scholarly journals Which parameters to use for sleep quality monitoring in team sport athletes? A systematic review and meta-analysis

2019 ◽  
Vol 5 (1) ◽  
pp. bmjsem-2018-000475 ◽  
Author(s):  
João Gustavo Claudino ◽  
Tim J Gabbett ◽  
Helton de Sá Souza ◽  
Mário Simim ◽  
Peter Fowler ◽  
...  

BackgroundSleep quality is an essential component of athlete’s recovery. However, a better understanding of the parameters to adequately quantify sleep quality in team sport athletes is clearly warranted.ObjectiveTo identify which parameters to use for sleep quality monitoring in team sport athletes.MethodsSystematic searches for articles reporting the qualitative markers related to sleep in team sport athletes were conducted in PubMed, Scopus, SPORTDiscus and Web of Science online databases. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. For the meta-analysis, effect sizes with 95% CI were calculated and heterogeneity was assessed using a random-effects model. The coefficient of variation (CV) with 95% CI was also calculated to assess the level of instability of each parameter.ResultsIn general, 30 measuring instruments were used for monitoring sleep quality. A meta-analysis was undertaken on 15 of these parameters. Four objective parameters inferred by actigraphy had significant results (sleep efficiency with small CV and sleep latency, wake episodes and total wake episode duration with large CV). Six subjective parameters obtained from questionnaires and scales also had meaningful results (Pittsburgh Sleep Quality Index (sleep efficiency), Likert scale (Hooper), Likert scale (no reference), Liverpool Jet-Lag Questionnaire, Liverpool Jet-Lag Questionnaire (sleep rating) and RESTQ (sleep quality)).ConclusionsThese data suggest that sleep efficiency using actigraphy, Pittsburgh Sleep Quality Index, Likert scale, Liverpool Jet-Lag Questionnaire and RESTQ are indicated to monitor sleep quality in team sport athletes.PROSPERO registration numberCRD42018083941.

2016 ◽  
Vol 25 ◽  
pp. 52-73 ◽  
Author(s):  
Tatyana Mollayeva ◽  
Pravheen Thurairajah ◽  
Kirsteen Burton ◽  
Shirin Mollayeva ◽  
Colin M. Shapiro ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-16
Author(s):  
Fei-Yi Zhao ◽  
Qiang-Qiang Fu ◽  
Gerard A. Kennedy ◽  
Russell Conduit ◽  
Wen-Zhong Wu ◽  
...  

Background. Many women with perimenopausal insomnia (PMI) have sought alternative therapies such as acupuncture because of concerns about risks associated with hormone replacement therapy (HRT) and/or psychotropic drugs. This systematic review aimed to clarify if acupuncture alone or combined with standard Western pharmacotherapy (HRT and/or psychotropic drugs) is more effective in ameliorating PMI in comparison to pharmacotherapy alone. Methods. Randomized controlled trials (RCTs) of PMI treatment via acupuncture alone or combined with Western pharmacotherapy versus Western pharmacotherapy were searched for from eleven databases from inception to March 2020. Cochrane criteria were followed. Results. Fifteen studies involving 1410 women were analyzed. Meta-analysis indicated that acupuncture significantly reduced the global scores of Pittsburgh Sleep Quality Index (PSQI) [MD = −2.38, 95% CI (−3.38, −1.37), p  < 0.01] and Kupperman Index [MD = −5.95, 95% CI (−10.68, −1.21), p  = 0.01], compared with hypnotics. Acupuncture combined with hypnotics was more effective than hypnotics alone in decreasing PSQI scores [MD = −3.13, 95% CI (−5.43, −0.83), p  < 0.01]. Too few RCTs were available to investigate the clinical efficacy differences between acupuncture and HRT/psychotropic drugs other than hypnotics. Conclusions. Despite limited evidence, in comparison to hypnotics, acupuncture was associated with significant improvements in PMI, and reductions of other menopausal symptoms. This finding suggests that acupuncture may be a useful addition to treatment for PMI.


Author(s):  
Md Dilshad Manzar ◽  
Ahmed S. BaHammam ◽  
Unaise Abdul Hameed ◽  
David Warren Spence ◽  
Seithikurippu R. Pandi-Perumal ◽  
...  

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A312-A312
Author(s):  
S Tsai ◽  
P Lee ◽  
C Gordon ◽  
E Cayanan ◽  
C Lee

Abstract Introduction Sleep disturbances are one of the most frequent complaints identified during routine prenatal care visits. Sleep and mood disturbances are often intertwined, and depression in particular is a leading cause of disability and disease burden worldwide. The purpose of this study was to examine the predictive association of objective actigraphic and subjective sleep disturbances with depressive symptoms in pregnant women. Methods We recruited 204 first-trimester pregnant women from a large university-affiliated hospital. They provided baseline socio-demographic and health information, wore a wrist actigraph for 7 days, and completed the Pittsburgh Sleep Quality Index and Center for Epidemiologic Studies - Depression Scale and repeated this again in the second and third trimesters. Each data collection was scheduled at least 8 weeks apart. Unadjusted and multivariable adjusted odds ratios with 95% confidence intervals were used to evaluate sleep disturbances at 1st trimester and risk of high depressive symptoms at follow-up. Results A total of 121 (59.3%) women had actigraphic sleep efficiency of &lt; 85% and 92 (45.1%) had Pittsburgh Sleep Quality Index global scores &gt; 5 indicative of poor sleep quality. In multivariable adjusted models, 1st trimester objectively measured sleep efficiency &lt; 85% was associated with 2.65-, 3.86-, and 5.27-fold increased odds having risk of high depressive symptoms at 2nd trimester, 3rd trimester, and both 2nd and 3rd trimesters, respectively. No subjective sleep disturbance variables were significantly associated with risk of high depressive symptoms in multivariate adjusted models. Conclusion Objectively assessed poor sleep efficiency in the 1st trimester plays a crucial role in the development of both elevated and persistent high depressive symptoms in pregnancy. Future studies using objective sleep measurements and clinical diagnostic interviews are warranted to examine whether early interventions to improve sleep may help reduce high depressive symptom risk and lower depression rates in women during pregnancy. Support This study was funded by the Ministry of Science and Technology, Taiwan (MOST-101-2314-B-002-049-MY3).


2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Xiaoli Shi

Objective To assess changes in sleep quality before and after 3 months Yin yoga on insomnia in menopausal women,which provides a scientific and reliable theoretical basis for improving insomnia of menopausal women by doing Yin yoga exercise. Methods Twenty menopausal women (year,48.16±3.66) with non-organic insomnia who volunteered for Yin yoga were selected. They all performed the same six poses of Yin yoga at 22:00 PM. Each pose lasted for 5min, 30 min each time, 5 times per week, and for 3 consecutive months. Before and after 3 month Yin yoga exercise, polysomnogram(PSG) and Pittsburgh sleep quality index (PSQI) were used to evaluate the improvement of insomnia. Results After 3 months Yin yoga exercise, the sleep latency (SL), rem sleep latency (RL) and sleep efficiency (SE) of the insomniacs all improved, with statistically significant differences (P<0.05). Three months of Yin yoga exercise later, the Pittsburgh sleep quality index showed a significant difference in sleep scores compared with the start of exercise(P<0.01). Conclusions Yin yoga exercise can improve insomnia in menopausal women and the effect is significant, worthy of promotion.


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