#Nonpharmacological

A new meta-analysis published in mid-2025 shows mind-body exercises such as yoga, tai chi, and walking or jogging can match or surpass medication for chronic insomnia. Analyzing 22 randomized trials with 1,348 participants, the study reports meaningful improvements in sleep quality, efficiency, and total sleep time. In some cases, these activities approached the results of cognitive behavioral therapy for insomnia, or CBT-I, signaling growing support for non-drug sleep strategies.

Insomnia affects more than nightly rest. It increases risks for mental and physical health problems, including cardiovascular disease and dementia. While global prevalence varies, Thailand faces a substantial burden, with research suggesting a large share of adults experience insomnia symptoms at some point. Urbanization, shift work, and screen time are cited by sleep experts as contributing factors.

A landmark meta-analysis published in July 2025 is shaking up the world of sleep science, revealing that exercise forms like tai chi, yoga, and jogging may rival, or even surpass, medication as frontline treatments for chronic insomnia. The study, which pooled data from 22 randomized clinical trials and 1,348 participants, found that these accessible and affordable activities can deliver dramatic improvements in sleep quality, efficiency, and total sleep time — sometimes matching current gold-standard therapies like cognitive behavioral therapy for insomnia (CBT-i)[ScienceDaily]( https://www.sciencedaily.com/releases/2025/07/250716000856.htm).