Training zu Hause verbessert die Schlafqualität und die Tagesschläfrigkeit älterer Menschen

2019 ◽  
Vol 7 (6) ◽  
pp. 327-328
Author(s):  
Helmut Frohnhofen

Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality. Methods: This was a randomized controlled trial study, conducted from May to September 2017, in Northeastern Brazil, with elderlies of the community aging 60 years old or older, sedentary, with lower scores or equal to 5 at the Pittsburgh Sleep Quality Index (PSQI) and without cognitive decline. From one hundred ninety-one potential participants twenty-eight refused to participate, therefore, one hundred thirty-one (mean age 68 ± 7 years), and 88% female, were randomly assigned to an intervention group - IG (home exercise and sleep hygiene, n = 65) and a control group - CG (sleep hygiene only, n = 66). Sleep assessment tools were used: PSQI, Epworth sleepiness scale (ESS) and clinical questionnaire of Berlin. The level of physical activity has been assessed by means of International Physical Activity Questionnaire adapted for the elderly (IPAQ) and Mini-Mental State Examination for cognitive decline. All participants were assessed before and after the 12-week intervention period and, also, the assessors were blind. Results: The IG showed significant improvement in quality of sleep with a mean reduction of 4.9 ± 2.7 points in the overall PSQI (p < 0.01) and in all its 7 components of evaluation (p < 0.05), and improvement of secondary endpoint, daytime sleepiness, a decline of 2.8 ± 2.2 points in the ESS (p < 0.01). Conclusion: Our results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders. Trial registration: Ensaiosclinicos.gov.br process number: RBR-3cqzfy.

2018 ◽  
Vol 13 ◽  
Author(s):  
Glauber Sá Brandão ◽  
Glaucia Sá Brandão Freitas Gomes ◽  
Glaudson Sá Brandão ◽  
Antônia A. Callou Sampaio ◽  
Claudio F. Donner ◽  
...  

Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality. Methods: This was a randomized controlled trial study, conducted from May to September 2017, in Northeastern Brazil, with elderlies of the community aging 60 years old or older, sedentary, with lower scores or equal to 5 at the Pittsburgh Sleep Quality Index (PSQI) and without cognitive decline. From one hundred ninety-one potential participants twenty-eight refused to participate, therefore, one hundred thirty-one (mean age 68 ± 7 years), and 88% female, were randomly assigned to an intervention group - IG (home exercise and sleep hygiene, n = 65) and a control group - CG (sleep hygiene only, n = 66). Sleep assessment tools were used: PSQI, Epworth sleepiness scaleA (ESS) and clinical questionnaire of Berlin. The level of physical activity has been assessed by means of International Physical Activity Questionnaire adapted for the elderly (IPAQ) and Mini-Mental State Examination for cognitive decline. All participants were assessed before and after the 12-week intervention period and, also, the assessors were blind. Results: The IG showed significant improvement in quality of sleep with a mean reduction of 4.9 ± 2.7 points in the overall PSQI (p < 0.01) and in all its 7 components of evaluation (p < 0.05), and improvement of secondary endpoint, daytime sleepiness, a decline of 2.8 ± 2.2 points in the ESS (p < 0.01). Conclusion: Our results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders.


Author(s):  
Anna Lipert ◽  
Remigiusz Kozłowski ◽  
Dariusz Timler ◽  
Michał Marczak ◽  
Kamila Musiał ◽  
...  

Background: The coronavirus pandemic and the government restrictions significantly disturbed the daily functioning of people, thereby influencing healthy behaviors, such as physical activity—the core indicator of well-being. This study evaluates the associations between physical activity (PA), the level of stress and quality of sleep during the COVID-19 pandemic lockdown. Methods: An online survey was distributed during the governmental lockdown in April 2020 and included measures for assessing physical activity, stress and sleep. The surveyed participants included all adults aged 18 years and over. The final data were collected from the 1959 respondents using: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI). Findings: Almost half of the respondents indicated a low level of PA, performing only 60 min of PA daily. Most of the participants reported a moderate or high level of stress (57% and 29%, respectively) and 64% of them reported poor quality of sleep. People with low levels of stress performed on average 85.1 min/day of walking (WPA), 40.9 min/day of moderate PA (MPA) or 52.6 min/day of vigorous PA (VPA). People with good quality of sleep performed 82.9 min/day of WPA, 43.6 min/day MPA and 40.5 min/day VPA. Interpretation: The results from the study indicate that the volume of daily PA may be a predictor of the level of stress and sleep quality in adults during the COVID-19 pandemic lockdown. To retain a low level of stress and good quality of sleep, a lifestyle that allows to achieve a moderate level of physical activity should be maintained. The optimal daily dose of PA is at least 70 min per day, involving different intensities.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Theerakorn Theerakittikul ◽  
Jindarat Chaiard ◽  
Jirawan Deeluea

PurposeThe purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients.Design/methodology/approachA repeated measures clinical intervention design was implemented. Participants were 50 patients first time diagnosed with OSA and prescribed CPAP treatment. The intervention composed of CPAP health education, and follow-up evaluation. Data on CPAP adherence were downloaded from Smartcards of the CPAP device. The Thai PSQI, ESS and FSAQ-10 questionnaires were administered at baseline, 1-month, and 3-months. Descriptive statistics and repeated measure analysis with multilevel mixed-effects modeling approach were used.FindingsThirty-nine participants completed the study. Approximately 53% (n = 25) and 71.1% (n = 27) of the patients adhered to CPAP treatment by the end of the 1- and 3-months, respectively. After controlling for patients’ adherence, at 1-month follow-up, the intervention improved quality of sleep (β = −2.65, 95% CI = −1.60, −4.13), daytime functioning (β = 3.24, 95% CI = 1.87, 4.61) and decreased daytime sleepiness (β = −3.29, 95% CI = −1.85, −4.73). At 3 months, the intervention still improved quality of sleep (β = −3.53, 95% CI = −2.05, −5.01), and daytime functioning (β = 4.34, 95% CI = 2.76, 5.92), and decreased daytime sleepiness (β = −4.82, 95% CI = −3.16, −6.49).Originality/valueAdherence to CPAP treatment is effective in improving sleep quality, daytime functioning and reducing daytime sleepiness. Patient-oriented strategies for enhancing CPAP adherence should be developed and implemented as a standard care in sleep clinics.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Vasiliki Theodorou ◽  
Eleni Karetsi ◽  
Zoe Daniil ◽  
Konstantinos I. Gourgoulianis ◽  
Vasileios T. Stavrou

Chronic kidney disease significantly impairs patients’ daily lives and worsens their quality of life. The aim of this study was to investigate the physical activity and quality of sleep, during three days (previous day of dialysis, on the day of dialysis and after day of dialysis), in patients with end-stage renal on hemodialysis. 12 hemodialysis patients were included in our study, answered the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and for each patient were used a smart bracelet for three days (day-pre- and posthemodialysis and day at hemodialysis) to record daily physical activity (steps, distance) and estimate the quality of sleep. Results showed differences between three days average of steps and distance and PSQI parameters “…engaging in social activity?” (steps, p=0.006, distance, p=0.006) and “…enthusiasm to get things done?” (steps, p=0.029, distance, p=0.030). Our study suggests interrelationship between sleep quality and physical activity.


Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 155-166
Author(s):  
Ana María Magaz-González ◽  
Cristina Mendaña-Cuervo ◽  
César Sahelices-Pinto ◽  
Marta García-Tascón

The Spanish state of alarm, for the COVID-19 outbreak, resulted in mobility restrictions, changes of habits and sleep disorders. We are investigating whether these disorders can be reduced with the practice of physical activity (PA). A questionnaire was administered to 1,046 people (48.57% men and 51.43% women), with an average age of 40 years (SD: ±13.35). A descriptive quantitative methodology based on a non-purposive sample was used and the data were subjected to non-parametric tests. Regarding rest (quantity of hours of sleep) increased in general, going from 7.13 hours to 7.65 (p=.000), whereas sleep quality worsened, the score decreased from 3.67 to 3.24, p=.000. For the age ranges (18 to 24 years, 25 to 64 and 65 or older), there was significant data (quality and quantity) for the first two ranges (p=.000), and none for the third. The relationship between PA practice and hours/quality of sleep, there were no significant correlations in the entire sample (p=.191, p=.113). The main finding was no significant correlation for any age ranges (sleep quantity & sleep quality), except for the group of 18-24 years. This result contradicts the findings of previous studies. Resumen. El estado de alarma en España, por el brote de COVID-19, se tradujo en restricciones de movilidad, cambios de hábitos y trastornos del sueño. Se investiga si dichos trastornos pueden reducirse con la práctica de actividad física (AF). Se administra cuestionario a 1.046 personas (48,57% hombres y 51,43% mujeres), con una edad media de 40 años (DE: ±13,35). Se emplea metodología cuantitativa de corte descriptivo basado en muestra no intencional y los datos se someten a pruebas no paramétricas. En cuanto al descanso (cantidad de horas de sueño) aumentó en general, pasando de 7,13 horas a 7,65 (p=.000), mientras que la calidad del sueño empeoró, la puntuación disminuyó de 3,67 a 3,24, p=.000. Para los rangos de edad (18 a 24 años, 25 a 64 y 65 o más), hubo datos significativos (calidad y cantidad) para los dos primeros rangos (p=.000), y ninguno para el tercero. La relación entre la práctica de AF y las horas/calidad de sueño, no hubo correlaciones significativas en toda la muestra (p=.191, p=.113). El principal hallazgo fue que no hubo correlación significativa para ningún rango de edad (cantidad y calidad del sueño), excepto para el grupo de 18-24 años. Este resultado contradice conclusiones de estudios anteriores.


2020 ◽  
Vol 10 (23) ◽  
pp. 8391
Author(s):  
María Victoria Palop-Montoro ◽  
Emilio Lozano-Aguilera ◽  
Milagros Arteaga-Checa ◽  
Víctor Serrano-Huete ◽  
Juan Antonio Párraga-Montilla ◽  
...  

Background: Sleep is an important phenomenon to restore the body, both physically and emotionally, providing a state of balance in the person. It has been proven that adequate sleep at night is one of the main needs of older people in order to maintain an active and healthy life; among other factors, regular physical exercise can improve the quality of sleep. The aim of this research is to evaluate the effects of a physical exercise program supplemented with vibration training on sleep quality and the use of sleep drugs in women over 65 years of age. Methods: Fifty-two independent, physically active adult women were randomised into two groups: a physical exercise program (n = 26, control group) and the same physical exercise program supplemented with vibration training (n = 26, experimental group). The control group performed two weekly sessions of exercise, and the experimental group added another two sessions of vibration training to these two sessions for 12 weeks. Sleep quality was assessed using the Pittsburgh index. Statistical significance was established as p < 0.05. Results: After the intervention, there were significant changes to the quality of sleep (p = 0.001) and hours of sleep (p = 0.002) in the experimental group. The consumption of drugs decreased in this group, although not significantly; however, it did have a moderate effect size (p = 0.058; d = 0.36). The control group, on the other hand, reported significantly worsened sleep quality (p = 0.001) and increased drug use (p = 0.008). Conclusion: Three months of vibration training, as a complement to a conventional physical exercise program, improves sleep quality and reduces the consumption of sleeping pills in women over 65 years of age.


2018 ◽  
Vol 6 (3) ◽  
pp. 40
Author(s):  
Fitrotul Imaniyah ◽  
I Made Niko Winaya ◽  
I Wayan Sugiritama

ABSTRACT   The addition of age and the variation of physical activity of each individual will increase the stress affecting the quality of sleep so that research done to determine the quality of sleep in adults who participateaikido martial arts with adults who noparticipateaikido martial arts as physical activity that can reduce stress level. The cross sectional analytic study with the sample was adults who fulfilled the inclusion and exclusion criteria of 86 people in each group. Samples filling out the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the results were tested with a fisher exact test. The results showed a significant difference between sleep quality in two groups (p <0.05). With the percentage of result that is group A has good sleep quality 82 people (95,3%) and bad 4 people (4,7%), group B have good sleep quality 59 people (68,6%) and bad 27 people (31, 4%). So the conclusion is that groups of adults who participateaikido martial arts have better sleep quality than adults who no participate aikido martial arts.   Keywords: Adult, Stess, Sleep Quality, Aikido Martial Arts.


Author(s):  
Glauber Sá Brandão ◽  
Glaucia Sá Brandão Freitas Gomes ◽  
Glaudson Sá Brandão ◽  
Antônia A. Callou Sampaio ◽  
Claudio F. Donner ◽  
...  

Author(s):  
Indrė Petkutė ◽  
Vaida Borkertienė

Relevance of the topic. Most authors agree that physical activity (PA) affects sleep (Kredlow et al., 2015), but it remains unclear how the quality of sleep varies with individual PA schedule and daily immobility. The goal was to identify the interfaces between physical activity and sleep quality for 18–25-year-old students. Research methods. The International Physical Activity Questionnaire, Pittsburgh Sleep Quality Index, smart watches Polar A300 were used. Results of the study. By analysing the obtained study data, 2 groups were formed according to physical activity: medium PA (56.1%) and high PA (43.9%). The quality of sleep among students was as follows: good (36.4%), bad (63.6%). Signifcant correlations were found between PA aspects and falling asleep time, PSQI. There were no signifcant interfaces between PA aspects and sleep duration. Conclusions. The majority of students were of moderate physical activity, less high physical activity and there were no students of low physical activity. Poor quality of sleep prevailed among students. Weak interfaces were identifed between continuous sitting and the time of useless sleep. Dependences were also found between sleep quality and the duration of intense physical activity as well as the level of physical activity. Signifcant dependencies were not established between the time of day of intense physical activity or the intense physical activity type and sleep quality itself, although the latter signifcantly affected the duration of sleep, the time of awakening and the length of useless sleep.Keywords: students, physical activity, sleep quality, long sitting.


2020 ◽  
Vol 12 (6) ◽  
pp. 49-53
Author(s):  
A. A. Filin ◽  
M. V. Tardov ◽  
N. L. Kunelskaya ◽  
P. N. Vlasov

Perampanel (PER) is an antiepileptic drug (AED), the effects of which on sleep have not been studied in Russia.Objective: to assess changes in the quality of sleep, the level of daytime sleepiness, and the polysomnographic (PSG) characteristics of nocturnal sleep in patients with drug-resistant focal epilepsy when PER is incorporated into the therapy regimen as an additional AED.Patients and methods. The investigation enrolled 12 patients (4 men and 8 women) aged 21 to 49 years with drug-resistant epilepsy treated with several AEDs, who had initiated therapy with PER as an additional AED. PSG study and questioning survey were done before and 1 month after initiation of PER therapy.Results and discussion. After one month of PER therapy, there was an increase in the quality of night sleep in 5 cases and a reduction in daytime sleepiness in 6 cases. The PSG pattern was stable in 3 patients, worsened in 1, and improved in 8.Conclusion. The preliminary results suggest that PER therapy improves night sleep quality and reduces daytime sleepiness in about half of the cases, as evidenced by the improved PSG pattern in 67% of patients.


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