Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4780000, Chile.
Department of Didactics of Corporal Expression, University of Jaen, 23400 Jaen, Spain.
Int J Environ Res Public Health. 2020 Sep 18;17(18):6804. doi: 10.3390/ijerph17186804.
Sleep quality (SQ) plays a role in multiple activities of daily living, but little is known about its role in concurrent training [CT, high-intensity interval (HIIT) plus resistance training (RT)] adaptations for metabolic syndrome (MetS) and health-related quality of life (HRQoL) markers. The aim of the present study was to determine the effects of a 20-week CT programme on MetS and HRQoL markers according to the SQ of morbidly obese patients. Twenty-nine morbidly obese patients were allocated to one of two groups: good sleep quality (GSQ, n = 15, 38.07 ± 12.26 years) and poor sleep quality (PSQ, n = 14, 40.79 ± 11.62 years). HRQoL, body mass index, waist circumference (WC), systolic and diastolic blood pressure (SDP and DBP, respectively), and plasma outcomes were measured. The GSQ group reported significant changes (pre- vs. post-intervention) in WC (114.0 ± 3.1 vs. 110.4 ± 3.4 cm, p = 0.012), systolic blood pressure (SBP) (137.0 ± 4.3 vs. 125.6 ± 1.8 mmHg, p = 0.006), and HRQoL general health (51.33 ± 21.08 vs. 64.33 ± 16.24, p = 0.020). By contrast, the PSQ group showed significant changes only in SQ (9.00 ± 2.42 vs. 5.36 ± 2.84, p = 0.004). Morbidly obese PSQ patients showed a lower response for improving MetS and HRQoL markers after a 20-week CT programme than GSQ peers. However, there was a greater effect size for decreasing WC and SBP in favour of the GSQ compared with the PSQ group, suggesting that there are limitations to CT benefits on these outcomes in the PSQ group. These results call for more complex future studies.
睡眠质量（SQ）在多项日常生活活动中发挥作用，但对于其在代谢综合征（MetS）和健康相关生活质量（HRQoL）标志物的同时训练[CT，高强度间歇训练（HIIT）加抗阻训练（RT）]适应中的作用知之甚少。本研究旨在确定 20 周 CT 方案对 MetS 和 HRQoL 标志物的影响，根据病态肥胖患者的 SQ 进行分组。29 名病态肥胖患者被分配到以下两组之一：睡眠质量良好（GSQ，n = 15，38.07 ± 12.26 岁）和睡眠质量差（PSQ，n = 14，40.79 ± 11.62 岁）。测量了 HRQoL、体重指数、腰围（WC）、收缩压和舒张压（SDP 和 DBP，分别）以及血浆结果。GSQ 组报告 WC（114.0 ± 3.1 对 110.4 ± 3.4cm，p = 0.012）、收缩压（SBP）（137.0 ± 4.3 对 125.6 ± 1.8mmHg，p = 0.006）和 HRQoL 一般健康状况（51.33 ± 21.08 对 64.33 ± 16.24，p = 0.020）有显著变化。相比之下，PSQ 组仅在 SQ 方面有显著变化（9.00 ± 2.42 对 5.36 ± 2.84，p = 0.004）。经过 20 周 CT 方案后，病态肥胖 PSQ 患者在改善 MetS 和 HRQoL 标志物方面的反应低于 GSQ 同龄人。然而，GSQ 组较 PSQ 组更有利于降低 WC 和 SBP 的效应量，这表明 CT 对 PSQ 组这些结果的益处存在局限性。这些结果呼吁未来进行更复杂的研究。
