Efeitos dos exercícios físicos resistido e de alongamento no sono, perfil de humor e qualidade de vida em pacientes com insônia crônica.
Arquivos
Data
2013
Autores
D'Aurea, Carolina Vicaria Rodrigues 
Orientadores
Mello, Marco Tulio de
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Avaliar o efeito cronico do exercicio fisico resistido, com intensidade moderada, e do exercicio de alongamento nas queixas subjetivas de sono, no padrao de sono e nas variaveis clinicas relacionadas ao estado de ansiedade, queixas de memoria, atencao, humor e qualidade de vida de pacientes com insonia cronica primaria. Materiais e Metodos: Vinte e oito adultos sedentarios (22 mulheres e 6 homens) com insonia cronica primaria, com media de idade de 42,61 anos, distribuidos em 3 grupos: Grupo Exercicio Resistido - GER (N=10), Grupo Alongamento u GA (N=10) e Grupo Controle - GC (N=8) participaram de um ensaio clinico randomizado controlado, com duracao de 4 meses de protocolo de exercicio fisico resistido e exercicio de alongamento, realizados 3 vezes por semana. Resultados: O GER e GA apresentaram reducao significativa na pontuacao das escalas de qualidade do sono de Pittsburgh (p=0,0006) e (p=0,01) e Indice de Gravidade de Insonia (p=0,0004) e (p=0,0004), respectivamente. Os dados subjetivos da entrevista clinica revelaram reducao significativa do GER e GA nos parametros de latencia para inicio do sono, numero de despertares e tambem diminuicao nas queixas de dificuldade de atencao, memoria, dificuldade para iniciar e manter o sono. Em relacao a actigrafia, observou-se um aumento significativo na efiCiência do sono (p=0,01) e (p=0,005) e diminuicao no tempo acordado apos o inicio do sono (p=0,01) e (p=0,05) nos grupos GER e GA, respectivamente, em relacao ao momento basal. Nao houve diferencas significativas nas variaveis polissonograficas. Os dominios Saúde Mental e tensao-ansiedade, dos questionarios SF-36 e POMS, melhoraram significativamente nos grupos GER e GA (p=0,01) e (p=0,0001), respectivamente, apos o periodo de intervencao. Conclusao: Os protocolos de exercicio fisico resistido moderado e exercicio de alongamento, realizados por 4 meses, melhoraram as queixas subjetivas e parametros objetivos do sono, o estado de ansiedade e as queixas clinicas relacionadas a dificuldade de atencao e memoria de pacientes com insonia cronica primaria
Objective : To evaluate the chronic effect of resistance exercise with moderate intensity, and stretching exercise in subjective sleep complaints, sleep pattern and the clinical variables related to state anxiety , memory complaints , attention , mood and quality of life in patients with chronic primary insomnia. Materials and Methods: Twenty-eight sedentary adults (22 women and 6 men) with chronic primary insomnia, with an average age of 42.61 years, divided into 3 groups: Resistance Exercise Group - REG (N=10), Stretching Group - SG (N=10) and Control Group - CG (N=8) participated in a randomized controlled trial, lasting four months of resistance exercise protocol and stretching exercises, performed three times a week. Results: The groups REG and SG had significantly lower scores on the scales of the Pittsburgh sleep quality (p=0.0006) and (p=0.01) and the Insomnia Severity Index (p=0.0004) and (p=0.0004), respectively. Subjective data from clinical interviews revealed significant reduction in the groups REG and SG in parameters of sleep onset latency, number of awakenings and also decrease in complaints about difficulties in attention, memory , difficulty initiating and maintaining sleep. Regarding actigraphy, there was a significant increase in sleep efficiency (p=0.01) and (p=0.005) and decreased time awake after sleep onset (p = 0.01) and (p=0,05 ) in the REG and SG groups, respectively, compared to baseline. There were no significant differences in polysomnographic variables. Domains Mental Health and Tension-Anxiety of the SF - 36 and POMS, improved significantly in groups REG and SG (p=0.01) and (p=0.0001), respectively, after the intervention period. Conclusion: The protocols of resistive exercise with moderate intensity and stretching exercise, performed by four months, improved subjective complaints and objective parameters of sleep, the anxiety and complaints relating to the difficulty in attention and memory in patients with chronic primary insomnia
Objective : To evaluate the chronic effect of resistance exercise with moderate intensity, and stretching exercise in subjective sleep complaints, sleep pattern and the clinical variables related to state anxiety , memory complaints , attention , mood and quality of life in patients with chronic primary insomnia. Materials and Methods: Twenty-eight sedentary adults (22 women and 6 men) with chronic primary insomnia, with an average age of 42.61 years, divided into 3 groups: Resistance Exercise Group - REG (N=10), Stretching Group - SG (N=10) and Control Group - CG (N=8) participated in a randomized controlled trial, lasting four months of resistance exercise protocol and stretching exercises, performed three times a week. Results: The groups REG and SG had significantly lower scores on the scales of the Pittsburgh sleep quality (p=0.0006) and (p=0.01) and the Insomnia Severity Index (p=0.0004) and (p=0.0004), respectively. Subjective data from clinical interviews revealed significant reduction in the groups REG and SG in parameters of sleep onset latency, number of awakenings and also decrease in complaints about difficulties in attention, memory , difficulty initiating and maintaining sleep. Regarding actigraphy, there was a significant increase in sleep efficiency (p=0.01) and (p=0.005) and decreased time awake after sleep onset (p = 0.01) and (p=0,05 ) in the REG and SG groups, respectively, compared to baseline. There were no significant differences in polysomnographic variables. Domains Mental Health and Tension-Anxiety of the SF - 36 and POMS, improved significantly in groups REG and SG (p=0.01) and (p=0.0001), respectively, after the intervention period. Conclusion: The protocols of resistive exercise with moderate intensity and stretching exercise, performed by four months, improved subjective complaints and objective parameters of sleep, the anxiety and complaints relating to the difficulty in attention and memory in patients with chronic primary insomnia
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Citação
D’AUREA, Carolina Vicaria Rodrigues. Efeitos dos exercícios físicos resistido e de alongamento no sono, perfil de humor e qualidade de vida em pacientes com insônia crônica. 2013. 114 f. Dissertação (Mestrado em Ciências) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2013.