The efficacy of mind-body (Baduanjin) exercise on self-reported sleep quality and quality of life in elderly subjects with sleep disturbances: a randomized controlled trial.
Author: Fan B1, Song W2, Zhang J3, Er Y4, Xie B1, Zhang H1, Liao Y1, Wang C1, Hu X1, Mcintyre R5, Lee Y5
Affiliation:
1Department of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Nanshan, Shenzhen, China.
2Department of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Nanshan, Shenzhen, China. songweile@163.com.
3Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
4The National Center for Chronic and Non-communicable Disease Control and Prevention, The Chinese Center for Disease Control and Prevention, Xicheng District, Beijing, China.
5Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto, Canada.
Conference/Journal: Sleep Breath.
Date published: 2020 Jan 2
Other:
Special Notes: doi: 10.1007/s11325-019-01999-w. [Epub ahead of print] , Word Count: 269
OBJECTIVES: To examine the efficacy of a 24-week Baduanjin exercise program on self-reported sleep quality and quality of life in community-dwelling elderly subjects with sleep disturbances.
METHODS: Community-dwelling elderly men and women meeting criteria for sleep disturbances (i.e., Pittsburgh Sleep Quality of Index (PSQI) score ≥ 5) were recruited and randomized to a Baduanjin exercise intervention group or a control group. Participants in the intervention group completed five 45-min exercise sessions per week for 24 weeks, while those in control group were instructed to maintain their usual lifestyle behaviors.
RESULTS: A total of 139 participants were enrolled and randomized. Sixty-two of 67 participants in the intervention group (response rate of 92.5%) and 57 of 72 participants (response rate of 79.6%) in the control group completed intervention and follow-up. The intervention group reported significant improvements in overall sleep quality after 24 weeks compared with those randomized to control (PSQI endpoint-to-baseline change = - 2.6 ± 4.0 vs. - 0.5 ± 4.2, time × group interaction p = 0.007). Intervention group participants had higher response rates at both week 12 (23.9% vs. 9.7%, p = 0.025) and week 24 (40.3% vs. 15.3%, p = 0.001) when compared with the control group. There was a trend that the intervention group had increased quality of life (The Short Form Health Survey [SF-36] endpoint=tobaseline change 6.3 ± 10.9 vs. 2.2 ± 10.9, time × group interaction p = 0.06) when compared with the control group.
CONCLUSIONS: Baduanjin exercise is an effective and feasible approach to improve self-reported sleep quality but less likely the quality of life in community-dwelling elderly men and women with sleep disturbances.
TRIAL REGISTRATION: Effect of Baduanjin Exercise on the Elderly's Sleep; http://www.chictr.org.cn/listbycreater.aspx; ChiCTR1800014706, registered 1 January 2018.
KEYWORDS: Baduanjin; Elderly; Randomized controlled trial; Sleep disturbances; Sleep quality
PMID: 31898191 DOI: 10.1007/s11325-019-01999-w
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