Manual Therapy, Posturology & Rehabilitation Journal
https://app.periodikos.com.br/journal/mtprehab/article/doi/10.17784/mtprehabjournal.2018.16.577
Manual Therapy, Posturology & Rehabilitation Journal
Study Protocol

The effect of home-based exercise in sleep quality and excessive daytime sleepiness in elderly people: A protocol of randomized controlled clinical trial

Glauber Sá Brandão; Antônia Adones Callou; Glaudson Sá Brandão; Anderson Soares Silva; Jessica Julioti Urbano; Newton Santos de Faria Junior; Luis Vicente Franco Oliveira; Aquiles Assunção Camelier

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Abstract

Background: Sleep-disordered breathing is associated with significant morbidity and mortality, presenting a high prevalence in the general population and being considered today as an important public health problem worldwide, affecting about 45% of the world population. It is estimated that about from 50 to 75% of the elderly complain of difficulties in initiating or maintaining sleep. The regular practice of physical exercise of mild to moderate intensity is associated with improved sleep quality in the elderly and has increased its recommendation as one of the main non-pharmacological resources of preventive and therapeutic action. Objectives: To verify the effect of a semi-supervised home-based physical exercise program on sleep quality in a sedentary elderly population, which influences the improvement of self-reported sleep quality and the reduction of excessive daytime sleepiness in a sedentary elderly population. Methods: This protocol study of randomized, controlled, blinded clinical trial was designed, is being conducted and will be reported according to the guidelines of the CONSORT (Consolidated Standards of Reporting Trials) Statement, and is being conducted from July 2016 to December 2017, involving elderly people of both sexes, over 60 years old, living in Senhor do Bonfim. The home physical exercise program is based on the recommendations of the American College of Sports Medicine for exercise and physical activity for the elderly. Results: The first expected outcome is the improvement of self-reported sleep quality verified through the PSQI. The secondary outcomes are reduction in excessive daytime sleepiness among the sedentary elderly subjects undergoing the semi-supervised home-based physical exercise program, verified by the ESS, and the adherence of the subjects to the program. Conclusions: We hope that through this study, we can show that the regular practice of semi-supervised home exercises is effective in improving sleep quality and reducing excessive daytime sleepiness in sedentary elderly people and can be considered as a therapeutic, safe, easy-to-implement, and low-cost non-pharmacological resource.

Keywords

Exercise Training; Sleep; Quality of Life; Aged;

References

1. Stranges S, Tigbe W, Gomez-Olive FX, Thorogood M, Kandala NB. Sleep problems: an emerging global epidemic? Findings from the INDEPTH WHO-SAGE study among more than 40,000 older adults from 8 countries across Africa and Asia. Sleep. 2012;35(8):1173–1181. PMID: 22851813

2. Romano S, Salvaggio A, Hirata RP, Lo Bue A, Picciolo S, Oliveira LV, et al. Upper airway collapsibility evaluated by a negative expiratory pressure test in severe obstructive sleep apnea. Clinics (Sao Paulo). 2011;66(4):567-72. PMID: 21655748

3. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328:1230-5. PMID: 8464434

4. Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5:136-43. PMID: 18250205

5. Tufik S, Silva RS, Taddei JA, Bittencourt LRA. Obstructive Sleep Apnea Syndrome in the São Paulo Epidemiologic Sleep Study. Sleep Medicine. 2010;11(5):441-6. PMID: 20362502

6. Heinzer R, Vat S, Marques-Vidal P, Marti-Soler H, Andries D, Tobback N, et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015;3(4):310-318. PMID: 25682233

7. Miner B, Kryger MH. Sleep in the Aging Population. Sleep Med Clin. 2017;12(1):31-38. PMID: 28159095

8. Crowley K. Sleep and sleep disorders in older adults. Neuropsychol Rev. 2011;21(1):41–53. PMID: 21225347

9. Akbari Kamrani AA, Shams A, Shamsipour Dehkordi P, Mohajeri R. The effect of low and moderate intensity aerobic exercises on sleep quality in men older adults. Pakistan J Med Sci. 2014;30(2):417–21. PMID: 24772155

10. Du S, Dong J, Zhang H, Jin S, Xu G, Liu Z, et al. Taichi exercise for self-rated sleep quality in older people: A systematic review and meta-analysis. Int J Nurs Stud. 2015;52(1):368–79. PMID: 24934815

11. Gobbi S, Sebastião E, Papini CB, Nakamura PM, Valdanha Netto A, Gobbi LTB, et al. Physical Inactivity and Related Barriers: A Study in a Community Dwelling of Older Brazilians. J Aging Res. 2012;6:1–8. PMID: 23209906

12. Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, et al. CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. Int J Surg. 2012;10(1):28-55. PMID: 22036893

13. Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, da Silva Miozzo IC, de Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70–5. PMID: 21145786

14. Vaz AP, Drummond M, Mota PC, Severo M, Almeida J, Winck JC. Tradução do Questionário de Berlim para língua Portuguesa e sua aplicação na identificação da SAOS numa consulta de patologia respiratória do sono. Rev Port Pneumol. 2011;17(2):59–65. DOI: 10.1016/S0873- 2159(11)70015-0

15. Brucki SMD, Nitrin R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr. 2003;61(3 B):777–81. DOI: 10.1590/S0004-282X2003000500014

16. World Health Organization. Measuring Obesity: Classification and Distribution of Anthropometric Data. Copenhagen: World Health Organization; 1989.

17. Buysse DJ, Reynolds CF 3Rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Res. 1989;28(2):193-213. PMID: 2748771

18. Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Barreto SSM, Johns MW. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. J Bras Pneumol. 2009;35(9):877–83. PMID: 19820814

19. American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510–30. PMID: 19516148

20. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–81. PMID: 7154893

21. Chen MC, Liu HE, Huang HY, Chiou AF. The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: a randomized controlled trial. Int J Nurs Stud. 2012;49(3):265–73. PMID: 21963235

22. Sharif F, Seddigh M, Jahanbin I, Keshavarzi S. The Effect of Aerobic Exercise on Quantity and Quality of Sleep Among Elderly People Referring to Health Centers of Lar City, Southern of Iran; A Randomized Controlled Clinical Trial. Curr Aging Sci. 2015;8(3):248-55. PMID: 26537306

23. Reid KJ, Baron KG, Lu B, Naylor E. Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Med. 2011;11(9):934–40. PMID: 20813580

24. Chen KM, Chen MH, Chao HC, Hung HM, Lin HS, Li CH. Sleep quality, depression state, and health status of older adults after silver yoga exercises: Cluster randomized trial. Int J Nurs Stud. 2009;46:154–63. PMID: 18947826

25. Li F, Fisher KJ, Harmer P, Irbe D, Tearse RG, Weimer C. Tai chi and self-rated quality of sleep and daytime sleepiness in older adults: a randomized controlled trial. J Am Geriatr Soc. 2004;892–900. PMID: 15161452

26. Nelson ME, Layne JE, Bernstein MJ, Nuernberger A, Castaneda C, Kaliton D, et al. The effects of multidimensional home-based exercise on functional performance in elderly people. J Gerontol A Biol Sci Med Sci. 2004;59(2):154-60. PMID: 14999030

27. Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hartman TJ, et al. Effects of Home-Based Diet and Exercise on Functional Outcomes Among Older, Overweight Long-term Cancer Survivors. Jama. 2009;301(18):1883. PMID: 19436015

28. Ashworth NL, Chad KE, Harrison EL, Reeder BA, Marshall SC. Home versus center based physical activity programs in older adults. Cochrane Database Syst Rev. 2005;25(1):CD004017. PMID: 15674925

29. Martin KA, Sinden AR. Who will stay and who will go? A review of older adults adherence to randomized controlled trials exercise. J Aging Phys Act. 2001;9(2):91–114. DOI: 10.1123/japa.9.2.91

30. Lü J, Huang L, Wu X, Fu W, Liu Y. Effect of Tai Ji Quan training on selfreported sleep quality in elderly Chinese women with knee osteoarthritis: a randomized controlled trail. Sleep Medicine. 2017;33:70-75. PMID: 28449910

31. Gooneratne NS, Weaver TE, Cater JR, Pack FM, Arner HM, Greenberg AS, et al. Functional outcomes of excessive daytime sleepiness in older adults. J Am Geriatr Soc. 2003;51(5):642–9. PMID: 12752839

32. Lacroix A, Kressig RW, Muehlbauer T, Gschwind YJ, Pfenninger B, Bruegger O, et al. Effects of a supervised versus an unsupervised combined balance and strength training program on balance and muscle power in healthy older adults: A randomized controlled trial. Gerontology. 2016;62(3):275–88. PMID: 26645282

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