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Resistance training does not alter same-day sleep architecture in institutionalized older adults.

Journal of sleep research
August 1, 2018
Jeffrey E Herrick et al. (3 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

The researchers aimed to determine if resistance training, combined with walking and social activity, improved sleep in institutionalized older adults compared to usual care.

Results Summary

The study found no significant acute same-day effects of resistance training on sleep architecture in institutionalized older adults, with no changes in sleep efficiency, time in sleep stages, or other measured parameters.

Population

Institutionalized older adults (age 81.5 ± 8.1 years, 17 male, 26 female).

Effective Dosage

Not specified for walking (resistance training: chest and leg press exercises, three sets, eight repetitions, 80% predicted one-repetition maximum).

Duration

7-week intervention (acute effects assessed on same-day basis).

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
a 7-week combination of resistance training, walking and social activity
increase
sleep
institutionalized older adults
-
significantly improved
#1
resistance training
no change
sleep architecture
institutionalized older adults
-
no significant changes
#2
resistance training
no change
sleep efficiency
institutionalized older adults
-
no significant changes
#3
resistance training
no change
time in non-rapid eye movement stages
institutionalized older adults
-
no significant changes
#4
resistance training
no change
time in rapid eye movement stages
institutionalized older adults
-
no significant changes
#5
resistance training
no change
time awake
institutionalized older adults
-
no significant changes
#6
resistance training
no change
time until sleep onset
institutionalized older adults
-
no significant changes
#7
resistance training
no change
total sleep stage shifts
institutionalized older adults
-
no significant changes
#8
resistance training
no change
rapid eye movement sleep stage latency
institutionalized older adults
-
no significant changes
#9
resistance training
no change
sleep architecture
institutionalized older adults
-
no acute same-day effects
#10
Abstract

Sleep disturbance is a common symptom in institutionalized older adults that reduces their quality of life and may contribute to progression of cognitive impairment. While we found that a 7-week combination of resistance training, walking and social activity significantly improved sleep in institutionalized older adults compared with a usual care control group, no one to our knowledge has determined the acute effects of resistance training on same-day sleep in this population. Given the effort required to promote exercise adherence in institutionalized older adults and to obtain a positive training effect, understanding of the acute effects of resistance training on same-day sleep architecture should be elucidated, especially with respect to unintended consequences. This secondary data analysis assessed if resistance training altered the same-day sleep architecture in institutionalized older adults. Forty-three participants (age 81.5 ± 8.1 years, male = 17, female = 26) had two attended overnight polysomnography tests in their rooms for sleep architecture analysis; one polysomnography with same-day resistance training, one without any resistance training. Resistance training consisted of chest and leg press exercises (three sets, eight repetitions, 80% predicted one-repetition maximum). There were no significant changes in sleep architecture between either polysomnography nights; sleep efficiency (P = 0.71), time in non-rapid eye movement stages (P = 0.50), time in rapid eye movement stages (P = 0.14), time awake (P = 0.56), time until sleep onset (P = 0.47), total sleep stage shifts (P = 0.65) or rapid eye movement sleep stage latency (P = 0.57). Our results show no acute same-day effects of resistance training on sleep architecture in institutionalized older adults. Clinical Trial Registration ClinicalTrials.gov Identifier: NCT00888706.

Medical Subject Headings (MeSH)
AgedAged, 80 and overAgingAssisted Living FacilitiesExerciseFemaleHomes for the AgedHumansMaleNursing HomesPolysomnographyQuality of LifeResidential FacilitiesResistance TrainingSleep StagesSleep Wake DisordersWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality85/10
Citation Metrics
Total Citations3
Citations/Year0.4
Relative Citation Ratio0.18
NIH Percentile9.1%
Research Impact Scores
APT Score0.25
Weight Score1.93
Normalized Score0.65
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