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普拉提训练对绝经后妇女睡眠质量、焦虑、抑郁和疲劳的影响:一项随机对照试验。

Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial.

机构信息

Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain.

Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain.

出版信息

Maturitas. 2019 Jun;124:62-67. doi: 10.1016/j.maturitas.2019.03.019. Epub 2019 Mar 28.

DOI:10.1016/j.maturitas.2019.03.019
PMID:31097181
Abstract

OBJECTIVES

To analyze the effects that a Pilates-based exercise program has on sleep quality, anxiety, depression and fatigue in community-dwelling Spanish postmenopausal women aged 60 and over.

STUDY DESIGN

A total of 110 women (69.15 ± 8.94 years) participated in this randomized controlled trial. They were randomly allocated to either a control (n = 55) or a Pilates (n = 55) group.

MAIN OUTCOME MEASURES

Sleep quality and self-perceived fatigue were assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Fatigue Severity Scale, respectively. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale (HADS).

RESULTS

Significant improvements were observed after Pilates training in all PSQI domains as well as in the PSQI total score, with small to medium-size effects, while significant between-group differences in post-intervention measures were observed only for sleep duration (d = 0.69) and sleep disturbances (d = 0.78). Moreover, intra- and inter-group statistical differences were observed for depression (d = 0.39 and d = 0.86, respectively) and for anxiety (d = 0.43 and d = 1.27 respectively). Finally, participants in the Pilates group experienced a decrease in self-perceived fatigue after the intervention period (d = 0.32).

CONCLUSIONS

For community-dwelling Spanish postmenopausal women aged 60 years and over, a twelve-week Pilates exercise intervention has beneficial effects on sleep quality, anxiety, depression and fatigue.

摘要

目的

分析基于普拉提的锻炼计划对 60 岁及以上社区居住的西班牙绝经后女性的睡眠质量、焦虑、抑郁和疲劳的影响。

研究设计

共有 110 名女性(69.15±8.94 岁)参与了这项随机对照试验。他们被随机分配到对照组(n=55)或普拉提组(n=55)。

主要观察指标

睡眠质量和自我感知疲劳分别采用匹兹堡睡眠质量指数(PSQI)和疲劳严重程度量表进行评估。焦虑和抑郁采用医院焦虑和抑郁量表(HADS)进行评估。

结果

普拉提训练后,所有 PSQI 领域以及 PSQI 总分均有显著改善,效果为小到中等,而干预后仅在睡眠时间(d=0.69)和睡眠障碍(d=0.78)方面观察到组间差异有统计学意义。此外,抑郁(d=0.39 和 d=0.86)和焦虑(d=0.43 和 d=1.27)的组内和组间统计差异也有统计学意义。最后,普拉提组的参与者在干预后自我感知疲劳感降低(d=0.32)。

结论

对于 60 岁及以上的社区居住的西班牙绝经后女性,为期 12 周的普拉提运动干预对睡眠质量、焦虑、抑郁和疲劳有有益的影响。

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