10-Weeks of resistance training improves sleep quality and cardiac autonomic control in persons with multiple sclerosis

Author(s):  
Luis Andreu-Caravaca ◽  
Domingo J. Ramos-Campo ◽  
Oriol Abellán-Aynés ◽  
Vicente Ávila-Gandía ◽  
Linda H. Chung ◽  
...  
2018 ◽  
Vol 29 (1) ◽  
pp. 75-103 ◽  
Author(s):  
Pooja Bhati ◽  
Jamal Ali Moiz ◽  
Geetha R. Menon ◽  
M. Ejaz Hussain

2018 ◽  
Vol 29 (1) ◽  
pp. 119-120 ◽  
Author(s):  
Wendell Arthur Lopes ◽  
Caroline Ferraz Simões ◽  
Jonathan Henrique Carvalho Nunes ◽  
Fernanda Errero Porto

2019 ◽  
Vol 15 (1) ◽  
pp. 1-12
Author(s):  
P. Bhati ◽  
D. Singla ◽  
M.E. Hussain

The purpose of the present review is to systematically evaluate the existing literature on the effects of resistance training (RT) on cardiac autonomic control in animal models. Electronic search was conducted in Pubmed, PEDro and Scopus databases from inception till June 2018. Randomised controlled trials and quasi-experimental trials which investigated the effects of RT (for at least 4 weeks) on cardiac autonomic control (assessed either by heart rate variability, baroreflex sensitivity or post-exercise heart rate recovery) in animal models were included. Out of the total 3,442 studies retrieved by the electronic search, 9 were found to be suitable as per the eligibility criteria and were included in this review. The majority of these studies (6 out of 9) demonstrated improvement in cardiovascular autonomic control after RT in animals; however, three studies did not illustrate any significant change. Standardised mean differences (SMD) showed a significant effect of RT on root mean square of successive differences between adjacent inter-beat (R-R) intervals (RMSSD) [SMD (confidence interval (CI)) = 4.56 (2.89, 6.23); P<0.0001] and bradycardic response to change in arterial blood pressure [SMD (CI)=-2.27 (-4.50, -0.03; P=0.05)] whereas no significant change was observed for other variables of cardiac autonomic control post-RT. The present systematic review do not give a clear conclusion regarding the effect of RT on cardiac autonomic control in animal models and thus highlight the need for good quality research in future.


2018 ◽  
Vol 29 (1) ◽  
pp. 121-122
Author(s):  
Pooja Bhati ◽  
Jamal Ali Moiz ◽  
Geetha R. Menon ◽  
M. Ejaz Hussain

Author(s):  
Bernhard Grässler ◽  
Beatrice Thielmann ◽  
Irina Böckelmann ◽  
Anita Hökelmann

Abstract Background Aging impairs physiological processes in the autonomic nervous, endocrine, and cardiovascular systems which are associated with increased risk of cardiovascular disease. Heart rate variability (HRV), the beat-to-beat variations of successive heartbeats, is an indicator of cardiac autonomic control and cardiovascular health. Physical activity has beneficial effects on cardiovascular health. However, no review has been conducted to summarize the effects of different exercise modalities on HRV in older adults. Therefore, the aim of this systematic review was to summarize the effects of endurance, resistance, coordinative, and multimodal exercise interventions on resting HRV and secondary health factors in healthy older adults aged 60 years in average and over. Methods Five databases (PubMed, Scopus, SPORTDiscus, Ovid, and Cochrane Library) were searched for eligible studies published between 2005 and September 8th, 2020. Two reviewers independently assessed the studies for potential inclusion. Outcome measures were changes in resting HRV indices, baroreflex sensitivity, blood pressure, body fat, body mass, body mass index, cardiac output, distance in the six-minute walking test, stroke volume, total peripheral resistance, and VO2 max or VO2 peak from pre to post intervention. The methodological quality of the final data set was assessed using two scales (TESTEX and STARDHRV). This review was registered in PROSPERO: CRD42020206606. Results The literature search retrieved 3991 articles, of which 13 were included in the review. Five studies used multimodal, three studies endurance, two studies resistance, two studies coordinative, and one study used an endurance and a resistance training intervention. The majority of the studies revealed significant positive effects on cardiac autonomic control, except for the resistance training interventions. All exercise modalities improved secondary health factors. The methodological quality assessment revealed a few criteria to improve the quality of and comparability between studies. Conclusion This systematic review revealed beneficial effects on cardiac autonomic control in healthy older adults through endurance, coordinative, and multimodal training but not through resistance training. Secondary health factors improved after all types of physical interventions. Future investigations should more thoroughly adhere to methodological standards of exercise interventions and ECG recording for the assessment of autonomic regulation.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1953.3-1953
Author(s):  
J. Guo ◽  
W. Zhou ◽  
M. He ◽  
Z. Gu ◽  
C. Dong

Background:Fatigue of chronic diseases has been paid more and more attention. but the status of fatigue in gout patients has not been reported all the world[1].Objectives:In the absence of previous studies, our study aims to investigate the fatigue status, explore the potential predictors of fatigue and the effects of fatigue on health-related quality of life (HRQoL) among Chinese gout patients.Methods:This cross-sectional study was conducted from the Affiliated Hospital of Nantong University. A series of questionnaires were applied: Fatigue Scale-14 (FS-14), the 10 cm visual analog scale (VAS), the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder questionnaire (GAD-7), the Pittsburgh Sleep Quality Index (PSQI), Health Assessment Questionnaire(HAQ), the Short Form 36 health survey (SF-36). Laboratory examinations were taken to obtain some biochemical indicators. Independent samples t-test, Mann–Whitney U-test, Chi-square analysis, Pearson /Spearman correlation, Stepwise linear regression and binary logistic regression were used to analyze the data.Results:411 gout patients were included in this study. Among them, more than 50% patients reported physical fatigue in FS-14, severe disease, poor psychological status and reduced HRQoL were associated with fatigue. Multiple stepwise linear regression and binary logistic regression were applied and showed that pain, sleep quality, anxiety, depression and functional disorder were the potential predictors of fatigue. In addition, we found that the more severe the fatigue, the lower the patient’s HRQoL.Conclusion:Fatigue among gout patients is exceedingly common. The results of this study suggested that rheumatologists should pay closely attention to gout patients who suffer from serious fatigue, especially those with pain, poorer sleep quality, anxiety, depression and functional disorder.References:[1]Henry, A., Tourbah, A., Camus, G., Deschamps, R., Mailhan, L., Castex, C., Gout, O. & Montreuil, M. (2019) Anxiety and depression in patients with multiple sclerosis: The mediating effects of perceived social support, Multiple sclerosis and related disorders. 27, 46-51.Disclosure of Interests:None declared


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A435-A435
Author(s):  
T J Braley ◽  
A L Kratz ◽  
D Whibley ◽  
C Goldstein

Abstract Introduction The majority of sleep research in persons with multiple sclerosis (PwMS) has been siloed, restricted to evaluation of one or a few sleep measures in isolation. To fully characterize the impact of sleep disturbances in MS, multifaceted phenotyping of sleep is required. The objective of this study was to more comprehensively quantify sleep in PwMS, using a recently developed multi-domain framework of duration, continuity, regularity, sleepiness/alertness, and quality. Methods Data were derived from a parent study that examined associations between actigraphy and polysomnography-based measures of sleep and cognitive function in MS. Actigraphy was recorded in n=55 PwMS for 7-12 days (Actiwatch2®, Philips Respironics). Sleep metrics included: duration=mean total sleep time (TST, minutes); continuity=mean wake time after sleep onset (minutes), and regularity=stddev wake-up time (hours). ‘Extreme’ values for continuity/regularity were defined as the most extreme third of the distributions. ‘Extreme’ TST values were defined as the lowest or highest sixth of the distributions. Sleepiness (Epworth Sleepiness Scale score) and sleep quality [Pittsburgh Sleep Quality Index (PSQI) sleep quality item] were dichotomized by accepted cutoffs (&gt;10 and &gt;1, respectively). Results Sleep was recorded for a mean of 8.2 days (stddev=0.95). Median (1st, 3rd quartile) values were as follows: duration 459.79 (430.75, 490.60), continuity 37.00 (23.44, 52.57), regularity 1.02 (0.75, 1.32), sleepiness/alertness 8 (4, 12), and sleep quality 1.00 (1.00, 2.00). Extreme values based on data distributions were: short sleep &lt;=426.25 minutes (18%), long sleep &gt;515.5 minutes (16%), poor sleep continuity ≥45 minutes (33%), and poor sleep regularity ≥1.17 hours (33%). Sleepiness and poor sleep quality were present in 36% and 40% respectively. For comparison, in a historical cohort of non-MS patients, the extreme third of sleep regularity was a stddev of 0.75 hours, 13% had ESS of &gt;10, and 16% had poor sleep quality. Conclusion In this study of ambulatory sleep patterns in PwMS, we found greater irregularity of sleep-wake timing, and higher prevalence of sleepiness and poor sleep quality than published normative data. Efforts should be made to include these measures in the assessment of sleep-related contributions to MS outcomes. Support The authors received no external support for this work.


Sign in / Sign up

Export Citation Format

Share Document