方炎炎,江婉婷,郑鑫虎,等.运动对老年睡眠障碍患者睡眠质量干预效果的Meta分析[J].中华物理医学与康复杂志,2020,42(9):819-823
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| 运动对老年睡眠障碍患者睡眠质量干预效果的Meta分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2020.09.012 |
| 中文关键词: 运动 睡眠障碍 睡眠质量 随机对照试验 |
| 英文关键词: Exercise Sleep disorders Sleep quality Randomized and controlled trials |
| 基金项目:上海市运动能力开发与保障重点实验室（11DZ2261100） |
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| 中文摘要: |
| 目的 通过RevMan5.0软件评价运动对老年睡眠障碍患者睡眠质量的影响，探讨不同运动对老年睡眠障碍患者睡眠质量的干预效果，为今后有关运动干预老年睡眠障碍患者的研究提供循证依据。 方法 计算机检索Cochrane图书馆、PubMed、EMbase、Web of Science、中国知网（CNKI）等数据库，检索时间为建库至2019年8月28日，收集有关运动干预老年睡眠障碍患者睡眠质量的随机对照实验，依据纳入和排除标准进行文献筛选，应用Cochrane偏倚风险工具对纳入的文献进行方法学质量评价，并应用ReMan5.0软件进行合并效应量分析。 结果 最终纳入9篇随机对照研究，共928例患者。Meta分析结果显示，与对照组相比，运动能够改善老年睡眠障碍患者的总体睡眠质量，合并效应量分析为：睡眠总分［均数差（MD）=-2.41，95%CI(-3.05，-1.76)，P＜0.001］；主观睡眠质量［MD=-0.13，95%CI(-0.45,-0.16)，P＜0.001］；睡眠潜伏期［MD=-0.50，95%CI(-0.66，-0.43)，P＜0.01］；睡眠时间［MD=-0.4，95%CI（-0.58，-0.21），P＜0.01］；睡眠效率［MD=-0.40，95%CI（-0.62，-0.18），P＜0.01］；睡眠干扰［MD=-0.18，95%CI（-0.28，-0.08），P＜0.01］；睡眠药物使用［MD=-0.29，95%CI(-0.48，-0.10)，P＜0.01］；日间功能［MD=-0.29，95%CI(-0.44，-0.13)，P＜0.01］。 结论 运动能够提高睡眠障碍患者的总体睡眠质量、缩短睡眠潜伏期、提高睡眠效率、减少睡眠药物的使用、改善焦虑抑郁等不良情绪，并能改善老年人的日间功能，但对其主观睡眠质量及睡眠干扰的影响效果较小。 |
| 英文摘要: |
| Objective To evaluate the effect of exercise on the sleep quality of elderly persons experiencing a sleep disorder so as to provide an evidentiary basis for future studies. Methods Reports of randomized and controlled trials of the effects of exercise on sleep quality among elderly persons with sleep disorders were extracted from the Cochrane library, PubMed, EMbase, the Web of Science, CNKI and other databases. Reports from the database′s inception to August 28, 2019 were retrieved. All were screened applying inclusion and exclusion criteria, and their methodological quality was evaluated using the Cochrane bias risk tool. The combined effect was analyzed using version 5.0 of the ReMan software. Results Nine reports covering 928 patients were identified. Meta-analysis showed that compared with the control group, exercise could significantly improve the overall sleep quality of elderly patients with sleep disorders in terms of sleep score, subjective sleep quality, sleep latency, sleep duration, sleep efficiency, degree of sleep disturbance, sleep medication use, and daytime functioning. Conclusion Exercise can improve the overall sleep quality of patients with a sleep disorder, shortening the sleep latency, improving sleep efficiency, reducing the use of sleep drugs, and improving their daytime functioning. However, it has less effect on subjective evaluations of sleep quality and sleep disorder. |
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