Effects of moderate-intensity exercise on polysomnographic and subjective sleep quality in older adults with mild to moderate sleep complaints.

Effects of moderate-intensity exercise on polysomnographic and subjective sleep quality in older adults with mild to moderate sleep complaints.
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DOI:
10.1093/gerona/63.9.997
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发表时间:
2008-09
期刊:
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子:
--
通讯作者:
Bliwise DL
Bliwise DL
中科院分区:
其他
文献类型:
--
作者:
King AC;Pruitt LA;Woo S;Castro CM;Ahn DK;Vitiello MV;Woodward SH;Bliwise DL

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这项研究旨在确定12个月的影响,运动增加对客观和主观的睡眠质量在最初不活跃的老年人有轻度至中度的睡眠投诉。一组55岁或55岁以上(n = 66)有轻度至中度慢性睡眠问题的活动不足成年人的非临床样本被随机分配到一个12个月的计划,主要是中等强度的耐力运动(n = 36)或健康教育对照计划(n = 30)。主要的结果测量是多导睡眠记录,以及主观睡眠质量、身体活动和身体健康的额外测量。方向假设进行了测试。使用意向治疗方法,在12个月时,锻炼者相对于对照组,在多导睡眠图测量的第1阶段睡眠中花费的时间显著减少(组间差异= 2.3,95%置信区间[CI],0.7 - 4.0; p =.003),在第2阶段睡眠中花费的时间更多(组间差异= 3.2,95%CI,0.6 - 5.7; p = 0.04),并且在睡眠期的前三分之一内觉醒较少(组间差异= 1.0,95%CI,0.39 - 1.55; p = 0.03)。与对照组相比,研究组在匹兹堡睡眠质量指数(PSQI)睡眠障碍子量表评分(p = 0.009)、基于睡眠日记的入睡时间(p = 0.01)和早晨感觉休息更好(p = 0.02)方面的12个月改善也更大。与一般的健康教育相比,一个12个月的中等强度的运动计划,满足目前的身体活动建议的老年人改善一些客观和主观方面的睡眠到适度的程度。研究结果表明,在这一研究不足的领域进行调查的其他领域。
This study sought to determine the 12-month effects of exercise increases on objective and subjective sleep quality in initially inactive older persons with mild to moderate sleep complaints. A nonclinical sample of underactive adults 55 years old or older (n = 66) with mild to moderate chronic sleep complaints were randomly assigned to a 12-month program of primarily moderate-intensity endurance exercise (n = 36) or a health education control program (n = 30). The main outcome measure was polysomnographic sleep recordings, with additional measures of subjective sleep quality, physical activity, and physical fitness. Directional hypotheses were tested. Using intent-to-treat methods, at 12 months exercisers, relative to controls, spent significantly less time in polysomnographically measured Stage 1 sleep (between-arm difference = 2.3, 95% confidence interval [CI], 0.7–4.0; p = .003), spent more time in Stage 2 sleep (between-arm difference = 3.2, 95% CI, 0.6–5.7; p = .04), and had fewer awakenings during the first third of the sleep period (between-arm difference = 1.0, 95% CI, 0.39–1.55; p = .03). Exercisers also reported greater 12-month improvements relative to controls in Pittsburgh Sleep Quality Index (PSQI) sleep disturbance subscale score (p = .009), sleep diary–based minutes to fall asleep (p = .01), and feeling more rested in the morning (p = .02). Compared with general health education, a 12-month moderate-intensity exercise program that met current physical activity recommendations for older adults improved some objective and subjective dimensions of sleep to a modest degree. The results suggest additional areas for investigation in this understudied area.
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