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September 14, 2026Frontiers in SleepOpen Access

Physical exercise as a modulator of the sleep–obesity interaction: metabolic, neuroendocrine and circadian mechanisms

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Authors

RCRaquel M. S. CamposHSHelton de Sá SouzaCFCarolina Machado Favaron

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Overview

Narrative review demonstrates how physical exercise disrupts the sleep-obesity cycle in chronic metabolic conditions, highlighting exercise as a circadian synchronizer that improves health.

Key Points

  • To review the multisystem metabolic, neuroendocrine, and circadian mechanisms through which physical exercise modulates the bidirectional relationship between obesity and sleep disturbances.
  • Synthesized mechanistic evidence on shared pathophysiology between obesity and sleep impairment, including inflammation, insulin resistance, and autonomic dysfunction.
  • Evaluated physiological adaptations to exercise, including its role as a non-photic zeitgeber influencing central and peripheral circadian clocks and clock gene expression.
  • Physical exercise concurrently targets shared dysfunctions by reducing chronic low-grade inflammation, improving autonomic balance, and enhancing metabolic flexibility.
  • Exercise synchronizes biological clocks as a non-photic zeitgeber, driving clock gene expression and metabolic benefits dependent on time-of-day execution.
  • Multisystem adaptations from exercise interrupt the reciprocal cycle linking obesity and sleep impairment to attenuate cardiometabolic and psychological risks.

Cite This Study

Campos et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2b20926e14a848b130fhttps://doi.org/10.3389/frsle.2026.1943600
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