scholarly journals Acupuncture for insomnia with short sleep duration: protocol for a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033731
Author(s):  
Cong Wang ◽  
Wen-jia Yang ◽  
Xin-tong Yu ◽  
Cong Fu ◽  
Jin-jin Li ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Negative Impact ◽  
Controlled Trial ◽  
Severity Index ◽  
Control Group ◽  
Symptom Scale ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Medication Therapy ◽  
Placebo Acupuncture

IntroductionInsomnia with short sleep duration has a more serious negative impact on patient health. The existing literature suggests that medication therapy is more effective for this phenotype of insomnia compared with cognitive–behavioural therapy. However, the potential side effects of hypnotic medications hinder their clinical application. Acupuncture has been widely used in the treatment of insomnia, but it remains unclear whether it has therapeutic efficacy for insomnia with short sleep duration. The purpose of this trial is to evaluate the efficacy and safety of acupuncture for insomnia with short sleep duration.Methods and analysisThis study is designed as a randomised, single-centre, single-blinded, placebo acupuncture controlled trial involving 152 participants. Eligible patients will be divided into two groups according to the objective total sleep time: insomnia with normal sleep duration group and insomnia with short sleep duration group. Then, patients in each group will be randomly assigned to two subgroups, the treatment group (acupuncture) and the control group (placebo acupuncture), in a 1:1 ratio with 38 subjects in each subgroup. The primary outcome is the Pittsburgh Sleep Quality Index and the Insomnia Severity Index. Secondary outcomes are actigraphy, the Beck Anxiety Inventory, the Beck Depression Inventory and the Fatigue Severity Scale. All adverse effects will be assessed by the Treatment Emergent Symptom Scale. Outcomes will be evaluated at baseline, post treatment, as well as at 1-week and 1-month follow-up.Ethics and disseminationThis protocol has been approved by the ethics committee of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine (no. 2019-17). Written informed consent will be obtained from all participants. The results will be disseminated through peer-reviewed journals for publications.Trial registration numberChiCTR1900023473; Pre-results.

Relaksasi Benson Untuk Durasi Tidur Pasien Penyakit Jantung Koroner

2018 ◽  
Vol 3 (3) ◽  
pp. 556
Author(s):  
Mulyanti Roberto Muliantino ◽  
Tuti Herawati ◽  
Masfuri Masfuri
Keyword(s):  
Cardiac Rehabilitation ◽  
Sleep Duration ◽  
Intervention Group ◽  
Self Report ◽  
Pharmacological Intervention ◽  
Control Group ◽  
P Value ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Coronary Arterial Disease

<p><em>Coronary Arterial Disease (CAD) is one of cardiovaskular disease that remain leading cause death and disability. Short sleep duration is the major symptoms in patients with CAD, during recovery period after cardiac events and during cardiac rehabilitation. Benson’s relaxation is one of relaxation as modalities therapy to increase sleep duration, </em><em>however few studies related to this</em><em> technique in planned</em><em> intervention</em><em>.</em><em> This study was to measured the effectiveness of Benson’s relaxation in short sleep duration of CAD patients during cardiac rehabilitation. It was a </em><em>quasi experimental pretest posttest control group design.</em><em> This study included 29 respondens in Dr.M.Djamil Hospital were assigned to intervention group which receiving Benson’s relaxation technique (n=15) and control group with routine care (n=14). </em><em>Benson’s relaxation </em><em>technique</em><em> was administered for 5 days 2 times a day, each 20 minutes to intervention group.</em><em> Short sleep duration was measured using </em><em>sleep diary (self report).</em><em> The result indicated significant increasing in mean of  sleep duration  before and after Benson’s relaxation in intervention group </em><em>(p value &lt; 0,001). </em><em>The study concluded that </em><em>Benson’s relaxation </em><em>technique is an effective non-pharmacological intervention to increase sleep duration in CAD patients.</em></p><p><em><br /></em></p><p>Penyakit jantung koroner menjadi masalah kardiovaskular yang mengakibatkan angka mortalitas yang tinggi. Durasi tidur pendek termasuk salah satu keluhan utama pasien penyakit jantung koroner pada masa recovery setelah serangan dan menjalani rehabilitasi fase 2. Relaksasi Benson merupakan teknik relaksasi sebagai terapi modalitas untuk mengurangi keluhan durasi tidur pendek, namum belum banyak penelitian terkait intervensi ini. Penelitian ini bertujuan untuk mengidentifikasi pengaruh relaksasi Benson terhadap durasi tidur pasien penyakit jantung koroner yang menjalani rehabilitasi fase 2. Penelitian ini menggunakan desain Quasi Eksperimen dengan pendekatan <em>control group pretest posttest design</em> pada 29 responden di RSUP. Dr.M.Djamil Padang yang dibagi dalam dua kelompok (kelompok intervensi dan kelompok kontrol). Hasil penelitian menunjukan ada perbedaan rerata durasi tidur yang signifikan antara sebelum dan setelah dilakukan intervensi relaksasi Benson pada kelompok intervensi (p value &lt; 0,001). Simpulan hasil penelitian ini dapat menjadi salah satu terapi modalitas bagi perawat untuk mengatasi masalah durasi tidur pendek pada pasien penyakit jantung koroner.</p><p><em><br /></em></p>

scholarly journals 0865 Menstrual Regularity And Bleeding Associated With Sleep Duration, Sleep Quality, And Daytime Sleepiness In A Community Sample

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A329-A330
Author(s):  
C Onyeonwu ◽  
S Nowakowski ◽  
L Hale ◽  
C Branas ◽  
M Barrett ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Sleep Problems ◽  
Community Sample ◽  
Severity Index ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Heavy Medium ◽  
Menstrual Health ◽  
Irregular Menses

Abstract Introduction Female menstrual health and its relationship to sleep duration, quality, fatigue and other factors is an understudied subject in the field of sleep and women’s health. Few studies examined sleep in relation to menstrual regularity and bleeding. Methods Data were obtained from N=579 women who have had a menstrual period in the past 12 months who participated in the Sleep and Health Activity, Diet, Environment, and Socialization (SHADES) study, a community-based sample of adults age 22-60 living in southeastern Pennsylvania. Participants were asked, “How regular is your period?” with response choices of “Very Regular,” “Mostly Regular,” “Fairly Regular,” and “Not Regular.” They were also asked, “How much bleeding do you usually experience during your period?” Responses were “Very Heavy,” “Medium,” “Light,” or “Very Light.” These were evaluated as ordinal outcomes. Sleep-related predictors included sleep duration (&lt;=6h [Short], 7-8 [Normal], and &gt;=9 [Long]), Insomnia Severity Index (ISI) score, Pittsburgh Sleep Quality Index (PSQI) score, Epworth Sleepiness Scale (ESS) score, and Fatigue Severity Scale (FSS) score. Covariates included age, education, income, race/ethnicity, and body mass index. Results Short sleep duration was associated with a greater likelihood of heavier bleeding (OR=1.46, p=0.026) and greater irregularity (OR=1.44, p=0.031), compared to Normal sleep. Higher PSQI score was associated with more irregularity (OR=1.05, p=0.022). FSS score was associated with both heavier bleeding (OR=1.02, p=0.003) and more irregularity (OR=1.02, p=0.008). Long sleep, ISI, and ESS were not associated with either outcome. A sleep duration by FSS score interaction was found for irregularity (p=0.1). Among Normal sleepers, FSS was associated with greater irregularity, but not among Short sleepers. Conclusion There is a relationship between short sleep and heavier and irregular menses. These findings have implications for treating sleep problems among women. Also, mechanisms of these associations should be explored further. Support Dr. Grandner is supported by R01MD011600 The SHADES study was funded by R21ES022931

scholarly journals Hubungan Durasi Tidur dengan Kejadian Overweight dan Obesitas pada Tenaga Kependidikan di Lingkungan Kampus C Universitas Airlangga

2019 ◽  
Vol 3 (2) ◽  
pp. 89 ◽  
Author(s):  
Rachmania Eka Damayanti ◽  
Sri Sumarmi ◽  
Luki Mundiastuti
Keyword(s):  
Sleep Duration ◽  
Case Control ◽  
Overweight And Obesity ◽  
Office Worker ◽  
Control Group ◽  
Case Group ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
The Many ◽  
Educational Staff

Background: One of the many nutritional problems experienced by adults is obesity. Obesity can be influenced by various factors including short sleep duration. This often happens to the office worker community.Objectives: This research aim’s to analyze relationship between sleep duration with overweight and obesity among education staff in Campus C of Universitas Airlangga.Method: This study was using case control design. The case group was education staff with BMI ≥23 kg/m2 and the control group was education staff with BMI <23 kg/m2 and not pregnant as inclusion criteria. The sample was 80 people, divided into the case group was 40 people and the control group was 40 people. Samples were taken purposively. Dependent variables were overweight and obesity while the independent variable was sleep duration. Data was tested using logistic regression.Results: In the case group, 50% of participants were included in the Obese I, while in the control group, 92.5% of the participants were included in the normal category.  In the case group that had short sleep duration (<7 hours of 95% while in the control group had enough sleep duration (7-9 hours) of 92.5%. There was significant correlation between short sleep duration with overweight and obesity (p<0.001; OR=7.70).Conclusion: The short sleep duration is related to overweight and obesity among educational staff in the Campus C of Universitas Airlangga. Sleep duration (<7 hours) has a risk of 7.702 times higher for being overweight and obesity than those who have enough sleep (7-9 hours).The shorter of sleep duration, the greater risk occurrence of overweight and obesity.ABSTRAKLatar Belakang: Masalah gizi yang banyak dialami orang dewasa salah satunya adalah obesitas. Obesitas dapat dipengaruhi oleh berbagai faktor antara lain pendeknya durasi tidur. Hal tersebut sering terjadi pada masyarakat pekerja kantor.Tujuan: Penelitian dilakukan untuk menganalisis hubungan antara durasi tidur dengan kejadian overweight dan obesitas pada tenaga kependidikan di Lingkungan Kampus C Universitas Airlangga.Metode: Penelitian ini menggunakan desain case control. Kelompok kasus adalah tendik dengan IMT ≥23 kg/m2 dan kelompok kontrol adalah tendik dengan IMT <23 kg/m2 serta tidak sedang hamil sebagai kriteria inklusi. Besar sampel yaitu 80 orang dibagi menjadi kelompok kasus 40 orang dan kelompok kontrol 40 orang. Sampel diambil secara purposive. Variabel dependent adalah overweight dan obesitas sedangkan variabel independent adalah durasi tidur. Data diuji menggunakan regresi logistik.Hasil: Pada kelompok kasus yang termasuk kategori Obese I sebesar 50% sedangkan pada kelompok kontrol yang termasuk kategori normal sebesar 92,5%. Pada kelompok kasus yang memiliki durasi tidur pendek (< 7 jam) sebesar 95% sedangkan pada kelompok kontrol yang memiliki durasi tidur cukup (7-9 jam) sebesar 92,5%. Adanya hubungan antara pendeknya durasi tidur dengan kejadian overweight dan obesitas (p<0,001; OR=7,70).Kesimpulan: Pendeknya durasi tidur berhubungan dengan kejadian overweight dan obesitas pada tenaga kependidikan di lingkungan Kampus C UNAIR Surabaya. Durasi tidur yang kurang (<7 jam) memiliki risiko 7,702 kali lipat lebih tinggi untuk menjadi overweight dan obesitas dibandingkan mereka yang memiliki durasi tidur cukup (7-9 jam). Semakin pendek durasi tidur, maka risiko kejadian overweight dan obesitas semakin besar.

scholarly journals 0526 Objective Total Sleep Duration Do Not Predicting the Effectiveness of Cognitive-Behavioral Therapy for Insomnia (CBT-I)

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A201-A201
Author(s):  
A Galbiati ◽  
M Sforza ◽  
C Leitner ◽  
A Filice ◽  
M Manconi ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Duration ◽  
Behavioral Therapy ◽  
Sleep Onset ◽  
Severity Index ◽  
Sleep Time ◽  
Cognitive Behavioral ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Normal Sleep

Abstract Introduction Several studies investigated the role of objective sleep markers, in particular of Total Sleep Time (TST) in identifying different subtypes of Insomnia Disorder (ID) and in evaluating the efficacy of treatments. Based on objective TST two phenotypes of ID are usually distinguished in the literature: normal sleepers (objective sleep duration ≥ 6 hours) and short sleepers (objective sleep duration &lt; 6 hours). Aim of our study was to evaluate in normal and short sleepers (objective sleep duration was assessed by both Polysomnography and Actigraphy) possible different response to Cognitive-Behavioral Therapy for Insomnia (CBT-I). Methods 53 ID patients (females = 50.9%; mean age = 56.53±11.43) were divided into “Short Sleep duration” and “Normal Sleep duration” groups. All patients underwent 7-sessions group CBT-I. Main clinical outcome was Insomnia Severity Index questionnaire (ISI); secondary outcomes were Sleep Efficacy (SE), Sleep Latency (SL), Wake After Sleep Onset (WASO), Number of Awakenings (N°awk) according to sleep diaries. Results All ID patients showed significant improvements after treatment for all clinical outcomes. Non-significant effects of CBT-I between “Short Sleep duration” and “Normal Sleep duration” measured by patients were found in terms of ISI, SE, SL, WASO and N°awk, neither using Polysomnography nor Actigraphy. Furthermore, no accordance between these two objective measurements was found for the identification of the two subgroups. Conclusion Our findings suggest that the use of objective TST (both by Actigraphy and Polysomnography) is not a consistent predictor for CBT-I effectiveness. Moreover, only a small percentage of patients were classified as short or normal sleepers according both to Polysomnography and Actigraphy. These findings underline the instability and poor reliability of using objective TST in subtyping insomniacs. Support No

667 Effects of Sleep-Extend on glucose metabolism in women with a history of gestational diabetes: A pilot study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A261-A261
Author(s):  
Sirimon Reutrakul ◽  
Pamela Martyn-Nemeth ◽  
Laurie Quinn ◽  
Kirstie Danielson ◽  
Brett Rydzon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Glucose Metabolism ◽  
Gestational Diabetes ◽  
Sleep Duration ◽  
Control Group ◽  
Healthy Living ◽  
Short Sleep ◽  
History Of ◽  
Sleep Extension

Abstract Introduction Experimental and epidemiological data have linked insufficient sleep to increased diabetes risk. Women with a history of gestational diabetes (GDM) have a 7-fold greater risk of developing type 2 diabetes. This pilot study explored the feasibility of a sleep extension intervention in women with a history of GDM and short sleep, and the effects on glucose metabolism. Methods Women age 18–45 years with a history of GDM (at least 1 year postpartum) and actigraphy confirmed short sleep duration (&lt;7h/night) on weekdays were randomized at a ratio of 1 control (healthy living information) to 2 cases (6 weeks of “Sleep Extend” intervention: use of a Fitbit, weekly digital content, interactive tools, and coach delivered feedback in order to increase sleep duration). An oral glucose tolerance test (OGTT), 7-day actigraphy recording and questionnaires were obtained at baseline and 6 weeks (at the end of the intervention). Results Twelve women (mean (SD) age 40.3 (4.5) years) participated (n=8 Sleep Extend, n=4 control). Compared to baseline, nightly sleep duration increased in Sleep Extend group (+30.6 (48.8) minutes) but decreased in the control group (-6.8 (22.9) minutes). Both fasting and 2-h glucose levels from OGTT increased in both groups but were greater in the control group (Sleep extend vs. healthy living: fasting glucose +2.1 (9.8) vs. +12.8 (7.3) mg/dL; 2-h glucose +8.2 (21.9) vs. +20.0 (19.4) mg/dL). Self-reported sleep quality improved in both groups. When compared controls, Sleep Extend participants reported improved fatigue symptoms (Promis fatigue score change -5.1 (9.3) vs. 7.0 (1.0), p=0.008), and self-reported physical activity tended to increase (+1614 (3659) vs. -2900 (3922) MET-minutes/week). Combining all participants, an increase in sleep duration correlated with a decrease in fatigue (r= -.62, p=0.04) and anxiety symptoms (r= -.69, p=0.02). Conclusion Sleep extension through coaching and use of remote monitoring is feasible in women with a history of GDM. It appears to decrease fatigue and may improve glucose metabolism and physical activity. Support (if any) NIDDK P30 DK092949

374 Cognitive Behavioral Therapy with Exercise in Adults with Insomnia and Short Sleep: Daytime Function Outcomes from a Pilot Study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A149-A149
Author(s):  
Andrew Kubala ◽  
Mara Egeler ◽  
Daniel Buysse ◽  
Martica Hall ◽  
Emma Barinas-Mitchell ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Behavioral Therapy ◽  
Exercise Program ◽  
Short Sleep Duration ◽  
Post Intervention ◽  
Short Sleep ◽  
Supervised Exercise ◽  
Daytime Function ◽  
Supervised Exercise Program ◽  
Insomnia Severity

Abstract Introduction Cognitive behavioral therapy for insomnia (CBT-I) is efficacious, but there is mixed evidence as to whether improvement is blunted in adults with insomnia and short sleep duration. Exercise training can reduce physiologic hyperarousal and may increase homeostatic sleep drive, which could potentiate CBT-I treatment effects. This pilot study explored changes in self-reported outcomes from a CBT-I intervention augmented by exercise training in a sample of adults with insomnia and objective short sleep duration. Methods Eight adults (50% female, 62.5% white) with insomnia disorder and short sleep duration (mean actigraphic TST &lt;6.5 hr) completed a 12-week single-arm trial. Participants self-administered the online “Sleep Healthy Using the Internet” (SHUT-I) CBT-I program with additional staff guidance while completing a supervised exercise program (EX; 150 min/wk of moderate-intensity aerobic exercise and 2 days/wk of strength training). Participants completed assessments of self-reported sleep and daytime function pre- and post-intervention, including the Insomnia Severity Index (ISI), Flinders Fatigue Scale (FFS), Ford Insomnia Response to Stress Test (FIRST), Perceived Stress Scale (PSS), and Epworth Sleepiness Scale (ESS). Differences between timepoints were analyzed using paired t-tests and Cohen’s d effect size calculations. Results Insomnia severity significantly decreased after the intervention (ISI: p&lt;0.001, d=2.99), with 75% reporting post-intervention ISI ≤ 7. Likewise, fatigue significantly decreased after the intervention (FFS: p=0.032, d=0.95). Symptoms of stress-related sleep reactivity and stress were also reduced (FIRST: p=0.012, d=1.19; PSS: p=0.014, d=1.14). Though nonsignificant, large reductions in sleepiness were additionally observed (ESS: p=0.058, d=0.80). Conclusion In this pilot trial among patients with insomnia and short sleep duration, online CBT-I plus a supervised exercise program resulted in a significant reduction in insomnia severity. The intervention also produced large and meaningful reductions in fatigue and stress, which are common daytime impairments in patients with insomnia. Future research should attempt to disentangle the independent contributions of CBT-I and exercise on outcomes in this population. Support (if any) NIH: K23HL118318

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