Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms : a randomized controlled trial

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Tan , X , Alen , M , Wiklund , P , Partinen , M & Cheng , S 2016 , ' Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms : a randomized controlled trial ' , Sleep Medicine , vol. 25 , pp. 113-121 . https://doi.org/10.1016/j.sleep.2016.02.010

Title: Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms : a randomized controlled trial
Author: Tan, Xiao; Alen, Markku; Wiklund, Petri; Partinen, Markku; Cheng, Sulin
Other contributor: University of Helsinki, Clinicum

Date: 2016-09
Language: eng
Number of pages: 9
Belongs to series: Sleep Medicine
ISSN: 1389-9457
DOI: https://doi.org/10.1016/j.sleep.2016.02.010
URI: http://hdl.handle.net/10138/229967
Abstract: Objective: To determine the effect of a six-month aerobic exercise program on home-based sleep quality among overweight and obese men with chronic insomnia symptoms. Methods: Participants were 45 Finnish men (93% had body mass index >= 25) aged 30-65 years, with chronic months) insomnia symptoms as classified by the DSM-IV criteria. Participants were randomized into an exercise (n = 24) or control group (n = 21). The exercise group received six-month aerobic exercise intervention with one to five sessions per week of 30-60 minutes duration. The control group was instructed to maintain habitual lifestyle behaviors during the study period. Seven-night home sleep was measured with a piezoelectric bed sensor and sleep diary. Other assessments included the modified Basic Nordic Sleep Questionnaire, a health and behavior questionnaire, physical activity and diet diaries, anthropometry, fat mass, and physical fitness. Analysis of covariance controlling for baseline values, and repeated-measures analysis of variance were implemented for time-by-group comparisons and within group comparisons, respectively. Results: At six months, the exercise group showed reduced objective sleep onset latency (p = 0.010) and lowered frequency of difficulty initiating sleep (p = 0.021) than controls. Although a time-by-group difference was not significant, exercisers showed shorter objective wake after sleep onset (p = 0.004), reduced subjective nocturnal awakenings (p = 0.010), improved objective sleep efficiency (p <0.001), and improved morning-rated subjective sleep quality (p = 0.042) at six months than baseline. Conclusions: A six-month aerobic exercise can improve sleep, mainly by mitigating difficulty of initiating sleep among overweight and obese men with chronic insomnia symptoms. (C) 2016 Elsevier B.V. All rights reserved.
Subject: Exercise
Insomnia symptoms
Sleep onset
Overweight
Home-based sleep
Piezoelectric
COGNITIVE-BEHAVIORAL THERAPY
PSYCHOPHYSIOLOGICAL INSOMNIA
PHYSICAL-ACTIVITY
OLDER-ADULTS
QUALITY
DISORDERS
ASSOCIATIONS
COMPLAINTS
DIAGNOSIS
SCALE
3112 Neurosciences
3124 Neurology and psychiatry
3121 General medicine, internal medicine and other clinical medicine
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