太极拳训练对中国老年膝骨关节炎女性自我报告睡眠质量的影响：一项随机对照试验。

Effect of Tai Ji Quan training on self-reported sleep quality in elderly Chinese women with knee osteoarthritis: a randomized controlled trail.

作者信息

Lü Jiaojiao, Huang Lingyan, Wu Xie, Fu Weijie, Liu Yu

机构信息

Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai, 200438, China.

出版信息

Sleep Med. 2017 May;33:70-75. doi: 10.1016/j.sleep.2016.12.024. Epub 2017 Feb 6.

DOI:10.1016/j.sleep.2016.12.024

PMID:28449910

Abstract

OBJECTIVE

The purpose of this study was to explore the effects of a 24-week Tai Ji Quan training program on sleep quality, quality of life, and physical performance among elderly Chinese women with knee osteoarthritis (OA).

METHODS

A 24-week randomized, controlled trial of 46 elderly women with knee OA. Participants were randomly assigned to either a Tai Ji Quan group (n = 23) or a control group (n = 23). Participants in the Tai Ji Quan group completed training sessions three times per week, while those in the control group had bi-weekly educational classes. The primary outcome was total score of the Pittsburgh Sleep Quality of Index (PSQI). Secondary outcomes were: seven subscales of the PSQI; sleep latency; total sleep time; sleep efficiency; physical component summary (PCS) and mental component summary (MCS) of the 36-item Short Form Health Survey (SF-36); Berg Balance Scale (BBS); and Timed Up and Go (TUG).

RESULTS

Compared with the control group, participants in the Tai Ji Quan group had significantly improved primary outcome (global PSQI score, p = 0.006) and secondary outcomes, including three PSQI sub-scores (sleep latency, p = 0.031; sleep duration, p = 0.043; daytime dysfunction, p = 0.007), total sleep time (p = 0.033), and SF-36 PCS (p = 0.006). The Tai Ji Quan group also had significant improvements compared with baseline in three PSQI sub-scores (sleep latency, p = 0.031; habitual sleep efficiency, p = 0.049; sleep disturbance, p = 0.016), sleep latency (p = 0.003), BBS (p = 0.001), and TUG (p = 0.006).

CONCLUSION

Tai Ji Quan training is an effective treatment approach to improve sleep quality and quality of life in elderly Chinese women with knee OA.

TRIAL REGISTRATION

Chinese Clinical Trial Registry (June 16, 2013): ChiCTR-TRC-13003264.

摘要

目的

本研究旨在探讨为期24周的太极拳训练项目对患有膝骨关节炎（OA）的中国老年女性的睡眠质量、生活质量和身体机能的影响。

方法

对46名患有膝OA的老年女性进行了为期24周的随机对照试验。参与者被随机分为太极拳组（n = 23）或对照组（n = 23）。太极拳组的参与者每周完成三次训练课程，而对照组的参与者每两周参加一次教育课程。主要结局指标是匹兹堡睡眠质量指数（PSQI）总分。次要结局指标包括：PSQI的七个分量表；入睡潜伏期；总睡眠时间；睡眠效率；36项简短健康调查问卷（SF - 36）的身体成分总结（PCS）和心理成分总结（MCS）；伯格平衡量表（BBS）；以及计时起立行走测试（TUG）。

结果

与对照组相比，太极拳组的参与者主要结局指标（PSQI全球评分，p = 0.006）和次要结局指标均有显著改善，包括三个PSQI分量表评分（入睡潜伏期，p = 0.031；睡眠时间，p = 0.043；日间功能障碍，p = 0.007）、总睡眠时间（p = 0.033）和SF - 36 PCS（p = 0.006）。太极拳组与基线相比，在三个PSQI分量表评分（入睡潜伏期，p = 0.031；习惯性睡眠效率，p = 0.049；睡眠障碍，p = 0.016）、入睡潜伏期（p = 0.003）、BBS（p = 0.001）和TUG（p = 0.006）方面也有显著改善。