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Erschienen in: Sleep and Breathing 2/2020

01.06.2020 | Psychiatrics • Original Article

The efficacy of mind-body (Baduanjin) exercise on self-reported sleep quality and quality of life in elderly subjects with sleep disturbances: a randomized controlled trial

verfasst von: Beifang Fan, Weidong Song, Jihui Zhang, Yuliang Er, Bo Xie, Huimin Zhang, Yuhua Liao, Chengmin Wang, Xiaohui Hu, Roger Mcintyre, Yena Lee

Erschienen in: Sleep and Breathing | Ausgabe 2/2020

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Abstract

Objectives

To examine the efficacy of a 24-week Baduanjin exercise program on self-reported sleep quality and quality of life in community-dwelling elderly subjects with sleep disturbances.

Methods

Community-dwelling elderly men and women meeting criteria for sleep disturbances (i.e., Pittsburgh Sleep Quality of Index (PSQI) score ≥ 5) were recruited and randomized to a Baduanjin exercise intervention group or a control group. Participants in the intervention group completed five 45-min exercise sessions per week for 24 weeks, while those in control group were instructed to maintain their usual lifestyle behaviors.

Results

A total of 139 participants were enrolled and randomized. Sixty-two of 67 participants in the intervention group (response rate of 92.5%) and 57 of 72 participants (response rate of 79.6%) in the control group completed intervention and follow-up. The intervention group reported significant improvements in overall sleep quality after 24 weeks compared with those randomized to control (PSQI endpoint-to-baseline change = − 2.6 ± 4.0 vs. − 0.5 ± 4.2, time × group interaction p = 0.007). Intervention group participants had higher response rates at both week 12 (23.9% vs. 9.7%, p = 0.025) and week 24 (40.3% vs. 15.3%, p = 0.001) when compared with the control group. There was a trend that the intervention group had increased quality of life (The Short Form Health Survey [SF-36] endpoint=tobaseline change 6.3 ± 10.9 vs. 2.2 ± 10.9, time × group interaction p = 0.06) when compared with the control group.

Conclusions

Baduanjin exercise is an effective and feasible approach to improve self-reported sleep quality but less likely the quality of life in community-dwelling elderly men and women with sleep disturbances.

Trial registration

Effect of Baduanjin Exercise on the Elderly’s Sleep; http://​www.​chictr.​org.​cn/​listbycreater.​aspx; ChiCTR1800014706, registered 1 January 2018.
Literatur
1.
Zurück zum Zitat Chiu HF, Leung T, Lam LC, Wing YK, Chung DW, Li SW, Chi I, Law WT, Boey KW (1999) Sleep problems in Chinese elderly in Hong Kong. Sleep. 22(6):717–726CrossRef Chiu HF, Leung T, Lam LC, Wing YK, Chung DW, Li SW, Chi I, Law WT, Boey KW (1999) Sleep problems in Chinese elderly in Hong Kong. Sleep. 22(6):717–726CrossRef
2.
Zurück zum Zitat Ancoliisrael S (2009) Sleep and its disorders in aging populations. Sleep Med 10(10 Suppl 1):S7–S11CrossRef Ancoliisrael S (2009) Sleep and its disorders in aging populations. Sleep Med 10(10 Suppl 1):S7–S11CrossRef
3.
Zurück zum Zitat Ancoliisrael S (2005) Sleep and aging: prevalence of disturbed sleep and treatment considerations in older adults. J Clin Psychiatry 66(9):24–30 Ancoliisrael S (2005) Sleep and aging: prevalence of disturbed sleep and treatment considerations in older adults. J Clin Psychiatry 66(9):24–30
4.
Zurück zum Zitat Suzuki K, Miyamoto M, Hirata K (2017) Sleep disorders in the elderly: diagnosis and management. J Gen Fam Med 18(2):61–71CrossRef Suzuki K, Miyamoto M, Hirata K (2017) Sleep disorders in the elderly: diagnosis and management. J Gen Fam Med 18(2):61–71CrossRef
5.
Zurück zum Zitat Harrington JJ, Avidan AY (2005) Treatment of sleep disorders in elderly patients. Curr Treat Options Neurol 7(5):339–352CrossRef Harrington JJ, Avidan AY (2005) Treatment of sleep disorders in elderly patients. Curr Treat Options Neurol 7(5):339–352CrossRef
6.
Zurück zum Zitat Leland NE, Marcione N, Niemiec SLS et al (2014) What is occupational therapy’s role in addressing sleep problems among older adults? OTJR: Occupation, Participation and Health 34(3):141–149PubMed Leland NE, Marcione N, Niemiec SLS et al (2014) What is occupational therapy’s role in addressing sleep problems among older adults? OTJR: Occupation, Participation and Health 34(3):141–149PubMed
7.
Zurück zum Zitat Guo Y, Shi H, Yu D et al (2016) Health benefits of traditional Chinese sports and physical activity for older adults: a systematic review of evidence. J Sport Health Sci 5(3):253–380 S2095254616300527CrossRef Guo Y, Shi H, Yu D et al (2016) Health benefits of traditional Chinese sports and physical activity for older adults: a systematic review of evidence. J Sport Health Sci 5(3):253–380 S2095254616300527CrossRef
8.
Zurück zum Zitat Cheng FK (2018) The traditional Chinese Baduanjin exercise for the enhancements in health of older adults: a narrative review. Geriatric Care. 4(2) Cheng FK (2018) The traditional Chinese Baduanjin exercise for the enhancements in health of older adults: a narrative review. Geriatric Care. 4(2)
9.
Zurück zum Zitat Dong X, Bergren S (2016) Qigong among older adults: a global review. Clin Res 2:120–144 Dong X, Bergren S (2016) Qigong among older adults: a global review. Clin Res 2:120–144
10.
Zurück zum Zitat Cheng FK (2015) Effects of Baduanjin on mental health: a comprehensive review. J Bodyw Mov Ther 19(1):138–149CrossRef Cheng FK (2015) Effects of Baduanjin on mental health: a comprehensive review. J Bodyw Mov Ther 19(1):138–149CrossRef
11.
Zurück zum Zitat Li R, Jin L, Hong P et al (2014) The effect of Baduanjin on promoting the physical fitness and health of adults. Evid Based Complement Alternat Med 2014:1–8 Li R, Jin L, Hong P et al (2014) The effect of Baduanjin on promoting the physical fitness and health of adults. Evid Based Complement Alternat Med 2014:1–8
12.
Zurück zum Zitat Liye Z, Albert Y, Xinfeng Q et al (2018) A systematic review and meta-analysis of mindfulness-based (Baduanjin) exercise for alleviating musculoskeletal pain and improving sleep quality in people with chronic diseases. Int J Environ Res Public Health 15(2):206CrossRef Liye Z, Albert Y, Xinfeng Q et al (2018) A systematic review and meta-analysis of mindfulness-based (Baduanjin) exercise for alleviating musculoskeletal pain and improving sleep quality in people with chronic diseases. Int J Environ Res Public Health 15(2):206CrossRef
13.
Zurück zum Zitat Chen MC, Liu HE, Huang HY et al (2012) The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: a randomized controlled trial. Int J Nurs Stud 49(3):265–273CrossRef Chen MC, Liu HE, Huang HY et al (2012) The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: a randomized controlled trial. Int J Nurs Stud 49(3):265–273CrossRef
14.
Zurück zum Zitat Guohua Z, Qianying F, Bai C et al (2015) Qualitative evaluation of Baduanjin (traditional Chinese Qigong) on health promotion among an elderly community population at risk for ischemic stroke. Evid Based Complement Alternat Med 2015:1–10 Guohua Z, Qianying F, Bai C et al (2015) Qualitative evaluation of Baduanjin (traditional Chinese Qigong) on health promotion among an elderly community population at risk for ischemic stroke. Evid Based Complement Alternat Med 2015:1–10
15.
Zurück zum Zitat Chen YQ, Liu RZ, He R (2015) Effect of Baduanjin on quality of sleep among the elderly with hypertension. Hunan J Tradit Chin Med 31:52–53 82 Chen YQ, Liu RZ, He R (2015) Effect of Baduanjin on quality of sleep among the elderly with hypertension. Hunan J Tradit Chin Med 31:52–53 82
16.
Zurück zum Zitat Jiang YH, Tan C, Yuan S (2017) Baduanjin exercise for insomnia: a systematic review and meta-analysis. Behav Sleep Med 4:1–13CrossRef Jiang YH, Tan C, Yuan S (2017) Baduanjin exercise for insomnia: a systematic review and meta-analysis. Behav Sleep Med 4:1–13CrossRef
17.
Zurück zum Zitat Buysse DJ, Iii CFR, Monk TH et al (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRef Buysse DJ, Iii CFR, Monk TH et al (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRef
18.
Zurück zum Zitat Tsai PS, Wang SY, Wang MY, Su CT, Yang TT, Huang CJ, Fang SC (2005) Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Qual Life Res 14(8):1943–1952CrossRef Tsai PS, Wang SY, Wang MY, Su CT, Yang TT, Huang CJ, Fang SC (2005) Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Qual Life Res 14(8):1943–1952CrossRef
19.
Zurück zum Zitat Pippalla RS (1999) SF-36 physical and mental health summary scales: their relationships with clinical outcomes and life satisfaction. Qual Life Res 8(7):619–619 Pippalla RS (1999) SF-36 physical and mental health summary scales: their relationships with clinical outcomes and life satisfaction. Qual Life Res 8(7):619–619
20.
Zurück zum Zitat Hu J, Gruber KJ, Hsueh KH (2010) Psychometric properties of the Chinese version of the SF-36 in older adults with diabetes in Beijing, China. Diabetes Res Clin Pract 88(3):273–281CrossRef Hu J, Gruber KJ, Hsueh KH (2010) Psychometric properties of the Chinese version of the SF-36 in older adults with diabetes in Beijing, China. Diabetes Res Clin Pract 88(3):273–281CrossRef
21.
Zurück zum Zitat Li F, Fisher KJ, Harmer P, Irbe D, Tearse RG, Weimer C (2004) Tai Chi and self-rated quality of sleep and daytime sleepiness in older adults: a randomized controlled trial. J Am Geriatr Soc 52(6):892–900CrossRef Li F, Fisher KJ, Harmer P, Irbe D, Tearse RG, Weimer C (2004) Tai Chi and self-rated quality of sleep and daytime sleepiness in older adults: a randomized controlled trial. J Am Geriatr Soc 52(6):892–900CrossRef
22.
Zurück zum Zitat Kamrani AAA, Shams A, Dehkordi PS et al (2014) The effect of low and moderate intensity aerobic exercises on sleep quality in men older adults. Pak J Med Sci Online 30(2):417–421 Kamrani AAA, Shams A, Dehkordi PS et al (2014) The effect of low and moderate intensity aerobic exercises on sleep quality in men older adults. Pak J Med Sci Online 30(2):417–421
23.
Zurück zum Zitat Karimi S, Soroush A, Towhidi F, Makhsosi BR, Karimi M, Jamehshorani S, Akhgar A, Fakhri M, Abdi A (2016) Surveying the effects of an exercise program on the sleep quality of elderly males. Clin Interv Aging 11:997–1002CrossRef Karimi S, Soroush A, Towhidi F, Makhsosi BR, Karimi M, Jamehshorani S, Akhgar A, Fakhri M, Abdi A (2016) Surveying the effects of an exercise program on the sleep quality of elderly males. Clin Interv Aging 11:997–1002CrossRef
24.
Zurück zum Zitat Brand O, Glauber SÁ, Gomes GSBF, Brandão GS et al (2018) Home exercise improves the quality of sleep and daytime sleepiness of elderlies: a randomized controlled trial. Multidiscip Respir Med 13(1):2CrossRef Brand O, Glauber SÁ, Gomes GSBF, Brandão GS et al (2018) Home exercise improves the quality of sleep and daytime sleepiness of elderlies: a randomized controlled trial. Multidiscip Respir Med 13(1):2CrossRef
25.
Zurück zum Zitat Lü J, Huang L, Wu X et al (2017) Effect of Tai Ji Quan training on self-reported sleep quality in elderly Chinese women with knee osteoarthritis: a randomized controlled trail. Sleep Med 33:70–75CrossRef Lü J, Huang L, Wu X et al (2017) Effect of Tai Ji Quan training on self-reported sleep quality in elderly Chinese women with knee osteoarthritis: a randomized controlled trail. Sleep Med 33:70–75CrossRef
26.
Zurück zum Zitat Hsu MC, Wang TS, Liu YP et al (2008) Effects of Baduanjin exercise on oxidative stress and antioxidant status and improving quality of life among middle-aged women. Am J Chin Med 36(05):815–826CrossRef Hsu MC, Wang TS, Liu YP et al (2008) Effects of Baduanjin exercise on oxidative stress and antioxidant status and improving quality of life among middle-aged women. Am J Chin Med 36(05):815–826CrossRef
27.
Zurück zum Zitat Simko F, Baka T, Paulis L, Reiter RJ (2016) Elevated heart rate and nondipping heart rate as potential targets for melatonin: a review. J Pineal Res 61(2):127–137CrossRef Simko F, Baka T, Paulis L, Reiter RJ (2016) Elevated heart rate and nondipping heart rate as potential targets for melatonin: a review. J Pineal Res 61(2):127–137CrossRef
28.
Zurück zum Zitat Chan JSM, Li A, Chan CLW, et al. (2017) Qigong exercise improved quality of sleep and reduced interleukin-1 beta and interleukin-6 among persons with depressive symptoms and sleep disturbances: a randomized controlled trial. The 31st Annual Meeting of the Associated Professional Sleep Societies. LLC (APSS). Chan JSM, Li A, Chan CLW, et al. (2017) Qigong exercise improved quality of sleep and reduced interleukin-1 beta and interleukin-6 among persons with depressive symptoms and sleep disturbances: a randomized controlled trial. The 31st Annual Meeting of the Associated Professional Sleep Societies. LLC (APSS).
29.
Zurück zum Zitat Irwin MR, Olmstead R, Breen EC, Witarama T, Carrillo C, Sadeghi N, Arevalo JM, Ma J, Nicassio P, Bootzin R, Cole S (2015) Cognitive behavioral therapy and tai chi reverse cellular and genomic markers of inflammation in late life insomnia: a randomized controlled trial. Biological Psychiatry 78(10):721–729 S0006322315000797CrossRef Irwin MR, Olmstead R, Breen EC, Witarama T, Carrillo C, Sadeghi N, Arevalo JM, Ma J, Nicassio P, Bootzin R, Cole S (2015) Cognitive behavioral therapy and tai chi reverse cellular and genomic markers of inflammation in late life insomnia: a randomized controlled trial. Biological Psychiatry 78(10):721–729 S0006322315000797CrossRef
30.
Metadaten
Titel
The efficacy of mind-body (Baduanjin) exercise on self-reported sleep quality and quality of life in elderly subjects with sleep disturbances: a randomized controlled trial
verfasst von
Beifang Fan
Weidong Song
Jihui Zhang
Yuliang Er
Bo Xie
Huimin Zhang
Yuhua Liao
Chengmin Wang
Xiaohui Hu
Roger Mcintyre
Yena Lee
Publikationsdatum
01.06.2020
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 2/2020
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-019-01999-w

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