The effects of exercise on sleep quality in persons with Parkinson's disease: A systematic review with meta-analysis

Cristini, Jacopo; Weiss, Maxana; Heras, Bernat de Las; Medina-Rincón, Almudena; Dagher, Alain; Postuma, Ronald B.; Huber, Reto; Doyon, Julien; Rosa‐Neto, Pedro; Carrier, Julie; Amara, Amy W.; Roig, Marc

doi:10.1016/j.smrv.2020.101384

Cited by 48 publications

(36 citation statements)

References 83 publications

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“…The 18 items are grouped into seven dimensions: subjective sleep quality, sleep latency, sleep disturbances, sleep duration, habitual sleep efficiency, use of sleeping medication, and daytime dysfunction. The sum of scores for these seven dimensions yields a composite score, ranging from 0 to 21 (Xiao et al, 2020;Jacopo et al, 2021). Higher scores indicate worse sleep quality.…”

Section: Pittsburgh Sleep Quality Indexmentioning

confidence: 99%

The Relationship Between Perceived Stress, State-Trait Anxiety, and Sleep Quality Among University Graduates in China During the COVID-19 Pandemic

2021

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The study aimed to investigate the relationship among perceived stress, state-trait anxiety, and sleep quality of graduates to provide a reference for improving their psychological status and attitude adjustment of job-searching during the COVID-19 pandemic. The research was conducted in a descriptive cross-sectional online survey between May 2020 and August 2020. The data were collected from 1,200 participants by using the personal information form prepared by the researchers in line with the literature, the Perceived Stress Scale, the State-Trait Anxiety Inventory, and the Pittsburgh Sleep Quality Index (PSQI). Among the surveyed participants, 47.67% were female, and 10.92% were medical students. The mean perceived stress, state anxiety, trait anxiety, and sleep quality were moderate and found as 31.4±6.69, 46.67±5.80, 49.45±5.54, and 5.94±2.47, respectively. The detection rates of state anxiety and trait anxiety were 48.63 and 49.50%, respectively. There was no significant difference in the detection rate of state anxiety and trait anxiety among different genders and majors (p >0.05). The detection rate of state anxiety and trait anxiety of rural family students was higher than that of urban family students (p <0.01). The score on the PSQI was positively associated with the scores on the perceived stress, state anxiety, and trait anxiety scales (p <0.001 for each model). Sleep quality was associated with increased perceived stress, state anxiety, and trait anxiety among graduates in China. Collectively, the study revealed the relationship between perceived stress, state-trait anxiety, and sleep quality among university graduates in China during the COVID-19 pandemic. Our results offer novel practical implications for all circles of the society to ensure students’ health under the context of the COVID-19 epidemic.

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Section: Pittsburgh Sleep Quality Indexmentioning

confidence: 99%

The Relationship Between Perceived Stress, State-Trait Anxiety, and Sleep Quality Among University Graduates in China During the COVID-19 Pandemic

2021

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“…Regular exercise is recommended in PD patients. A meta-analysis including a total of 690 PD patients found exercise had a significant positive effect on subjective sleep quality [ 151 ]. Types of exercise should be suitable to patients’ disease severity, economic status, personal acceptance and convenience.…”

Section: Non-pharmacological Treatmentsmentioning

confidence: 99%

Pharmacological and Non-pharmacological Treatments of Sleep Disorders in Parkinson's Disease

Taximaimaiti

Luο

Wang

2021

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: Sleep disorders are one of the most common non-motor symptoms in Parkinson's disease (PD). It can cause a notably decrease in quality of life and functioning in PD patients, as well as place a huge burden on both patients and caregivers. The most cited sleep disorders in PD included insomnia, restless legs syndrome (RLS), rapid eye movement (REM) sleep behavior disorders (RBD), excessive daytime sleepiness (EDS) and sleep disordered breathing (SDB), which can appear alone or several at the same time. In this review, we listed the recommended pharmacological treatments for common sleep disorders in PD, and discussed the recommended dosages, benefits and side effects of relative drugs. We also discussed non-pharmacological treatments to improve sleep quality, including sleep hygiene education, exercise, deep brain stimulation, cognitive behavior therapy and complementary therapies. We tried to find proper interventions for different types of sleep disorders in PD, while minimizing relative side effects.

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“…Further nonpharmacological treatments involve exercise-based and psychotherapeutic interventions. Systematic reviews and meta-analyses showed that exercise-based interventions compared to no interventions led to improvements in some specific sleep parameters [24][25][26][27]. Likewise, mindfulness meditation improved subjective sleep among individuals with insomnia [28] and without insomnia [29].…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Commitment Therapy (ACT) Improves Sleep Quality, Experiential Avoidance, and Emotion Regulation in Individuals with Insomnia—Results from a Randomized Interventional Study

Zakiei

Khazaie

Rostampour

et al. 2021

Life

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Insomnia is a common problem in the general population. To treat insomnia, medication therapies and insomnia-related cognitive-behavioral interventions are often applied. The aim of the present study was to investigate the influence of acceptance and commitment therapy (ACT) on sleep quality, dysfunctional sleep beliefs and attitudes, experiential avoidance, and acceptance of sleep problems in individuals with insomnia, compared to a control condition. A total of 35 participants with diagnosed insomnia (mean age: 41.46 years old; 62.9% females) were randomly assigned to the ACT intervention (weekly group therapy for 60–70 min) or to the active control condition (weekly group meetings for 60–70 min without interventional and psychotherapeutic character). At baseline and after eight weeks (end of the study), and again 12 weeks later at follow-up, participants completed self-rating questionnaires on sleep quality, dysfunctional beliefs and attitudes about sleep, emotion regulation, and experiential avoidance. Furthermore, participants in the intervention condition kept a weekly sleep log for eight consecutive weeks (micro-analysis). Every morning, participants completed the daily sleep log, which consisted of items regarding subjective sleep duration, sleep quality, and the feeling of being restored. Sleep quality, dysfunctional beliefs and attitudes towards sleep, emotion regulation, and experiential avoidance improved over time, but only in the ACT condition compared to the control condition. Improvements remained stable until follow-up. Improvements in experiential avoidance were related to a favorable change in sleep and cognitive-emotional processing. Micro-analyses showed that improvements occurred within the first three weeks of treatment. The pattern of results suggests that ACT appeared to have improved experiential avoidance, which in turn improved both sleep quality and sleep-related cognitive-emotional processes at longer-term in adults with insomnia.

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The effects of exercise on sleep quality in persons with Parkinson's disease: A systematic review with meta-analysis

Cited by 48 publications

References 83 publications

The Relationship Between Perceived Stress, State-Trait Anxiety, and Sleep Quality Among University Graduates in China During the COVID-19 Pandemic

The Relationship Between Perceived Stress, State-Trait Anxiety, and Sleep Quality Among University Graduates in China During the COVID-19 Pandemic

Pharmacological and Non-pharmacological Treatments of Sleep Disorders in Parkinson's Disease

Acceptance and Commitment Therapy (ACT) Improves Sleep Quality, Experiential Avoidance, and Emotion Regulation in Individuals with Insomnia—Results from a Randomized Interventional Study

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