Influence of three combined exercise programs on improving sleep quality among college students with sleep disorders

Abstract

Objective To explore the improvement influence of three combined exercise programs on sleep quality among college students with sleep disorders, so as to provide reference for the construction of exercise intervention programs for sleep disorder.

Methods A total of 35 college students with sleep disorders were randomly divided into AR group ( n = 10), AM group ( n = 8), RM group ( n = 9) and CG group ( n = 8). The three exercise groups were provided with exercise intervention for 8 weeks, 3 times/week, 60 min/time, and the CG group maintained previous lifestyle. Before and after the intervention, evaluation of subjective sleep quality and reduction rate of sleep disorder by PSQI, and Actigraph GT3X+ was used to monitor the changes in the objective sleep quality.

Results After the intervention, the total score of PSQI ( t = 3.49, 2.31, 2.73), sleep quality score ( t = 2.71, 3.00, 5.29), sleep duration of AR group ( t = 2.74), daytime dysfunction of AM group ( t = 2.64) and sleep duration of RM group ( t = 2.29) significantly decreased ( P<0.05); The scores of sleep duration in AM group were significantly lower than those in AR group, and the scores of PSQI, sleep quality and daytime dysfunction in AM group were significantly lower than those in CG group ( P<0.05). After intervention, TST ( t = −4.41, −8.37, −6.79) and SE ( t = −4.40, −5.86, −4.91) of AR group, AM group and RM group significantly increased ( P<0.05), SOL ( t = 4.18, 9.93), WASO ( t = 2.91, 3.46) and NA ( t = 4.80, 3.37) of AM group and RM group significantly decreased ( P<0.05). The changes of TST, SE and WASO in RM group were significantly higher than those in CG group, and SOL was significantly lower than those in CG group ( P<0.05).

Conclusion The three kinds of combined exercise programs can improve the subjective and objective sleep quality of college students with sleep disorders, and reduce the incidence of sleep disorders; different combined exercise programs have different influence on the improvement of sleep quality of college students with sleep disorders, aerobic combined meditative movement exercise program has a prominent influence on the improvement of subjective sleep quality, and resistance combined meditative movement exercise program has a prominent influence on the improvement of objective sleep quality.

Abstract

【摘要】 目的 探讨 3 种联合运动方案对睡眠障碍大学生睡眠质量的改善效果, 为睡眠障碍运动干预方案的构建提供参 考。 方法 以招募的 35 名存在睡眠障碍的大学生为实验对象, 随机分为有氧联合抗阻运动组 (AR 组) (10 名)、有氧联合 身心运动组 (AM 组) (8 名)、抗阻联合身心运动组 (RM 组) (9 名) 和对照组 (CG 组) (8 名)。运动组进行为期 8 周, 3 次/周, 60 min/次的干预, CG 组保持原有生活方式。干预前后通过匹兹堡睡眠质量指数量表 (PSQI) 评估受试者主观睡眠 质量及睡眠障碍减少率、Actigraph GT3X+ 监测受试者客观睡眠质量的变化。 结果 干预后 AR 组、AM 组和 RM 组的 PSQI 总分、睡眠质量评分降低 ( t 值分别为 3.49, 2.31, 2.73; 2.71, 3.00, 5.29, ( P 值均<0.05), AR 组的人睡时间评分、AM 组的日间 功能障碍评分、RM 组的睡眠时间评分均降低 ( t 值分别为 2.74, 2.64, 2.29, P 值均<0.05); AM 组的睡眠时间因子评分低于 AR 组, AM 组的 PSQI 总分、睡眠质量因子、日间功能障碍因子评分低于 CG 组 ( P 值均<0.05)。干预后 AR 组、AM 组和 RM 组的总睡眠时间、睡眠效率均提髙 ( t 值分别为 −4.41, −8.37, −6.79; −4.40, −5.86, −4.91, P 值均<0.05), AM 组和 RM 组的睡 眠潜伏期、夜间觉醒时长、觉醒次数均降低 ( t 值分别为 4.18, 9.93; 2.91, 3.46; 4.80, 3.37, P 值均<0.05); RM 组的总睡眠时间 变化值、睡眠效率变化值、夜间觉醒时长变化值髙于 CG 组, 睡眠潜伏期低于 CG 组 ( P 值均<0.05)。 结论 3 种联合运动 方案均可提髙睡眠障碍大学生的主客观睡眠质量, 降低睡眠障碍的发生率;不同联合运动方案对睡眠障碍大学生睡眠质量 的改善效果存在差异, 有氧联合身心运动方案对主观睡眠质量的改善效果突出, 抗阻联合身心运动方案对客观睡眠质量的 改善效果突出。