Physical activity in the treatment of primary insomnia

Yıl 2024, , 263 - 267, 30.10.2024

Kamal Mezian Laura Hrehová

https://doi.org/10.5472/marumj.1573190

Öz

Insomnia is commonplace in the general population. Poor sleep quality leads to various health dysfunctions and compromises the
well-being of the affected individuals. Non-pharmacologic approaches should be considered the first-line treatment as suggested by
various guidelines. Among others (e.g., sleep hygiene, cognitive-behavioral therapy, light therapy), appropriate physical activity seems
to be promising in treating and preventing sleep disturbance development. We found that improvement in a particular objective
and subjective sleep quality parameters may be attributed to appropriate physical activity. When further analyzing the activity, lightintensity
aerobic exercises and resistance training reduced insomnia symptoms. High-intensity interval training also showed a positive
effect on the improvement in depressive symptoms. Regarding mind-body practices, current evidence is insufficient to conclude.
However, it was documented that stress, depression, and anxiety reduction, can improve well-being.

Anahtar Kelimeler

Exercise, Insomnia, Physical activity, Sleep quality

Kaynakça

• American Academy of Sleep Medicine. International classification of sleep disorders, revised: Diagnostic and coding manual. Published online 2014. https://aasm. org/clinical-resources/international-classification-sleepdisorders/ Accessed on February 21, 2024
• Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 2002;6:97-111. doi:10.1053/smrv.2002.0186
• Grandner MA. Sleep, health, and society. Sleep Med Clin 2017;12:1-22. doi:10.1016/j.jsmc.2016.10.012
• Zailinawati AH, Mazza D, Teng CL. Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients. Accessed on February 20, 2024. https://pubmed. ncbi.nlm.nih.gov/23186221/
• Jarrin DC, Alvaro PK, Bouchard MA, Jarrin SD, Drake CL, Morin CM. Insomnia and hypertension: A systematic review. Sleep Med Rev 2018;41:3-38. doi:10.1016/j.smrv.2018.02.003
• Ibarra-Coronado EG, Pantaleón-Martínez AM, Velazquéz- Moctezuma J, et al. The bidirectional relationship between sleep and immunity against infections. J Immunol Res 2015;2015:678164. doi:10.1155/2015/678164
• Hamdy RC, Kinser A, Dickerson K, et al. Insomnia and mild cognitive impairment. Gerontol Geriatr Med 2018;4:233.372.1418778421. doi:10.1177/233.372.1418778421
• Cunnington D, Junge M. Chronic insomnia: diagnosis and non-pharmacological management. BMJ 2016;355:i5819. doi:10.1136/bmj.i5819
• Hrehova L, Mezian K. Nonpharmacologic treatment of insomnia in primary care settings. Authorea Published online 2020. doi:10.22541/au.160708.066.60329056/v1 Accessed February 20, 2024.
• Lowe H, Haddock G, Mulligan LD, et al. Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal. Clin Psychol Rev 2019;68:1-12. doi:10.1016/j.cpr.2018.11.002
• World Health Organization. WHO Guidelines on physical activity and sedentary behaviour. Published online 2020. https://www.who.int/publications/i/item/978.924.0015128 Accessed February 20, 2024.
• Das P, Horton R. Rethinking our approach to physical activity. Lancet 2012;380(9838):189-90. doi:10.1016/S0140- 6736(12)61024-1
• Li S, Li Z, Wu Q, et al. Effect of exercise intervention on primary insomnia: a meta-analysis. J Sports Med Phys Fitness 2021;61:857-66. doi:10.23736/S0022-4707.21.11443-4
• Chennaoui M, Arnal PJ, Sauvet F, Léger D. Sleep and exercise: a reciprocal issue? Sleep Med Rev 2015;20:59-72. doi:10.1016/j. smrv.2014.06.008
• Liu PZ, Nusslock R. Exercise-mediated neurogenesis in the hippocampus via BDNF. Front Neurosci 2018;12:52. doi:10.3389/fnins.2018.00052
• Erickson KI, Voss MW, Prakash RS, et al. Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci U S A 2011;108:3017-3022. doi:10.1073/ pnas.101.595.0108
• Basso JC, Suzuki WA. The effects of acute exercise on mood, cognition, neurophysiology, and neurochemical pathways: A review. Brain Plast 2017;2:127-52. doi:10.3233/BPL-160040
• Duclos M, Corcuff JB, Arsac L, et al. Corticotroph axis sensitivity after exercise in endurance-trained athletes. Clin Endocrinol (Oxf) 1998;48:493-501. doi:10.1046/j.1365- 2265.1998.00334.x
• US Department of Health and Human Services, Committee. Physical Activity Guidelines for Americans. 2nd ed. Published online 2018. https://d197for5662m48.cloudfront. net/documents/publicationstatus/54162/preprint_pdf/ c023c6dad75e677343912db9f2f8bb29.pdf Accessed on 20 February, 2024
• Hartescu I, Morgan K, Stevinson CD. Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial. J Sleep Res 2015;24:526-34. doi:10.1111/jsr.12297
• Chen Z, Ye X, Shen Z, et al. Effect of pilates on sleep quality: A systematic review and meta-analysis of randomized controlled trials. Front Neurol 2020;11:158. doi:10.3389/ fneur.2020.00158
• Ahmadinezhad M, Kargar M, Vizeshfar F, Hadianfard MJ. Comparison of the effect of acupressure and pilates-based exercises on sleep quality of postmenopausal women: A randomized controlled trial. iran J Nurs Midwifery Res 2017;22:140-6. doi:10.4103/1735-9066.205954
• Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, de la Torre- Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas 2019;124:62-7. doi:10.1016/j.maturitas.2019.03.019
• Pa J, Goodson W, Bloch A, King AC, Yaffe K, Barnes DE. Effect of exercise and cognitive activity on self-reported sleep quality in community-dwelling older adults with cognitive complaints: a randomized controlled trial. J Am Geriatr Soc 2014;62:2319-26. doi:10.1111/jgs.13158
• Lambert CP, Evans WJ. Adaptations to aerobic and resistance exercise in the elderly. Rev Endocr Metab Disord 2005;6:137- 43. doi:10.1007/s11154.005.6726-5
• Kovacevic A, Mavros Y, Heisz JJ, Fiatarone Singh MA. The effect of resistance exercise on sleep: A systematic review of randomized controlled trials. Sleep Med Rev 2018;39:52-68. doi:10.1016/j.smrv.2017.07.002
• D’Aurea CVR, Poyares D, Passos GS, et al. Effects of resistance exercise training and stretching on chronic insomnia. Braz J Psychiatry 2019;41:51-7. doi:10.1590/1516-4446-2018-0030
• Herrick JE, Puri S, Richards KC. Resistance training does not alter same-day sleep architecture in institutionalized older adults. J Sleep Res 2018;27:e12590. doi:10.1111/jsr.12590
• Jurado-Fasoli L, De-la-O A, Molina-Hidalgo C, Migueles JH, Castillo MJ, Amaro-Gahete FJ. Exercise training improves sleep quality: A randomized controlled trial. Eur J Clin Invest 2020;50:e13202. doi:10.1111/eci.13202
• Bullock A, Kovacevic A, Kuhn T, Heisz JJ. Optimizing sleep in older adults: Where does high-intensity interval training fit? Front Psychol 2020;11:576316. doi:10.3389/fpsyg.2020.576316
• Larsen P, Melehan K, Marino F, Duffield R, Guelfi K, Skein M. The effects of exercise time-of-day on sleep quality and quantity among inactive middle-aged men. Poster session presented at Australasian Sleep Association‘s (ASA) Sleep DownUnder 2017, Auckland, New Zealand.
• Reid KJ, Baron KG, Lu B, Naylor E, Wolfe L, Zee PC. Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Med 2010;11:934-40. doi:10.1016/j.sleep.2010.04.014