Sleep disorders and regular physical exercise in primary health care: an observational study
DOI:
https://doi.org/10.12820/rbafs.27e0267Keywords:
Sleep, Exercise, Quality of lifeAbstract
Physical exercise is currently considered a non pharmacological alternative to improve sleep quality, but due to the lack of knowledge of some professionals, it is not widely used for this purpose. Thus, the objective of this study was to compare sleep quality, the presence of sleep disorders and insomnia, and the quality of life in patients who practice regular physical exercise (PG) and those who did not practice regular physical exercise (NPG), attended in Basic Health Units (BHUs) in the municipality of Divinópolis, Minas Gerais, Brazil. The study was a cross sectional observational study carried out with 49 patients recruited from BHUs in the city of Divinópolis, Minas Gerais. They were divided into two groups constituted by those who practiced regular physical exercise (PG) and those who did not practice regular physical exercise (NPG), and then evaluated for sleep quality and the presence of sleep disorders, perception of insomnia, and quality of life addressed according to the respective questionnaires: the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index and SF-36 Quality of Life Questionnaire. When comparing the groups, there was a statistically significant difference regarding the items good sleep quality, presence of severe insomnia, general health status, social aspects and mental health. Thus, it is suggested that patients who practiced regular physical exercise attended in BHUs have a higher prevalence of good sleep quality, lower rate of severe insomnia and better quality of life.
Downloads
References
Dement WC. A personal history of sleep disorders medicine. J Clin Neurophysiol. 1990;7(1):17-47. DOI: https://doi.org/10.1097/00004691-199001000-00004
Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, et al. Estimation of the global prevalence and burden of obstructive sleep apnea: a literature-based analysis. Lancet Respir Med. 2019;7(8):687-98. DOI: https://doi.org/10.1016/S2213-2600(19)30198-5
Farrell PC, Richards G. Recognition and treatment of sleep-disordered breathing: an important component of chronic disease management. J Transl Med. 2017;15(1):114. DOI: https://doi.org/10.1186/s12967-017-1211-y
Zanuto EA, de Lima MC, de Araújo RG, da Silva EP, Anzolin CC, Araujo MY, et al. Sleep disturbances in adults in a city of Sao Paulo state. Rev Bras Epidemiol. 2015;18(1):42-53. DOI: https://doi.org/10.1590/1980-5497201500010004
Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146 (5):1387-94. DOI: https://doi.org/10.1378/chest.14-0970
Tseng TH, Chen HC, Wang LY, Chien MY. Effects of exercise training on sleep quality and heart rate variability in middle-aged and older adults with poor sleep quality: a randomized controlled trial. J Clin Sleep Med. 2020;16(9):1483–92. DOI: https://doi.org/10.5664/jcsm.8560
Song D, Yu DSF. Effects of a moderate-intensity aerobic exercise programme on the cognitive function and quality of life of community-dwelling elderly people with mild cognitive impairment: A randomised controlled trial. Int J Nurs Stud. 2019; 93:97-105. DOI: https://doi.org/10.1016/j.ijnurstu.2019.02.019
Pereira GP, Rodrigues LVA, Mourão DM, Carneiro ALG, Lima CAG, Oliveira CS, et al. Insônia: o benefício do exercício físico em adolescentes com excesso de peso. J of Health Biol Sci. 2018;6(4):377-82. DOI: https://doi.org/10.12662/2317-3076jhbs.v6i4.1997.p377-382.2018
Rocha VCLG, Kosour C, Pereira MJ, Sostena JRN, Silva SLA. Efeitos de exercícios físicos praticados em Unidades Básicas de Saúde. ConScientiae Saúde. 2017;16(3): 342-50. DOI: https://doi.org/10.5585/conssaude.v16n3.7670
Gualano B, Tinucci T. Sedentarismo, exercício físico e doenças crônicas. Rev. bras. Educ. Fís. Esporte. 2011;25(1): 37-43. DOI: https://doi.org/10.1590/S1807-55092011000500005
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806. DOI: https://doi.org/10.1136/bmj.39335.541782.AD
Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. Indices of relative weight and obesity. Int J Epidemiol. 2014;43(3):655-65. DOI: https://doi.org/10.1093/ije/dyu058
Zen V, Fuchs FD, Wainstein MV, Gonçalves SC, Biavatti K, Riedner CE, et al. Neck circumference and central obesity are independent predictors of coronary artery disease in patients. Am J Cardiovasc Dis. 2012;2(4):323-30.
Pinto JA, Ballester LMG, Wanderley VPBM, Branco TS, de Farias CAL, Spadari MA. Medidas antropométricas preditoras da gravidade da apneia obstrutiva do sono. Braz J Otorhinolaryngol. 2011;77(4):516-21. DOI: https://doi.org/10.1590/S1808-86942011000400017
ABESO-Associação brasileira para o estudo da obesidade e da síndrome metabólica. Diretrizes brasileiras de obesidade. 4ª ed. São Paulo: ABESO; 2016.
Xavier HT, Izar MC, Faria Neto JR, Assad MH, Rocha VZ, Sposito AC, et al. IV Diretriz Brasileira sobre Dislipidemias e Prevenção da Aterosclerose. Arq Bras Cardiol. 2013;101(4):1-22. DOI: https://doi.org/10.5935/abc.2013S010
Bertolazi AN, Fagondes SC, Holf LS, Dartora EG, Miozzo IC, de Barba ME, et al. Validation of the Brazilian portuguese language of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5. DOI: https://doi.org/10.1016/j.sleep.2010.04.020
Castro, Laura de Siqueira. Adaptação e validação do Índice de Gravidade de Insânia (IGI): Caracterização Populacional, Valores Normativos e Aspectos Associados [dissertação]. São Paulo: Universidade Federal de São Paulo; 2011.
Bastien CH, Vallieres A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001;2:297–307. DOI: https://doi.org/10.1016/S1389-9457(00)00065-4
Ware JEJr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83. DOI: https://doi.org/10.1097/00005650-199206000-00002
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Brazilian-Portuguese version of the SF-36. A reliable and valid quality of life outcome measure. Rev Bras Reumatol. 1999;39(3):143-50.
Zhang W, Liu Y, Yu J, Li D, Jia Y, Zhang Q et al. Exercise improves sleep quality in older adults: a protocol for a systematic review and meta-analysis. BMJ Open. 2022;12(1):e047555. DOI: https://doi.org/10.1136/bmjopen-2020-047555
Guimarães LHDCT, Lima MD, de Souza JA. Atividade física em grupo melhora o sono de idosas sedentárias. Revista Neurociências. 2007:15(3), 203-06. DOI: https://doi.org/10.34024/rnc.2007.v15.8688
Freire ALL, Alves LF, Torres MV, Xavier CL, Gomes JA, Lopes KS, et al. Análise comparativa da qualidade do sono em idosas praticantes e não praticantes de atividade física na zona sul de Teresina - Piauí. Rev Gest Saúde. Saúde do Idoso, 2014;18(1):3101-14.
Kelley GA, Kelley KS. Exercise and sleep: a systematic review of previous meta-analyses. J Evid Based Med. 2017;10(1):26-36.
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(9):934-40. DOI: https://doi.org/10.1016/j.sleep.2010.04.014
Xie Y, Liu S, Chen XJ, Yu HH, Yang Y, Wang W. Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Psychiatry, 2021;7(12):664499. DOI: https://doi.org/10.3389/fpsyt.2021.664499
Baker FC, Willoughby AR, Sassoon SA, Colrain IM, de Zambotti M. Insomnia in women approaching menopause: beyond perception. Psychoneuroendocrinology. 2015;60:96-104. DOI: https://doi.org/10.1016/j.psyneuen.2015.06.005
Cassiano ADN, Silva TSD, Nascimento CQD, Wanderley EM, Prado ES, Santos TMM, et al. Effects of physical exercise on cardiovascular risk and quality of life in hypertensive elderly people. Cien Saude Colet, 2020;25(6):2203-12. DOI: https://doi.org/10.1590/1413-81232020256.27832018
Kelley GA, Kelley KS. Exercise and sleep: a systematic review of previous meta-analyses. J Evid Based Med. 2017;10(1):26-36. DOI: https://doi.org/10.1111/jebm.12236
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Brazilian Journal of Physical Activity & Health

This work is licensed under a Creative Commons Attribution 4.0 International License.
When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.