THE EFFECTS OF CALISTHENIC EXERCISES ON SLEEP QUALITY, FATIGUE, AND DEPRESSION IN ELDER ADULTS

Year 2023, Volume: 34 Issue: 3, 357 - 366, 19.12.2023

Nilüfer Cetıslı-korkmaz , Güzin Kara-cakıcı , Esra Doğru-hüzmeli İrem Hüzmeli , İsmet Murat Melek

https://doi.org/10.21653/tjpr.1015487

Abstract

Purpose: The physical, psychological, even economic and environmental changes emerged with age cause problems in sleep. The lack of exercise habits could increase the incidence of unfavorable sleep disorders with depression and fatigue. The aim of this non-randomized controlled study was to investigate the considerable effects of calisthenic exercises on sleep disorders, depression, and fatigue in elder adults.
Methods: The study was conducted at Pamukkale University and Hatay Mustafa Kemal University. Sixty-two individuals participated in the study between May 2018-October 2019. While the Calisthenic Group (n=32) performed calisthenic exercises for 30-45minutes/session and 3days/6weeks, and Control Group (n=30) did not performed. Fatigue, depression, and sleep quality levels were assessed using the Fatigue Severity Scale (FSS), Beck Depression Scale (BDI), and Pittsburgh Sleep Quality Index (PSQI), respectively.
Results: Statistically significant differences among FSS (p≤0.001), BDI (p=0.022), and PSQI (p=0.006) scores were found in the Calisthenic Group after the intervention, while there were differences only in fatigue (p=0.035) and total sleep quality (p=0.035) for the Control Group. We found that the Calisthenic Group’s PSQI latency, PSQI sleep duration and PSQI total scores decreased in post-treatment. Both fatigue severity (p≤0.001) and depression levels (p≤0.001) were highly correlated with PSQI-subscores, except for sleep duration subscore (FSS p=0.934, BDI p=0.276).
Conclusion: Regular calisthenic exercise programs may enable elders to better manage changes in the aging process. Physiotherapists should consider including calisthenic exercises in the rehabilitation programs for its effects on all parameters of sleep, fatigue, mental and emotional status in this population.

Keywords

Calisthenics, Depression, Exercise, Fatigue, Older Adults, Sleep

YAŞLI ERİŞKİNLERDE KALİSTENİK EGZERSİZLERİN UYKU KALİTESİ, YORGUNLUK VE DEPRESYON ÜZERİNE ETKİLERİ

Abstract

Amaç: Yaşla birlikte ortaya çıkan fiziksel, psikolojik, hatta ekonomik ve çevresel değişiklikler uykuda sorunlara neden olmaktadır. Egzersiz alışkanlığının olmaması, depresyon ve yorgunluk ile birlikte olumsuz uyku bozukluğu insidansını artırabilir. Bu randomize olmayan kontrollü çalışmanın amacı, yaşlı erişkinlerde kalistenik egzersizlerin uyku bozuklukları, depresyon ve yorgunluk üzerindeki önemli etkilerini araştırmaktı.
Yöntem: Bu çalışma Pamukkale Üniversitesi ve Hatay Mustafa Kemal Üniversitesi’nde yapıldı. Çalışmaya Mayıs 2018-Ekim 2019 tarihleri arasında 62 kişi katıldı. Kalistenik Grup (n=32) 30–45 dakika/seans ve 3 gün/6 hafta kalistenik egzersizler yaparken, Kontrol Grubu (n=30) yapmadı. Yorgunluk, depresyon ve uyku kalitesi düzeyleri sırasıyla Yorgunluk Şiddet Ölçeği(YŞÖ), Beck Depresyon Ölçeği(BDÖ) ve Pittsburgh Uyku Kalitesi İndeksi(PUKİ) kullanılarak değerlendirildi.
Sonuçlar: Müdahale sonrası Kalistenik Grup'ta YŞÖ(p≤0.001), BDÖ(p=0.022) ve PUKİ(p=0.006) puanlarında istatistiksel olarak anlamlı fark bulunurken, Kontrol Grubu için sadece yorgunluk(p=0.035) ve toplam uyku kalitesinde (p=0.035) bulundu. Kalistenik Grubunun PUKİ latansı, PUKİ uyku süresi ve PUKİ toplam puanlarının tedavi sonrasında azaldığını saptadık. Hem yorgunluk şiddeti (p≤0.001) hem de depresyon düzeyleri (p≤0.001), uyku süresi alt puanı (YŞÖ p=0.934, BDÖ p=0.276) hariç, PUKİ-alt puanları ile yüksek oranda ilişkiliydi.
Tartışma: Düzenli kalistenik egzersiz programları, yaşlıların yaşlanma sürecindeki değişiklikleri daha iyi yönetmelerini sağlayabilir. Fizyoterapistler uykunun tüm parametreleri, yorgunluk seviyeleri, mental ve emosyonel durum üzerindeki etkileri nedeniyle bu popülasyonda kalistenik egzersizleri rehabilitasyon programlarına dahil etmeyi düşünmelidirler.

Keywords

Kalistenik egzersizler, Depresyon, Egzersiz, Yorgunluk, Yaşlı Erişkinler, Uyku

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