Wing-Fai Yeung , Agnes Yuen-Kwan Lai , Branda Yee-Man Yu , Fiona Yan-Yee Ho , Ka-Fai Chung , Janice Yuen-Shan Ho , Lorna Kwai-Ping Suen , Lai-Ming Ho , Tai-Hing Lam
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They received two 2-h zero-time exercise training sessions or sleep hygiene education lessons within 2 weeks and two phone call reminders per week for 8 weeks to follow their respective programs. The outcomes were assessed at 8, 16, and 24 weeks. The primary outcome was the Insomnia Severity Index score at week 24.</div></div><div><h3>Results</h3><div>The intervention group showed a significantly greater decrease in the Insomnia Severity Index scores than those in the control group at weeks 16 (−<!--> <!-->1.59 points, 95 % CI -3.09 to −<!--> <!-->0.08; P = 0.039) and 24 (−<!--> <!-->2.59 points, 95 % CI -4.17 to −<!--> <!-->1.01; P = 0.001); however, the difference at week 8 was not significant (−<!--> <!-->1.23 points, 95 % CI -2.54 to 0.07; P = 0.065). No serious adverse events were observed.</div></div><div><h3>Conclusions</h3><div>Zero-time exercise effectively reduces insomnia severity in physically inactive adults and can be easily incorporated into daily routines to improve insomnia symptoms and daytime impairment.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, <span><span>NCT04227587</span><svg><path></path></svg></span> (Registration date: January 13, 2020; The first participant was recruited on September 1, 2020). 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In this study, we examined whether zero-time exercise, a simple exercise incorporated into daily routines without extra time, can improve sleep in physically inactive adults with insomnia.</div></div><div><h3>Methods</h3><div>This was a single-blinded, parallel-group, randomized controlled trial. A total of 140 physically inactive adults (mean [SD] age, 46.7 [14.0] years; 115 [82.1 %] women; mean [SD] insomnia duration, 4.9 [6.7] years) with insomnia disorders were randomly allocated (1:1) to the zero-time exercise intervention group or the sleep hygiene education control group. They received two 2-h zero-time exercise training sessions or sleep hygiene education lessons within 2 weeks and two phone call reminders per week for 8 weeks to follow their respective programs. The outcomes were assessed at 8, 16, and 24 weeks. The primary outcome was the Insomnia Severity Index score at week 24.</div></div><div><h3>Results</h3><div>The intervention group showed a significantly greater decrease in the Insomnia Severity Index scores than those in the control group at weeks 16 (−<!--> <!-->1.59 points, 95 % CI -3.09 to −<!--> <!-->0.08; P = 0.039) and 24 (−<!--> <!-->2.59 points, 95 % CI -4.17 to −<!--> <!-->1.01; P = 0.001); however, the difference at week 8 was not significant (−<!--> <!-->1.23 points, 95 % CI -2.54 to 0.07; P = 0.065). 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引用次数: 0
摘要
背景:简单的生活方式结合运动训练是否能改善失眠还不清楚。在这项研究中,我们研究了零时间运动,一种日常生活中没有额外时间的简单运动,是否能改善缺乏运动的失眠成年人的睡眠。方法采用单盲、平行组、随机对照试验。共有140名缺乏运动的成年人(平均[SD]年龄46.7[14.0]岁;女性115例(82.1%);平均[SD]失眠持续时间4.9[6.7]年,失眠障碍患者按1:1的比例随机分为零时间运动干预组和睡眠卫生教育对照组。他们在两周内接受两次2小时的零时间运动训练或睡眠卫生教育课程,并在八周内每周接受两次电话提醒,以遵循各自的计划。在8周、16周和24周时评估结果。主要结果是第24周的失眠严重程度指数评分。结果干预组失眠严重程度指数评分在第16周显著低于对照组(- 1.59分,95% CI -3.09 ~ - 0.08;P = 0.039)和24(−2.59点,95% CI -4.17−1.01;p = 0.001);然而,第8周差异不显著(- 1.23点,95% CI -2.54至0.07;p = 0.065)。未观察到严重不良事件。结论零时间运动可有效降低缺乏运动的成年人的失眠严重程度,并可轻松纳入日常生活,改善失眠症状和日间损害。临床试验注册:clinicaltrials .gov, NCT04227587(注册日期:2020年1月13日;第一名参与者于2020年9月1日招募)。字数:240。
Effect of zero-time exercise on physically inactive adults with insomnia disorder: A randomized controlled trial
Background
Whether simple lifestyle-integrated exercise training can improve insomnia remains unclear. In this study, we examined whether zero-time exercise, a simple exercise incorporated into daily routines without extra time, can improve sleep in physically inactive adults with insomnia.
Methods
This was a single-blinded, parallel-group, randomized controlled trial. A total of 140 physically inactive adults (mean [SD] age, 46.7 [14.0] years; 115 [82.1 %] women; mean [SD] insomnia duration, 4.9 [6.7] years) with insomnia disorders were randomly allocated (1:1) to the zero-time exercise intervention group or the sleep hygiene education control group. They received two 2-h zero-time exercise training sessions or sleep hygiene education lessons within 2 weeks and two phone call reminders per week for 8 weeks to follow their respective programs. The outcomes were assessed at 8, 16, and 24 weeks. The primary outcome was the Insomnia Severity Index score at week 24.
Results
The intervention group showed a significantly greater decrease in the Insomnia Severity Index scores than those in the control group at weeks 16 (− 1.59 points, 95 % CI -3.09 to − 0.08; P = 0.039) and 24 (− 2.59 points, 95 % CI -4.17 to − 1.01; P = 0.001); however, the difference at week 8 was not significant (− 1.23 points, 95 % CI -2.54 to 0.07; P = 0.065). No serious adverse events were observed.
Conclusions
Zero-time exercise effectively reduces insomnia severity in physically inactive adults and can be easily incorporated into daily routines to improve insomnia symptoms and daytime impairment.
Trial registration
ClinicalTrials.gov, NCT04227587 (Registration date: January 13, 2020; The first participant was recruited on September 1, 2020). Word count: 240.
期刊介绍:
The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).