Effects of Melatonin Ingestion Before Nocturnal Sleep on Postural Balance and Subjective Sleep Quality in Older Adults

Kamoun, Anis; Yahia, A.; Dhari, Oussema; Ksentini, Houcem; Driss, Tarak; Souissi, Nizar; Elleuch, M.

doi:10.1123/japa.2018-0107

Cited by 8 publications

(5 citation statements)

References 35 publications

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“…In this study, the EX-MEL group showed a greater improvement of postural balance and QoL than the EX-PLA group, suggesting a positive effect of MEL supplementation when combined with intradialytic exercise in HD patients. Similarly, previous study showed an improvement of postural balance in dual-task after acute MEL ingestion in elderly patients [14]. Moreover, 12 months of MEL supplementation with the same dose used in this study (3 mg) improved QoL in HD patients [15].…”

Section: Discussionsupporting

confidence: 82%

“…Regarding the dual‐task condition, postural balance improved only in EX‐MEL compared with EX‐PLA and C‐PLA. Similarly, Kamoun et al [14] showed an improvement of static postural balance in dual‐task with a single dose of MEL (10 mg) ingested before nocturnal sleep in older adults. Shin et al [41] showed that these frail patients have poorer postural balance than age‐matched healthy subjects in particular while quiet standing with a cognitive task.…”

Section: Discussionmentioning

confidence: 91%

“…However, studies evaluating the effects of MEL on postural balance and muscle strength are still scarce and inconclusive. In older adults, acute MEL intake before nocturnal sleep improved static postural balance in dual‐task the following day [14]. However, the sole study which investigated the effect of exogenous MEL on QoL in HD patients reported an improvement in general mental health and tended to improve emotional role activities and last year's health change [15].…”

Section: Introductionmentioning

confidence: 99%

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Effects of intradialytic exercise in combination with melatonin supplementation on functional capacity, postural balance, and quality of life in hemodialysis patients

et al. 2023

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Introduction We evaluated the effect of intradialytic concurrent (resistance‐endurance) training combined with melatonin (MEL) supplementation on functional capacity, muscle strength, postural balance, and quality of life (QoL) in hemodialysis (HD) patients. Methods Thirty‐three HD patients were randomized into three groups: Exercise (EX)‐MEL (n = 11); EX‐Placebo (PLA) (n = 11) and Control (C)‐PLA (n = 11). Participants included in the EX‐MEL and EX‐PLA groups were submitted to concurrent training for 12 weeks. Results EX‐MEL and EX‐PLA improved functional capacity, muscle strength, QoL, and postural balance parameters in eyes open and eyes closed conditions. Parameters of postural balance in the dual task condition were improved only in EX‐MEL. EX‐MEL induced better results in some domains of QoL compared with EX‐PLA. Conclusion Intradialytic concurrent training induced beneficial effects on physical function, muscle strength, postural balance, and QoL in HD patients. MEL supplementation combined with intradialytic exercise lead to better improvements in postural balance and QoL.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Effects of intradialytic exercise in combination with melatonin supplementation on functional capacity, postural balance, and quality of life in hemodialysis patients

et al. 2023

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“…Reduced heart rate and better physiological responses also lead to visual acuity, sensory mechanisms, atrial system, postural control, and balance. Research has also shown that the negative effects of sleep deprivation on postural control would be due to reduced visual input, atrial system function, and impaired musculoskeletal function (17). Research has shown that partial sleep deprivation increases reaction time and decreases selective and continuous attention (1).…”

Section: Discussionmentioning

confidence: 99%

Effects of Melatonin on Neurological Function and Maintenance of Physical and Motor Fitness in Collegiate Student-Athletes Following Sleep Deprivation

Paryab

Taheri

Irandoust

et al. 2020

Int J Sport Stud Hlth

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Background: Melatonin is one of the Supplements used to treat sleep problems such as insomnia and jet lag. Objectives: Since sleep deprivation may affect athletic performance, the aim of this study was to investigate the effect of melatonin on neurological function and maintenance of physical and motor fitness in collegiate student-athletes following sleep deprivation. Methods: Ten collegiate student-athletes participated in randomized, double‐blind crossover trial with placebo control. Subjects were divided into six experimental groups: without sleep deprivation (WSD), 4 hours sleep deprivation (4HSD) and 24 hours sleep deprivation (24HSD) with melatonin (MEL) or placebo (PLA). WSD were allowed to sleep eight hours per night. Six milligrams of melatonin was administered 30 min before the training protocols. Training protocols included the Wingate Anaerobic test, Good Balance test, Vienna reaction time with the Stroop test. Data were analyzed using repeated measures ANOVA. Significant difference was set at P ≤ 0.05. Results: Six mg/day of MEL 30 min before training had no significant effect on anaerobic power, balance and reaction time in collegiate student-athletes WSD (P > 0.05). Although, 4HSD and 24HSD negatively affected balance function, MEL reduced its negative effects. Furthermore, 24HSD decrease neurological and physical performance in collegiate student-athletes and MEL improved anaerobic power and reaction time in collegiate student-athletes (P < 0.05). Conclusions: Pre-training MEL supplementation would alleviate neurological, physical and motor performance impairment in collegiate student-athletes following sleep deprivation. MEL appears to be more effective in athletes with longer sleep deprivation.

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“…Alterations in central and peripheral orexins have been linked to narcolepsy, anorexia, age-related cognitive decline and neurodegenerative diseases. Orexin receptor antagonists can promote sleep signals during the night and orexin therapies can increase sleep and memory as well as cognition [65][66][67].…”

Section: Potential Underlying Mechanisms For Sleep Problems In the Agingmentioning

confidence: 99%

Sleep Problems in Aging (Ageing) Adults: A Narrative Review

2023

Int J Geriatr Gerontol

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The recent literature on sleep problems in aging (ageing) adults has primarily focused on negative effects as well as risk factors, buffers, and interventions. The sleep problems have typically been self-reported or measured by actigraphy. The prevalence rates for sleep problems starting at age 60 have been variable, ranging from a low of 18% in the UK to a high of 50% in China, a variability that may relate to the type of sleep data and/or cross-cultural variation. Psychological effects have included dissatisfaction with life, unhealthy aging and affective/depressive mood states. Physical effects have included elevated blood pressure, impaired functionality, frailty, comorbidity and immune dysfunction. Cognitive impairment has also resulted from sleep problems, and aging brain biomarkers have included shorter telomere length, reduced gray matter volume and earlier mortality. Psychological risk factors have included meta-cognitive beliefs, worrying, loneliness, poor relationships and depression. Physical risk factors have included inactivity, napping and comorbidity. Buffers/protective factors have included retirement, light exercise, consumption of vegetables and melatonin as a sleep medication. Only a couple interventions could be found in this recent literature on sleep in aging adults including Cognitive Behavior Therapy and exercise. A few potential underlying mechanisms for disturbed sleep in aging adults include decreased vagal activity, increased connectivity in the brain making disconnecting for sleep difficult, inflammation and orexins. Although the data highlight the severity of sleep problems in the aging, they have been primarily based on self-report surveys that have yielded mixed results across samples. Sleep Problems in Aging (Ageing) Adults: A Narrative ReviewThis narrative review involved entering the terms sleep and aging (ageing) into PubMed and PsycINFO. The search yielded 735 papers for the last five years. However, following exclusion criteria including case studies and non-English language papers, this review is a summary of the research reported in 67 papers. The recent literature is predominantly focused on negative effects of sleep problems along with studies on risk factors, buffers and interventions. This narrative review is accordingly divided into sections on prevalence of sleep problems in the aging, negative effects, risk factors, buffers and interventions. These are followed by sections on potential underlying mechanisms for sleep problems in the aging and methodological limitations of the research.

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Effects of Melatonin Ingestion Before Nocturnal Sleep on Postural Balance and Subjective Sleep Quality in Older Adults

Cited by 8 publications

References 35 publications

Effects of intradialytic exercise in combination with melatonin supplementation on functional capacity, postural balance, and quality of life in hemodialysis patients

Effects of intradialytic exercise in combination with melatonin supplementation on functional capacity, postural balance, and quality of life in hemodialysis patients

Effects of Melatonin on Neurological Function and Maintenance of Physical and Motor Fitness in Collegiate Student-Athletes Following Sleep Deprivation

Sleep Problems in Aging (Ageing) Adults: A Narrative Review

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