scholarly journals Sleep quality and ventilatory efficiency in elderly heart failure patients: a pilot study on the short-term effect of 4-week low-intensity aerobic exercise

Kardiologiia ◽  
2020 ◽  
Vol 60 (6) ◽  
pp. 102-106
Author(s):  
Walid Kamal Abdelbasset ◽  
Ahmad Osailan

Background Sleep disturbance and ventilator inefficiency are considered two of the most critical complications for general human wellbeing, particularly in elderly heart failure (HF) patients. Studies examining the effect of low-intensity aerobic exercise in the treatment of sleep disturbance and ventilatory inefficiency in this population of patients are limited.Objective The purpose of the current pilot study was to check the effect of low-intensity aerobic exercise on the quality of sleep and ventilatory efficiency in elderly HF patients.Materials and methods Design: pilot study. Setting: outpatient physical therapy clinic within Cairo University regional hospital. Participants: eight elderly HF patients (6 men, 2 women) with a mean age of 69.4±4.2 years. Intervention: participants were recruited for a low-intensity exercise program (40 to 50% of maximum heart rate for 30-40 minutes), five sessions weekly for four weeks. Exercise intensity was monitored during the sessions using heart rate. Outcome Measure: sleep quality was assessed pre- and post- four weeks of exercise program usingthe Pittsburgh sleep quality index (PSQI) and ventilatory efficiency was assessed using cardiopulmonary exercise test.Results HF patients (II–III NYHA), mean age 69.4±4.2 years, body mass index 23.7±2.7 kg/m2, ejection fraction 32.7±4.5 %, VO2peak 16.27±4.2 ml/kg/min, VE/VCO2 30.81±12.7. The mean of global PSQI score ranged between 8.2 to 11.4 with a mean of 9.7±3.4 which indicates that the participants experienced sleep disturbance. The post-exercise assessment showed that patients have reported a significant improvement of all PSQI domains compared with baseline assessment (p<0.05). VO2peak significantly increased from 16.27±4.2 pre-intervention to 20.03±2.6 ml/kg/min post-intervention (p=0.049) whereas VE/VCO2 slightly decreased with a non-significant difference at the end of the study program (p=0.594) indicating animprovement of ventilator efficiencyand overall cardiorespiratory fitness.Conclusion Short-term application of low-intensity aerobic exercise (4 weeks) may improve the quality of sleep and ventilator efficiency in elderly HF patients. The study findings encourage elderly HF patients with sleep disturbance to adhere to the exercise training program. Also, cardiac rehabilitation programs with low intensity of aerobic exercise should be proposed to these patients by their health care provider.

2019 ◽  
Vol 7 (6) ◽  
pp. 327-328
Author(s):  
Helmut Frohnhofen

Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality. Methods: This was a randomized controlled trial study, conducted from May to September 2017, in Northeastern Brazil, with elderlies of the community aging 60 years old or older, sedentary, with lower scores or equal to 5 at the Pittsburgh Sleep Quality Index (PSQI) and without cognitive decline. From one hundred ninety-one potential participants twenty-eight refused to participate, therefore, one hundred thirty-one (mean age 68 ± 7 years), and 88% female, were randomly assigned to an intervention group - IG (home exercise and sleep hygiene, n = 65) and a control group - CG (sleep hygiene only, n = 66). Sleep assessment tools were used: PSQI, Epworth sleepiness scale (ESS) and clinical questionnaire of Berlin. The level of physical activity has been assessed by means of International Physical Activity Questionnaire adapted for the elderly (IPAQ) and Mini-Mental State Examination for cognitive decline. All participants were assessed before and after the 12-week intervention period and, also, the assessors were blind. Results: The IG showed significant improvement in quality of sleep with a mean reduction of 4.9 ± 2.7 points in the overall PSQI (p < 0.01) and in all its 7 components of evaluation (p < 0.05), and improvement of secondary endpoint, daytime sleepiness, a decline of 2.8 ± 2.2 points in the ESS (p < 0.01). Conclusion: Our results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders. Trial registration: Ensaiosclinicos.gov.br process number: RBR-3cqzfy.


Medicinus ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. 216
Author(s):  
Stevanie Budianto ◽  
Yusak M.T Siahaan

<p><strong>Background:</strong> Memory is a place where information is stored from the learning process or experience. There are several types of memory , one of them is short term memory. Declining sleep quality is directly proportional to the decrease in short-term memory. Poor sleep quality is often associated with medical student due to exams or vast amount of tasks. Therefore, researcher wants to see whether there is significant correlation between sleep quality and short-term memory function in students.</p><p><strong>Aim:</strong> To assess the association of the quality of sleep towards short term memory function of medical student of Pelita Harapan University.</p><p><strong>Methods:</strong> This study was conducted with a cross-sectional method, with taking sample using the method of a simple random sample. A total of 90 respondents at University of Pelita Harapan were taken. Data collected sorted out according to the inclusion and exclusion criteria. Quality of sleep assessed with PSQI questionnaire while short-term memory assessed by Digit span backward test. Results processed with SPSS version 24 and tested with Chi Square.</p><p><strong>Results</strong>: Data analyzed by Chi square test showed there are 33 students (58.9%) have poor sleep quality and short term memory function. There are also significant association between the quality of sleep and short term memory function (p value = 0.026)</p><p><strong>Conclusion:</strong> There is significant association between the quality of sleep and short term memory function of medical students of Pelita Harapan University.</p>


2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Auditya Agnesia ◽  
Damajanty H. C. Pangemanan ◽  
Hedison Polii

Abstract: An Elderly is someone who has reached the age of 60 years or more. The number of elderly in Indonesia in 2020 has reached 28.7 million. This number continues to increase every year. The elderly will naturally experience changes both physically and mentally which can reduce their quality of life. The quality of sleep and cognitive function in the elderly also changes due to aging factors. The purpose of this study was to determine the effect of yoga exercises on sleep quality and cognitive function in the elderly. This research is a literature review. This study studied topics related to the effect of yoga exercises on sleep quality and cognitive function in the elderly from previous studies. The literature reviewed consists of 15 literature with 8 literature discussing the effect of yoga exercises on sleep quality in the elderly and 7 other literature discussed the effect of yoga exercise on cognitive function in the elderly. The results of this study indicate that yoga exercises that are carried out regularly both in the long and short term can improve the quality of sleep in the elderly and maintain cognitive function in the elderly. It can also prevent dementia and Alzheimer's disease in the elderly.Keywords: yoga exercise, sleep quality, cognitive function, elderly  Abstrak: Lansia merupakan seseorang yang sudah mencapai usia 60 tahun atau lebih. Jumlah lansia di Indonesia pada tahun 2020 mencapai 28,7 juta jiwa. Angka ini terus meningkat tiap tahunnya. Lansia secara alamiah akan mengalami perubahan baik secara fisik dan mental yang dapat menurunkan kualitas hidupnya. Kualitas tidur dan fungsi kognitif pada lansia juga mengalami perubahan akibat faktor penuaan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh senam yoga terhadap kualitas tidur dan fungsi kognitif pada lansia. Penelitian ini merupakan penelitian yang sifatnya literature review. Penelitian ini mempelajari topik-topik terkait pengaruh senam yoga terhadap kualitas tidur dan fungsi kognitif pada lansia dari penelitian-penelitiam sebelumnya. Literatur yang diulas dan dipelajari sebanyak 15 literatur dengan 8 literatur membahas pengaruh senam yoga terhadap kualitas tidur pada lansia dan 7 literatur lainnya mengulas pengaruh senam yoga terhadap fungsi kognitif pada lansia. Hasil penelitian ini menunjukkan bahwa senam yoga yang dilakukan secara rutin baik dalam jangka panjang maupun pendek dapat memperbaiki dan meningkatkan kualitas tidur lansia. Senam yoga juga dapat mempertahankan fungsi kognitif lansia dan mencegah lansia dari penyakit demensia dan alzheimer.Kata kunci : senam yoga, kualitas tidur, fungsi kognitif, lansia


2020 ◽  
Author(s):  
Nebiyu Mengistu ◽  
Telake Azale ◽  
Solomon Yimer ◽  
Mahilet Fikreyesus ◽  
Elsa Melaku ◽  
...  

Abstract Background: Sleep disturbance is a common complaint in people living with HIV/AIDS. Despite the influence of sleep disturbance on treatment adherence, quality of life, work productivity, risk of chronic illness, it remains under-recognized and under-studied in Ethiopia. Therefore it is necessary to produce scientific evidence to fill the knowledge gap and areas of management. The current study aimed to assess sleep quality and its associated factors among people living with HIV/AIDS. Methods: An institution-based cross-sectional study was utilized among 408 participants who were selected by a systematic random sampling technique at Zewditu memorial hospital from April to May 2018. The Pittsburgh Sleep Quality Index questionnaire was used to measure sleep quality. Ethical clearance was obtained from the joint ethics committee of the University of Gondar and Amanuel Mental Specialized Hospital. Oral informed consent was obtained from each participant. Binary and multivariable logistic regression models were fitted. Odds ratios (OR) with the corresponding 95% confidence interval (95%CI) was computed. Results: The magnitude of poor sleep quality was 55.6%. Being female [AOR=3.40, 95% CI: (1.80, 6.41)], depression [AOR =3.52, 95% CI: (1.95, 6.32)], CD4count ≤ 200 cells/mm3 [AOR=3.18,95%CI: (1.65,6.13)], duration of HIV/AIDS diagnosis [AOR=3.43,95% CI: (1.61,7.29)], current use of tobacco [AOR=5.69, 95% CI: (2.04,15.9)] and chat or caffeinated drinks [AOR=2.65, 95% CI: (1.06,6.64)] and poor sleep hygiene [AOR=3.55, 95% CI: (1.85, 6.78)] were significantly associated with poor sleep quality.Conclusions: More than half of the study participants were found to have poor sleep quality. A range factors influence quality of sleep of people with HIV/AIDS. Routine screening of sleep condition among people living with HIV/AIDS and early intervention based on the findings is suggested.


2020 ◽  
Vol 10 (23) ◽  
pp. 8391
Author(s):  
María Victoria Palop-Montoro ◽  
Emilio Lozano-Aguilera ◽  
Milagros Arteaga-Checa ◽  
Víctor Serrano-Huete ◽  
Juan Antonio Párraga-Montilla ◽  
...  

Background: Sleep is an important phenomenon to restore the body, both physically and emotionally, providing a state of balance in the person. It has been proven that adequate sleep at night is one of the main needs of older people in order to maintain an active and healthy life; among other factors, regular physical exercise can improve the quality of sleep. The aim of this research is to evaluate the effects of a physical exercise program supplemented with vibration training on sleep quality and the use of sleep drugs in women over 65 years of age. Methods: Fifty-two independent, physically active adult women were randomised into two groups: a physical exercise program (n = 26, control group) and the same physical exercise program supplemented with vibration training (n = 26, experimental group). The control group performed two weekly sessions of exercise, and the experimental group added another two sessions of vibration training to these two sessions for 12 weeks. Sleep quality was assessed using the Pittsburgh index. Statistical significance was established as p < 0.05. Results: After the intervention, there were significant changes to the quality of sleep (p = 0.001) and hours of sleep (p = 0.002) in the experimental group. The consumption of drugs decreased in this group, although not significantly; however, it did have a moderate effect size (p = 0.058; d = 0.36). The control group, on the other hand, reported significantly worsened sleep quality (p = 0.001) and increased drug use (p = 0.008). Conclusion: Three months of vibration training, as a complement to a conventional physical exercise program, improves sleep quality and reduces the consumption of sleeping pills in women over 65 years of age.


e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Ricky R. T. A. Thayeb ◽  
Mieke A. H. N. Kembuan ◽  
Herlyani Khosama

Abstract: Sleep is one of the primary needs of the basic requirement for human survival. Sleep disorders can cause some effects in humans. It is estimated that 60-80% of workers with shift work system have impaired sleep quality. This results in a decrease in work productivity and an increase in the occurence of accidents. This study aimed to obtain the sleep quality of nurses in Prof. Dr. R. D. Kandou Hospital Manado in 2013. This was a descriptive and observational study by using questionnaires. The study population was nurses in the Neurology Department and the Emergency Department (ED) with samples of 52 people. The results showed that the subjective sleep qualities as perceived by the nurses themselves were as follows: good enough (44.23%) and poor (36.54%). Respondents that had sleep disturbance less than once a week were 30.77%, and respondents that had sleep disturbance 1-2 times a week were 59.62%. Most nurses (69.24%) did not use sleeping pills. Respondents that experienced some disruption of their activities during the day over the past 1 month as many as 1-2 times a week were 55.77%. Conclusion: The quality of sleep of night shift nurses in Prof. Dr. R. D Kandou Hospital Manado belonged to poor quality.Keywords: night shift nurse, sleep qualityAbstrak: Tidur merupakan salah satu kebutuhan primer yang menjadi syarat dasar bagi kelangsungan hidup manusia. Gangguan tidur dapat menimbulkan beberapa efek pada manusia. Salah satu hal yang menjadi perhatian adalah 60-80% pekerja dengan system kerja shift mengalami gangguan kualitas tidur. Hal ini mengakibatkan penurunan produktivitas kerja dan dapat menyebabkan kecelakaan. Penelitian ini bertujuan untuk mengetahui gambaran kualitas tidur perawat di RSUP. Prof. Dr. R. D. Kandou Manado tahun 2013. Penelitian ini menggunakan metode deskriptif observasional dan pemberian kuesioner. Populasi ialah perawat Instalasi inap neurologi dan Instalasi gawat darurat (IGD dengan sampel berjumlah 52 orang. Hasil penelitian memperlihatkan kualitas tidur subjektif menurut persepsi perawat itu sendiri ialah cukup baik (44,23%) dan kurang baik (36,54%); gangguan tidur kurang dari sekali dalam seminggu (30,77%); dan gangguan tidur 1-2 kali dalam seminggu (59,62%). Mengenai penggunaan obat tidur, sebagian besar perawat (69,24%) tidak menggunakan obat tidur. Mengenai perawat yang mengalami gangguan beberapa aktifitas di siang hari selama 1 bulan terakhir sebanyak 1-2 kali dalam seminggu yaitu sebesar 55,77%. Simpualn: Kualitas tidur perawat dinas malam di RSUP Prof. Dr. R. D Kandou Manado tergolong kualitas tidur yang buruk.Kata kunci: perawat dinas malam, kualitas tidur


Author(s):  
Neenu Merin ◽  
Regina Antony

Objective: This was a descriptive study with the objective to determine the sleep disturbances and the quality of sleep among patients with cardiovascular diseases (CVDs).Methods: Quantitative approach with non-experimental descriptive design was used. A semi-structured sleep disturbance questionnaire was used to determine the sleep disturbances, and a standardized Pittsburgh Sleep Quality Index tool was used to assess the sleep quality among 100 subjects in Amrita Institute of Medical Sciences, Kochi.Results: The study results showed that majority of the subjects (51%) were of the age group between 56 and 65 years, and 71% were male with CVD. Sleep disturbances were present in 80% of the subjects with CVD, among which 56% subjects had mild disturbances, 20% subjects with moderate sleep disturbances, and 4% subjects with severe sleep disturbances. The result also indicated that 48% of subjects had poor sleep quality. Findings also showed a highly statistically significant association between cardiomyopathy and sleep disturbances (p<0.001). Total cholesterol and low-density cholesterol levels were significantly associated with sleep disturbances (p<0.05). There is a highly significant association between sleep disturbances and quality of sleep (p<0.001), indicating that sleep disturbances can be one factor in decreasing the quality of sleep in patients with CVD.Conclusion: The results of the study indicated that sleep disturbances were prevalent in patients with CVD and often hazardous to heart health. As health practitioner and other health-care providers have not focused major attention on the importance of sleep to health, the need for providing information to them and patients regarding the importance of improving the quality of sleep and identifying the sleep disturbances will call for action to bring sleep to the forefront of public health.


Author(s):  
Muhammad Shah ◽  
Dr. Farooq Hussain ◽  
Azmat Ali

Sleep is increasingly being an integral part of a training routine rather than a stagnant state of inactivity, and as a controllable factor that can modify performance for elite athletes. Athletes report high rates of sleep disturbance especially during intense workloads which directly affects athletic performance and may predispose individuals to injury. This study aimed to evaluate the quality of sleep and the various risk factors associated with it among Pakistani athletes. From February to April 2020, a cross-sectional, multi-center study was conducted involving athletes aged 18 and up, of either gender, from various cities in Pakistan... A validated Urdu version of the Pittsburgh sleep quality index (PSQI) instrument was used to identify sleep quality. Out of 205 participants, n=84 athletes were bad sleepers based on PSQI score. Of whom, the majority were males n=75 (89.3%), and having age group of 18-30 years n=71 (84.5%). Binary logistic regression demonstrated no statistically significant association between any of the factor and PSQI score. The study found a disturbing quality of sleep in a considerable number of athletes. Therefore, interventions should be done to improve sleep quality so that the performance of the athletes can be improved.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23100-e23100
Author(s):  
Amabelle Trina Borgonia Gerona ◽  
Ryelene Baquilod ◽  
Deborah A. Bernardo ◽  
Roselle B. De Guzman

e23100 Background: Sleep disturbances are highly prevalent in cancer patients and may be attributable to factors including pain, treatment side effects and psychological factors. However, the relationship between sleep and cancer is bidirectional. There is substantial evidence that sleep disturbance is associated with many aspects of cancer treatment, morbidity, mortality and quality of life. This study evaluated sleep quality in adult Filipinos with cancer and determined the association of demographic characteristics and clinical features to sleep quality. Methods: This was a cross-sectional surveillance study conducted among adult Filipinos with cancer seen at the Ambulatory Care Unit of a tertiary hospital. Questionnaires were answered to assess subjective sleep quality, pain score and quality of life. Frequency and percentages were determined. Determination of factors affecting sleep quality was analyzed using univariate and multivariate statistics. Results: Of the 406 cancer patients studied, 80% were women and the mean age was 53 years old. Majority (62%) had breast cancer. Seventy-nine percent (79%) of the patients had a PSQI score of 5 or greater, indicating poor sleep quality. Sleep among participants was characterized by prolonged time to fall asleep and shortened sleep duration. Majority reported some degree of daytime dysfunction due to poor sleep. Age, gender and marital status did not appear to affect the quality of sleep. Among disease-related factors, presence of more advanced disease, increasing pain severity and treatment with chemotherapy and/or radiotherapy were demonstrated to lead to poorer sleep quality. Surprisingly, even patients who were not receiving any active therapies (on-going surveillance) complained of sleep disturbance. Upon further investigation, poor sleep quality was shown to predict a worse quality of life among the study participants. Conclusions: Overall, the quality of sleep among adult Filipinos with cancer is significantly impaired. In particular, presence of more advanced disease, treatment with chemotherapy and radiotherapy and moderate to severe pain significantly increase the risk of having poor sleep. In turn, disturbed sleep predicted a poorer quality of life. These findings support the need to include assessment of sleep quality for a more holistic approach to cancer care.


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