Randomized, Controlled Trial of Exercise on Objective and Subjective Sleep in Parkinson's Disease

睡眠卫生 物理疗法 医学 多导睡眠图 随机对照试验 睡眠(系统调用) 物理医学与康复 睡眠开始 认知 失眠症 睡眠质量 精神科 内科学 脑电图 计算机科学 操作系统
作者
Amy W. Amara,Kimberly H. Wood,Allen Joop,Raima A. Memon,Jennifer Pilkington,S. Craig Tuggle,John Reams,Matthew J. Barrett,David A. Edwards,Arthur Weltman,Christopher P. Hurt,Gary Cutter,Marcas M. Bamman
出处
期刊:Movement Disorders [Wiley]
卷期号:35 (6): 947-958 被引量:72
标识
DOI:10.1002/mds.28009
摘要

Abstract Background Sleep dysfunction is common and disabling in persons with Parkinson's Disease (PD). Exercise improves motor symptoms and subjective sleep quality in PD, but there are no published studies evaluating the impact of exercise on objective sleep outcomes. The goal of this study was to to determine if high‐intensity exercise rehabilitation combining resistance training and body‐weight interval training, compared with a sleep hygiene control improved objective sleep outcomes in PD. Methods Persons with PD (Hoehn & Yahr stages 2–3; aged ≥45 years, not in a regular exercise program) were randomized to exercise (supervised 3 times a week for 16 weeks; n = 27) or a sleep hygiene, no‐exercise control (in‐person discussion and monthly phone calls; n = 28). Participants underwent polysomnography at baseline and post‐intervention. Change in sleep efficiency was the primary outcome, measured from baseline to post‐intervention. Intervention effects were evaluated with general linear models with measurement of group × time interaction. As secondary outcomes, we evaluated changes in other aspects of sleep architecture and compared the effects of acute and chronic training on objective sleep outcomes. Results The exercise group showed significant improvement in sleep efficiency compared with the sleep hygiene group (group × time interaction: F = 16.0, P < 0.001, d = 1.08). Other parameters of sleep architecture also improved in exercise compared with sleep hygiene, including total sleep time, wake after sleep onset, and slow‐wave sleep. Chronic but not acute exercise improved sleep efficiency compared with baseline. Conclusions High‐intensity exercise rehabilitation improves objective sleep outcomes in PD. Exercise is an effective nonpharmacological intervention to improve this disabling nonmotor symptom in PD. © 2020 International Parkinson and Movement Disorder Society
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