急性身体运动对慢性原发性失眠患者的影响。
Effect of acute physical exercise on patients with chronic primary insomnia.
机构信息
Universidade Federal de São Paulo, São Paulo, Brasil.
出版信息
J Clin Sleep Med. 2010 Jun 15;6(3):270-5.
STUDY OBJECTIVES
The aim was to assess and to compare the acute effects of three different modalities of physical exercise on sleep pattern of patients with chronic primary insomnia.
METHODS
Forty-eight insomnia patients, 38 female (mean age 44.4 +/- 8 y) were randomly assigned to 4 groups: control (CTR, n=12), moderate-intensity aerobic exercise (MAE, n=12), high-intensity aerobic exercise (HAE, n=12), and moderate-intensity resistance exercise (MRE, n=12). The patients were assessed on sleep pattern (by polysomnogram and daily sleep log) and anxiety (STAI) before and after the acute exercise.
RESULTS
The polysomnogram data showed reduction in the sleep onset latency (SOL) (55%) and in the total wake time (TWT) (30%); increase in total sleep time (TST) (18%), and in the sleep efficiency (SE) (13%) in the MAE group. The daily sleep log data showed increase in the TST (26%) and reduction in the SOL (39%). In addition, reduction (15%) in anxiety was also observed after moderate-intensity aerobic exercise.
CONCLUSIONS
Acute moderate-intensity aerobic exercise appears to reduce pre-sleep anxiety and improve sleep in patients with chronic primary insomnia.
研究目的
旨在评估和比较三种不同运动方式对慢性原发性失眠患者睡眠模式的急性影响。
方法
将 48 名失眠患者（38 名女性，平均年龄 44.4 ± 8 岁）随机分为 4 组：对照组（CTR，n=12）、中等强度有氧运动（MAE，n=12）、高强度有氧运动（HAE，n=12）和中等强度抗阻运动（MRE，n=12）。在急性运动前后，通过多导睡眠图和日常睡眠日志评估患者的睡眠模式（睡眠潜伏期 [SOL] 和总清醒时间 [TWT]）和焦虑程度（STAI）。
结果
多导睡眠图数据显示 MAE 组的睡眠潜伏期（SOL）（55%）和总清醒时间（TWT）（30%）减少，总睡眠时间（TST）（18%）和睡眠效率（SE）（13%）增加。日常睡眠日志数据显示 TST（26%）增加，SOL（39%）减少。此外，中等强度有氧运动后焦虑也有所减轻（15%）。
结论
急性中等强度有氧运动似乎可以减轻慢性原发性失眠患者的睡前焦虑并改善睡眠。
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