The prevalence of sleep problems in adulthood increases with age. While not all sleep changes are pathological in later life, severe disturbances may lead to depression, cognitive impairments, deterioration of quality of life, significant stresses for carers and increased healthcare costs. The most common treatment for sleep disorders (particularly insomnia) is pharmacological. The efficacy of non-drug interventions has been suggested to be slower than pharmacological methods, but with no risk of drug-related tolerance or dependency. Physical exercise, taken regularly, may promote relaxation and raise core body temperature in ways that are beneficial to initiating and maintaining sleep.
To assess the efficacy of physical exercise amongst older adults (aged 60 and above).
We searched: The Cochrane Library (Issue 1, 2002); MEDLINE (1966 to January 2002); EMBASE (1980 to January 2002); CINAHL (1982 to January 2002); PsycINFO (1887 to January 2002); National Research Register (Issue1, 2002). Bibliographies of existing reviews in the area, as well as of all trial reports obtained, were searched. Experts in the field were consulted.
Randomised controlled trials of physical exercise for primary insomnia where 80% or more of participants were over the age of 60. Participants must have been screened to exclude those with dementia and/or depression.
Data collection and analysis
Abstracts of studies identified in searches of electronic databases were read and assessed to determine whether they might meet the inclusion criteria. Data were analysed separately depending on whether results had been obtained subjectively or objectively.
One trial, including 43 participants with insomnia, examined the effectiveness of exercise in a population within an elderly population. At post-treatment, sleep onset latency improved slightly for both men and women. Total sleep duration, sleep onset latency and scores on a scale of global sleep quality showed significant improvement. Improvements in sleep efficiency were not significant. In some cases improvements indicated falls to below what are usually considered pathological levels but the wide confidence intervals and small sample size indicate that these findings must be interpreted with caution.
When the possible side-effects of standard treatment (hypnotics) are considered, there is an argument to be made for clinical use of alternative treatments in the elderly. Exercise, though not appropriate for all in this population, may enhance sleep and contribute to an increased quality of life. Research involving exercise programmes designed with the elderly in mind is needed.
睡眠問題在成年人的盛行率,隨著年齡增加.雖不是所有中年後的睡眠變化都是病態的,然而嚴重惡化可能引起憂鬱,認知障礙,對照顧者亦是種壓力和增加醫療支出.最常見的睡眠障礙 (尤其是失眠) 治療是藥物.非藥物治療的療效一般認為比藥物慢,但沒有藥物耐受性或依賴性的風險.規律運動可能可以促進放鬆和提高身體基礎溫度,這些都有助導眠和維持睡眠狀態.
搜尋MEDLINE (1966 October 2001); EMBASE (1980 January 2002), CINAHL (1982 January 2002; PsychINFO 1887 to 2002; The Cochrane Library (Issue 1, 2002); National Research Register (NRR ), 搜尋本領域現有參考資料和所有得到的試驗報告.也有諮詢本領域專家.
因標準治療 (安眠藥) 的可能副作用,故可以討論臨床上對老人是否該使用其他治療.運動,雖然不適用此族群所有人,可增進睡眠和生活品質.需要研究為老人設計的運動計畫.
此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。
以運動治療老年人睡眠問題.睡眠問題隨年老而常見,可能影響個人和家庭生活品質,增加醫療花費.老年人常被處方一些藥物治療健康問題 (包含睡眠問題), 其中很多有副作用.本回顧研究評估為老年人量身訂做的運動療程 (快走和中度訓練) 的療效.回顧研究由一個小試驗中,發現一個正面的證據,需要更進一步的研究.