운동이 중·장년의 수면에 미치는 영향: 체계적 문헌고찰 및 메타분석적 접근
Effect of Exercise on Sleep in the Middle-aged and Older adult: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
PURPOSE: This study evaluated the influence of exercise on improving sleep quality in middle-aged and older patients with sleep dis- orders using subjective (PSQI and ISI) and physiological indicators (ActiGraph). The relationships between various moderators by which exercise affects sleep disorder improvement were investigated. METHODS: From the study’s inception to December 31, 2021, the PubMed, ScienceDirect, MEDLINE, and Google Scholar databases were searched for relevant studies. A meta-analysis was conducted with Comprehensive Meta-Analysis 2.0, using the random-effects model. RESULTS: The meta-analysis of 21 studies showed that exercise improves sleep quality (ES=-0.42, p=.00), insomnia severity (ES= -0.54, p=.00), and sleep efficiency (ES=0.37, p=.00). A walking-based exercise was effective in improving sleep quality (ES=-0.38, p=.00), insomnia severity (ES=-0.55, p=.03), and sleep efficiency (ES=-0.39, p=.00) in middle-aged and older patients with sleep disorders. A mind–body exercise was effective in improving sleep quality (ES=-0.52, p=.00). Regardless of exercise frequency, 90-120 min of exercise per week was important, and moderate-intensity exercise of more than 30 min/day improved sleep in middle-aged and older adults. CONCLUSIONS: Exercise is an effective intervention for improving sleep quality in middle-aged and older adults with sleep disorders. The walking-based and mind–body exercises were effective, and differences according to the exercise intervention components were observed. Customized exercise interventions are possible depending on individuals’ physical strength and can be safe and economical.
Abstract
PURPOSE: This study evaluated the influence of exercise on improving sleep quality in middle-aged and older patients with sleep dis- orders using subjective (PSQI and ISI) and physiological indicators (ActiGraph). The relationships between various moderators by which exercise affects sleep disorder improvement were investigated. METHODS: From the study’s inception to December 31, 2021, the PubMed, ScienceDirect, MEDLINE, and Google Scholar databases were searched for relevant studies. A meta-analysis was conducted with Comprehensive Meta-Analysis 2.0, using the random-effects model. RESULTS: The meta-analysis of 21 studies showed that exercise improves sleep quality (ES=-0.42, p=.00), insomnia severity (ES= -0.54, p=.00), and sleep efficiency (ES=0.37, p=.00). A walking-based exercise was effective in improving sleep quality (ES=-0.38, p=.00), insomnia severity (ES=-0.55, p=.03), and sleep efficiency (ES=-0.39, p=.00) in middle-aged and older patients with sleep disorders. A mind–body exercise was effective in improving sleep quality (ES=-0.52, p=.00). Regardless of exercise frequency, 90-120 min of exercise per week was important, and moderate-intensity exercise of more than 30 min/day improved sleep in middle-aged and older adults. CONCLUSIONS: Exercise is an effective intervention for improving sleep quality in middle-aged and older adults with sleep disorders. The walking-based and mind–body exercises were effective, and differences according to the exercise intervention components were observed. Customized exercise interventions are possible depending on individuals’ physical strength and can be safe and economical.
참고문헌 (51)
- Borja, NL, "Ramelteon for the treatment of insomnia", Clin, 28(10), pp.1540~1555 (2006)
- Aldabal L, "Metabolic, endocrine, and immune consequences of sleep deprivation", Open Respir Med J, 5, pp.31~43 (2011)
- von Ruesten A, "Association of sleep duration with chronic diseases in the European Prospective Investigation into Cancer and Nutrition(EPIC)-Potsdam study", PLoS One, 7(1), pp.e30972~ (2012)
- "Sleep disorders increase by 30% in 5 years...1 million people are having a hard time sleeping" (2022)[URL]
- "The trend of increasing insomnia patients... “Red light for elderly people’s sleep and health”" (2020)[URL]
- Staner L, "Comorbidity of insomnia and depression", Sleep Medicine Reviews, 14(1), pp.35~46 (2010)
- Matheson EM, "Insomnia : pharmacologic therapy", Am Fam Physician, 96(1), pp.29~35 (2017)
- Reynolds SA, "The cost of insomnia and the benefit of increased access to evidence-based treatment : cognitive behavioral therapy for insomnia", Sleep Med Clin, 12(1), pp.39~46 (2017)
- Aibar-Almazán A, "Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women : A randomized controlled trial", Maturitas, 124, pp.62~67 (2019)
- King AC, "Effects of moderate-intensity exercise on polysomnographic and subjective sleep quality in older adults with mild to moderate sleep complaints", J Gerontol A Biol Sci Med Sci, 63(9), pp.997~1004 (2008)
- Hartescu I, "Increased physical activity improves sleep and mood outcomes in inactive people with insomnia : a randomized controlled trial", J Sleep Res, 24(5), pp.526~534 (2015)
- Afonso RF, "Yoga decreases insomnia in postmenopausal women : a randomized clinical trial", Menopause, 19(2), pp.186~193 (2012)
- Irwin MR, "Improving sleep quality in older adults with moderate sleep complaints : A randomized controlled trial of Tai Chi Chih", Sleep, 31(7), pp.1001~1008 (2008)
- Chen KM, "Sleep quality and depression of nursing home older adults in wheelchairs after exercises", Nurs Outlook, 63(3), pp.357~365 (2015)
- Chen MC, "The effect of a simple traditional exercise programme(Baduanjin exercise)on sleep quality of older adults : a randomized controlled trial", Int J Nurs Stud, 49(3), pp.265~273 (2012)
- Chen KM, "Effects of yoga on sleep quality and depression in elders in assisted living facilities", J Nurs Res, 18(1), pp.53~61 (2010)
- Tan X, "Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms : a randomized controlled trial", Sleep Med, 25, pp.113~121 (2016)
- Yeung WF, "Effects of Zerotime Exercise on inactive adults with insomnia disorder : a pilot randomized controlled trial", Sleep Med, 52, pp.118~127 (2018)
- Karimi S, "Surveying the effects of an exercise program on the sleep quality of elderly males", Clin Interv Aging, 11, pp.997~1002 (2016)
- Nguyen MH, "A randomized controlled trial of Tai chi for balance, sleep quality and cognitive performance in elderly Vietnamese", Clin Interv Aging, 7, pp.185~190 (2012)
- Hosseini H, "The effect of Ti Chi exercise on the sleep quality of the elderly residents in Isfahan, Sadeghieh elderly home", Iran J Nurs Midwifery Res, 16(1), pp.55~60 (2011)
- Hori H, "Does subjective sleep quality improve by a walking intervention? A real-world study in a Japanese workplace", BMJ Open, 6(10), pp.e011055~ (2016)
- Baron KG, "Exercise to improve sleep in insomnia : exploration of the bidirectional effects", J Clin Sleep Med, 9(8), pp.819~824 (2013)
- Reid KJ, "Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia", Sleep Med, 11(9), pp.934~940 (2010)
- Passos GS, "Effect of acute physical exercise on patients with chronic primary insomnia", J Clin Sleep Med, 6(3), pp.270~275 (2010)
- Murawski B, "Efficacy of an m-health physical activity and sleep health intervention for adults : a randomized waitlist-controlled trial", Am J Prev Med, 57(4), pp.503~514 (2019)
- Li F, "Tai chi and self-rated quality of sleep and daytime sleepiness in older adults : a randomized controlled trial", J Am Geriatr Soc, 52(6), pp.892~900 (2004)
- Irwin MR, "Tai chi chih compared with cognitive behavioral therapy for the treatment of insomnia in survivors of breast cancer : a randomized, partially blinded, noninferiority trial", J Clin Oncol, 35(23), pp.2656~2665 (2017)
- Buchanan DT, "Effects of yoga and aerobic exercise on actigraphic sleep parameters in menopausal women with hot flashes", J Clin Sleep Med, 13(1), pp.11~18 (2017)
- Banno M, "Exercise can improve sleep quality : a systematic review and meta-analysis", Peer J, 6, pp.e5172~ (2018)
- Kelley GA, "Exercise and sleep : a systematic review of previous meta-analyses", J Evid Based Med, 10(1), pp.26~36 (2017)
- Kovacevic A, "The effect of resistance exercise on sleep : a systematic review of randomized controlled trials", Sleep Med Rev, 39, pp.52~68 (2018)
- Wang WL, "The effect of yoga on sleep quality and insomnia in women with sleep problems : a systematic review and meta-analysis", BMC psychiatry, 20, pp.1~19 (2020)
- "Exercise and sleep" (2023)[URL]
- Buysse DJ, "The pittsburgh sleep quality index : a new instrument for psychiatric practice and research", Psychiatry Res, 28(2), pp.193~213 (1989)
- Bastien CH, "Validation of the insomnia severity index as an outcome measure for insomnia research", Sleep Med, 2(4), pp.297~307 (2001)
- Yinnon AM, "Quality of sleep in the medical department", Br J Clin Pract, 46(2), pp.88~91 (1992)
- Chiu HY, "Walking improves sleep in individuals with cancer : a meta-analysis of randomized, controlled trials", Oncol Nurs Forum, 42(2), pp.E54~62 (2015)
- Hansen EA, "Energy expenditure and comfort during Nordic walking with different pole lengths", J Strength Cond Res, 23(4), pp.1187~1194 (2009)
- Cugusi L, "Nordic walking for individuals with cardiovascular disease : a systematic review and meta-analysis of randomized controlled trials", Eur J Prev Cardiol, 24(18), pp.1938~1955 (2017)
- Tully MA, "Brisk walking, fitness, and cardiovascular risk : a randomized controlled trial in primary care", Prev Med, 41(2), pp.622~628 (2005)
- Strand LB, "Insomnia symptoms and cardiorespiratory fitness in healthy individuals : the Nord-Trøndelag Health Study(HUNT)", Sleep, 36(1), pp.99~108 (2013)
- Neuendorf R, "The effects of mind-body interventions on sleep quality: a systematic review", Evid. Based Complementary Altern. Med, 2015, pp.902708~ (2015)
- Fan B, "The efficacy of mind-body(Baduanjin)exercise on self-reported sleep quality and quality of life in elderly subjects with sleep disturbances : a randomized controlled trial", Sleep and Breath, 24, pp.695~701 (2020)
- Li J, "Effect of Baduanjin exercise on patients with chronic heart failure : protocol for a systematic review and meta-analysis", BMJ Open, 9(7), pp.e028771~ (2019)
- Yang YL, "The effect of tai chi on cardiorespiratory fitness for coronary disease rehabilitation : a systematic review and meta-analysis", Front Physiol, 8, pp.1091~ (2018)
- Wang X, "Sleep quality improved following a single session of moderate-intensity aerobic exercise in older women : Results from a pilot study", J Sport Health Sci, 3(4), pp.338~342 (2014)
- Escames G, "Exercise and melatonin in humans : reciprocal benefits", Journal of Pineal Research, 52(1), pp.1~11 (2012)
- Kredlow MA, "The effects of physical activity on sleep : a meta-analytic review", J Behav Med, 38, pp.427~449 (2015)
- Zou L, "A systematic review and meta-analysis of mindfulness-based (Baduanjin) exercise for alleviating musculoskeletal pain and improving sleep quality in people with chronic diseases", Int J Environ Res. Public Health INT J ENV RES PUB HE, 15(2), pp.206~ (2018)
- Mercier J, "Exercise interventions to improve sleep in cancer patients : a systematic review and meta-analysis", Sleep Med Rev, 36, pp.43~56 (2017)
