Effects of Zero-time Exercise on inactive adults with insomnia disorder: a pilot randomized controlled trial
| Autor: | Tai Hing Lam, Ka Fai Chung, Janice Yuen Shan Ho, Lai-Ming Ho, Lily Ying-Tung Chan, Agnes Y.K. Lai, Lorna Kwai Ping Suen, Wing Fai Yeung, Fiona Yan Yee Ho, Branda Yee Man Yu |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pilot Projects law.invention 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Sleep Initiation and Maintenance Disorders Insomnia Humans Medicine Sleep Hygiene 030212 general & internal medicine Trial registration Exercise Sleep hygiene business.industry Actigraphy General Medicine Middle Aged Treatment Outcome Time exercise Physical therapy Female Sleep diary Sleep (system call) Sedentary Behavior medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Sleep Medicine. 52:118-127 |
| ISSN: | 1389-9457 |
| DOI: | 10.1016/j.sleep.2018.07.025 |
| Popis: | Objective To evaluate the feasibility and clinical effects of a lifestyle-integrated exercise, namely zero-time exercise (ZTEx), on improving insomnia in inactive adults with insomnia disorder. Methods In this pilot randomized controlled trial, 37 physically inactive adults (mean age: 49.9 years; SD: 13.6 91.9% female) fulfilling the diagnostic criteria of insomnia disorder recruited from the community were randomly assigned to ZTEx training or sleep hygiene education (SHE) groups. Subjects in the ZTEx group (n = 18) attended two 2-hour training lessons to learn ZTEx which they then practiced daily for eight weeks. Subjects in the SHE group (n = 19) attended two lessons of the same schedule and duration. The primary outcome measure was the Insomnia Severity Index (ISI). Results The ZTEx group had lower ISI scores than the SHE group, with a large between-group effect size of 0.93–1.10 at weeks two, four, six, and eight, but the difference became non-significant at week eight, suggesting a loss of efficacy two months after the training. For secondary outcomes, no significant between-group differences were found in sleep parameters by sleep diary or objective actigraphy. The adherence to the ZTEx training course was satisfactory, with 83% of the group completing two sessions and 78% continuing to practice ZTEx for five days or more per week during the eight-week intervention period. Conclusion The simple and brief ZTEx training showed high acceptability and exercise compliance and the first evidence of efficacy in reducing insomnia severity in inactive adults with insomnia disorder. Confirmatory trials with longer follow-up are justified. Trial registration number ClinicalTrials.gov , #NCT03155750 |
| Databáze: | OpenAIRE |
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