,572% and US$393 billion over 30 years.
  • Australia: A$182 million in economic and societal value over 10 years and a 59% return on investment, rising to 457% and A$1.4 billion over 30 years.
  • Canada: C$3.5 billion in economic and societal value over 10 years and a 105% return on investment, rising to 526% and C$17.9 billion over 30 years.
  • New Zealand: NZ$51 million in economic and societal value over 10 years and a 27% return on investment, rising to 306% and NZ$592 million over 30 years.
  • United Kingdom: £2.7 billion in economic and societal value over 10 years and a 164% return on investment, rising to 717% and £13 billion over 30 years.

If public and private payers are investing in GLP-1 therapy, they should also be asking what helps that investment produce more sustainable health and economic returns. Structured exercise is one of the clearest answers.

Methodology

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The research was conducted by by FTI Consulting’s Center for Healthcare Economics and Policy in partnership with a multinational coalition of fitness sector organizations, including the Health & Fitness Association, the HFA Foundation, AUSactive, Exercise New Zealand, Fitness Industry Council of Canada, and ukactive. 

Drawing on the existing body of research on GLP-1 therapy, weight loss, physical activity, and related health outcomes, the analysis modeled the incremental health and economic impact of adding structured exercise to GLP-1 therapy across participating markets. The model compares combined treatment against GLP-1 therapy alone over 10-year and 30-year horizons.

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