Exploring the Impact of Physical Activity on Mental Health and Sleep in Long-Distance South Asian Caregivers

This mixed-methods study examined the influence of physical activity on mental health and sleep quality among 78 long-distance South Asian caregivers of older adults. As caregiving demands grow globally, long-distance caregivers face unique stressors intensified by cultural obligations and geographic separation. Quantitative analyses revealed a significant inverse relationship between depressive symptoms and sleep quality (p < 0.001), with caregivers experiencing frequent depressive feelings and reporting fewer hours of sleep. Although the relationship between physical activity and sleep did not reach statistical significance (p = 0.0903), a positive trend was observed: caregivers engaging in regular activity (≥5 days/week) reported better sleep. Depressive symptoms were also significantly associated with reduced physical activity (p = 0.0378). Qualitative findings enriched these results, illustrating how walking, yoga, and community sports were used to manage stress, enhance mood, and promote sleep. Participants emphasized the therapeutic value of outdoor environments and culturally familiar activities in coping with emotional strain. The findings suggest that physical activity plays an independent and protective role in caregiver well-being. Culturally responsive interventions that promote accessible physical activity may enhance mental health and sleep outcomes in this population, supporting sustainable caregiving and informing policy development for underrepresented caregiver groups.