Significant Difference In Sleep Quality Research Articles

Effects of pelvic-abdominal mechanics exercises during pregnancy on improving perinatal pelvic floor function in primiparous women

Objective: To explore the effects of pelvic-abdominal mechanics exercises during pregnancy on improving pelvic floor function in primiparous women during the perinatal period. Methods: A single-center prospective study selected 200 primipara of singleton pregnancies with prenatal care and delivery established at Shanghai Tongren hospital from June 2022 to June 2023 as the study subjects. Participants were divided into two groups: the exercise group (100 cases) and the control group (100 cases) by using a random number table method, five participants dropped out of the study due to reasons such as follow-up failure. Ultimately, the exercise group consisted of 97 cases, while the control group consisted of 98 cases. Participants who engaged in pelvic-abdominal mechanics exercises for at least 3 months, exercising once a week, were included in the exercise group. Those who did not engage in exercise were included in control group. Comparing the two groups in terms of pregnancy discomfort symptoms, delivery outcomes, postpartum pelvic floor electromyography results, postpartum quality of life, and pelvic floor disease incidence. The statistical methods utilized included independent t-test, Pearson chi-square test, Fisher's exact test, and Mann-Whitney U test. Results: In the late stage of pregnancy, the VAS score for low back pain was 5.05±1.22 in the exercise group and 5.47±1.55 in the control group, with a statistically significant difference (t=2.090, P<0.05). The PFDI-20 score was 23.33±8.41 in the exercise group and 25.76±8.34 in the control group, with a statistically significant difference (t=2.026, P<0.05). The PFIQ-7 score was 19.21±7.69 in the exercise group and 26.66±6.19 in the control group, with a statistically significant difference (t=6.851, P<0.05). There was no statistically significant difference in sleep quality and incidence of urinary incontinence between the two groups in late pregnancy (t=1.252, P=0.396, P>0.05). In terms of childbirth outcomes, the exercise group had a vaginal delivery rate of 81.44% (79 cases), while the control group had a rate of 64.28% (63 cases), with a statistically significant difference (χ2=9.022, P<0.05). The duration of the second stage of labor was (42.68±21.38) minutes in the exercise group and (50.54±21.33) minutes in the control group, with a statistically significant difference (t=2.178, P<0.05). At 42 days postpartum, the evaluation of pelvic floor function showed that the vaginal pressure in the exercise group was 62.19±10.04, while in the control group it was 52.68±15.55, with a statistically significant difference (t=-5.074, P<0.05). The MOS grading in the exercise group was 3.82±1.26, whereas in the control group it was 2.34±1.55, with a statistically significant difference (t=-7.355, P<0.05). In terms of the incidence of postpartum pelvic floor disorders, the occurrence of pelvic organ prolapse was 7.22% in the exercise group and 12.24% in the control group, with no statistically significant difference (χ2=1.402, P>0.05). The occurrence rate of stress urinary incontinence was 13.4% in the exercise group and 30.61% in the control group, with a statistically significant difference (P=0.015, P<0.05). Conclusion: Pelvic-abdominal mechanics exercises may have some advantages in reducing symptoms related to perinatal pelvic floor dysfunction, enhancing pelvic floor function, and preventing the occurrence of pelvic floor disease.

GENDER DIFFERENCES IN SLEEP QUALITY, FATIGUE, AND DEPRESSIVE SYMPTOMS AMONG ADULTS OVER 50 WITH TOTAL BLINDNESS

Abstract Visual limitations and blindness have been associated with poor sleep quality, increased fatigue, and a higher risk of depressive symptoms in the aging population. In this study, we aimed to investigate sleep quality, fatigue, and depressive symptoms in US adults over the age of 50 with total blindness, and to examine potential gender differences. The study included 88 participants (59 females, mean age 61.34±8.04; 19 males, mean age 62.32±8.17) who completed an online survey providing data on socioeconomic status, comorbidities, sleep quality, fatigue, and depressive symptoms. Descriptive and bivariate analyses were performed using R software and its required packages. While females slept less than males (t = -2.98, p &amp;lt;.05), there was no significant difference in sleep quality (t = 1.82, p = .08) or depressive symptoms (t = 0.51, p = 0.62). Fatigue levels were significantly higher in females than males (t = 2.53, p &amp;lt;.05). Poorer sleep quality was associated with increased fatigue and severe depressive symptoms in both subgroups. The findings indicate potential gender effects, however, given the small sample size and limitations of the cross-sectional design, further longitudinal research is needed to fully understand gender differences in sleep quality, fatigue, and depressive symptoms among adults over 50 with visual limitations.

Relationship Between Quality of Life and Sleep Quality in Resident and Nonresident Seniors in Shahroud City, Iran

Background: Poor quality of life (QOL) can affect sleep quality in seniors due to its wide impact on the daily functioning of individuals. The place of residence is also considered one of the important factors in the physical and mental health of seniors. Objectives: This study aimed to determine the relationship between QOL and sleep quality in resident and nonresident seniors in Shahroud City. Methods: This descriptive-analytical study was performed on 232 nonresident and 78 resident seniors in Shahroud City, Iran, in 2019. The participants were selected using the convenience sampling method. Data collection tools included a demographic survey, the Pittsburgh Sleep Quality Index (PSQI), and the 36-Item Short-Form Health Survey (SF-36). After data collection, data analysis was performed using ANOVA, Pearson correlation, and independent t-test in SPSS version 19. Results: There was a significant relationship between QOL (dimensions and total score) and all sleep quality dimensions (P &lt; 0.05) except for sleep efficiency (P = 0.214) and sleep disorder with mental dimension of QOL (P = 0.092). There was no significant difference in sleep quality between resident and nonresident seniors except for the variables of sleep duration and use of sleeping pills (P = 0.34). There was also a significant difference in the QOL of the seniors in terms of age (P &lt; 0.001), sex (P = 0.021), marital status (P &lt; 0.001), lifestyle (P &lt; 0.001), education (P &lt; 0.001), and income adequacy (P = 0.023). Conclusions: Considering the strong relationship between QOL and sleep quality, implementing interventions (such as proper nutrition education, hot showers, etc.) aimed at improving sleep quality can positively affect QOL. It is also suggested to consider individual effective factors (such as more family support) to improve QOL.

Comparison of sleep quality between clear aligner and fixed appliance orthodontic therapies

Although available evidence suggests that orthodontic appliances can impact quality of life, there is limited information on the impact of orthodontic appliances on sleep quality. This study aimed to compare sleep quality between patients undergoing orthodontic treatments using conventional fixed appliances and clear aligners. Adult patients attending clinics in Saudi Arabia participated in this cross-sectional study. Sleep quality was assessed using the validated Arabic version of the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Statistical significance was determined using inferential analysis, with a P < 0.05 considered statistically significant. There were 69 patients included in the study. The average age of a patient (33.12 ± 8.1) who received the clear aligner was significantly higher than those who received the fixed appliance (27.7 ± 5.9) (P < 0.05). The variation in the average score of ESS because of the education level was found to be statistically significant (P < 0.05). No significant difference was observed between the mean average ESS and PSQI global scores across the two orthodontic treatment groups. The average sleep latency scores were significantly higher in females than males when analyzing the PSQI component score across sex (P < 0.05). In education, ESS, PSQI global, habitual sleep efficiency, the use of sleep medication, and daytime dysfunction had a positive, weak, but significant correlation. Overall, this study concluded that regardless of the orthodontic appliances used, there was no statistically significant difference in sleep quality during the treatment.

Sleep Quality of SHS STEM Students Post-pandemic

Sleep is an integral component of maintaining overall health and well-being. Inadequate sleep can result in detrimental effects, both on mental and physiological aspects. While the impact of the COVID-19 pandemic on students' sleep quality was extensively examined, there remains a dearth of literature investigating the prevalence of sleep quality after the shift to a post-pandemic lifestyle. This study utilized a descriptive design and gathered data from 202 randomly selected grades 11 and 12 STEM students. We found that 68.81% of them have poor sleep quality. Data also showed that female students obtained high PSQI scores and had a significantly higher prevalence of poor sleep quality than males. However, there was no significant difference in sleep quality between grade levels. In conclusion, sleep quality among STEM students in the post-pandemic setting is poor, implying the need for further assessment of influencing factors in students' sleep patterns, strategies, and management skills. Furthermore, students should be educated on the importance of sleep and the negative consequences of poor sleep quality on regular activities, mental &amp; physical health, and general well-being.

Impact of a spiritual care program on the sleep quality and spiritual health of Muslim stroke patients: A randomized controlled trial

ObjectivesStroke patients often experience poor sleep quality and spiritual health due to complications and limitations. In this situation, implementing spiritual care may reduce these problems. Therefore, this study aimed to examine the effect of a spiritual care program on sleep quality and spiritual health of Muslim stroke patients. MethodsThis was a two-group randomized clinical trial conducted in Hamadan, Iran, in 2021, with 117 stroke patients. The samples were selected by convenience sampling and assigned to experimental (N = 59) and control (N = 58) groups based on random permutation blocks. The data were collected using the demographic information form, the Pittsburgh Sleep Quality Index, the Paloutzian and Ellison Spiritual Well-Being Scale, and the Modified Rankin Scale before and one month after the intervention. The experimental group received five daily sessions of spiritual care for 45–60 min based on standard and local methods, including patient orientation and identification of spiritual needs, religious care, supportive spiritual care, and beneficial evaluations. Data were analyzed by chi-square test, Fisher's exact test, independent t-test, and paired t-test at 0.05 significance level in SPSS 21. ResultsThe socio-demographic characteristics were similar between the groups (p > 0.05). At baseline, there was no significant difference in sleep quality and spiritual health between the experimental and control groups (p > 0.05). However, after the intervention, the sleep quality and spiritual health of patients in the experimental group improved significantly compared with the control group (p < 0.05). ConclusionThe spiritual care program improved sleep quality and spiritual health of stroke patients; therefore, nurses should consider these aspects to provide holistic care.

COVID-19 pandemic decreased sleep quality of medical students

Medical students are especially vulnerable to situations of poor sleep quality due to academic demands. The COVID-19 pandemic brought significant changes and high psychological stress, causing a great impact on this population. Here we aim to analyze the influence of the pandemic on the sleep quality of medical students. Cross-sectional, observational, and descriptive study with a quantitative approach carried out with students from medical universities in Rio Grande do Norte state (Brazil) through the online application of two questionnaires: Pittsburgh sleep quality index (PSQI-BR) and sociodemographic questionnaire (SQ). A total of 142 medical students participated in this study: 103 women and 39 men. We observed a prevalence of low sleep quality in 78.16% of the sample and that the pandemic significantly affected the sleep quality among medical students (p<0.05). We also found an alteration in the sleep pattern in 83% of the participants, mainly due to anxiety symptoms (38%). Finally, we observed no statistically significant difference in sleep quality or sleep patterns between genders or college period (p>0.05). This rate of poor sleep quality is higher than the prevalence of periods before the pandemic (58%). Concerns about COVID-19's negative impact on medical education, delayed training, and impact on the generation of medical jobs can directly aggravate the sleep quality. The COVID-19 pandemic negatively influenced the sleep quality of medical students, increasing the prevalence of poor sleep quality and promoting changes in the sleep pattern.

Study to determine prevalence of poor sleep quality and its correlation with sleep hygiene practices among medical students

Background: Sleep is essential to optimize physical, emotional, and cognitive functioning of the body. Sleep quality is a critical dimension of both physical and mental health. Poor sleep quality among medical students may have both academic and health consequences. Aims and Objectives: The objectives of this study were to assess the subjective sleep quality and determine the prevalence of poor sleep quality among medical students. The study also aimed to evaluate their sleep hygiene practices and determine its correlation with sleep quality. Materials and Methods: A cross-sectional study was done in 120 medical students after receiving Institutional Ethical Committee approval and informed consent from participants. They were subjected to self-administered questionnaires to document socio-demographic details and to assess sleep quality using Pittsburgh Sleep Quality Index (PSQI) and sleep hygiene practices using Sleep Hygiene Index (SHI). The data were subjected to statistical analysis. Results: The study showed that the prevalence of poor sleep quality among medical students was 49.16%. The mean±SD global score of PQSI was 5.5±2.3. Chi-square test showed that there was no statistically significant difference in sleep quality between males and females. Ninety (75%) students had higher values of SHI (&gt;16). Pearson’s correlation showed the positive correlation between higher global scores of PSQI with higher SHI scores to be statistically significant (P&lt;0.01). Conclusion: There is prevalence of poor sleep quality among medical students, which is significantly associated with inadequate sleep hygiene. This needs to be addressed by promoting optimal sleep hygiene practices.

Affecting Factors on Sleep Quality in Foreign Workers

Objectives: This study aimed to identify effects of stressors and psychological adaptation of foreign workers on sleep quality.Methods: Data from 97 participants at the Busan Foreign Residents Center were included in the final analysis. The questionnaire consisted of sociodemographic characteristics, health behaviors, job related characteristics, stressors, psychological adaptation, and sleep quality. Hierarchical linear regression analysis was performed to identify factors affecting sleep quality using SPSS 28.0 program.Results: There was no significant difference in sleep quality according to demographic characteristics such as gender, age, and education. In the case of health characteristics, sleep quality was poor when current or past smoking and subjective health status were moderate or unhealthy. As a result of the correlation analysis among stressors, psychological adaptation, and sleep quality, sleep quality was positively correlated with family stress (r = 0.21, p&lt; 0.05) and psychological adaptation (r = 0.34, p&lt; 0.01). As a result of hierarchical linear regression analysis, non-smoking (β= -0.25, p&lt; 0.05) and salary of 1.5 million won or more (β= -0.34, p&lt; 0.001) were factors that improved sleep quality, while psychological adjustment difficulties (β= 0.33, p&lt; 0.01) was a factor that deteriorated the quality of sleep.Conclusions: We confirmed that smoking status, wage level, and psychological adjustment are important factors affecting sleep quality. It is proposed to operate a comprehensive mental health program for improvement of sleep quality for foreign workers.

EFFECT OF AL-QURAN MUROTTAL THERAPY ON SLEEP QUALITY OF NON-HEMORRHAGIC STROKE PATIENTS (PENGARUH TERAPI MUROTTAL AL-QURAN TERHADAP KUALITAS TIDUR PENDERITA STROKE NON HEMORAGIK)

This study was aimed to identify the effect of Al-Quran Murottal therapy on sleep quality of non-hemorrhagic stroke patients. This was a quasi design experiment with a control group, involving 18 respondents as the result of simple randomization. Samples were divided into two groups: intervention and control, who met the inclusion and exclusion criteria. Sleep quality was measured by the Pittsburg Sleep Quality Index (PSQI). This study showed that there was a significant difference in sleep quality before and after Al-Quran Murottal therapy (p-value 0,018) even though the result was not significant in the control group (p-value 1,000). There was a significant effect of Al-Quran Murottal therapy for the sleep quality of non-hemorrhagic stroke patients.

Association between physical activity and sleep quality in Algerian adults during COVID-19 lockdown

Background and Study Aim. There is no doubt that the Coronavirus disease (COVID-19) pandemic, and its related containment measures such as lockdown and social distancing, is affecting physical activity and sleep quality of the general population worldwide. Algeria, one of the most affected countries in Africa, entered the lockdown on March 9, 2020. Numerous studies have explored the interaction between physical activity and sleep quality showing the effect of physical activity levels on sleep, yet previous researches have not investigated the relationship between physical activity and sleep quality during lockdown. The main purpose of the present study was to investigate the association between physical activity and sleep quality in quarantined individuals.&#x0D; Material and Methods. A national Google online survey was conducted between 16th April and 25th May 2020. 1002 Participants responded to the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the short form of the International Physical Activity Questionnaire (IPAQ). Of the 1002 participants who completed the survey, 358 were students. The final data were collected from the respondents.&#x0D; Results. The COVID-19 home confinement led to a decrease in physical activity levels. However, the majority of the study population had good sleep quality (61.9%), while only (38.1%) had poor sleep quality. In addition, women are less physically active than men (p &lt; 0.01). Moreover, there was a significant difference in sleep quality between sufficient and insufficient physical activity groups (p &lt; 0.05).&#x0D; Conclusions. Our results show that Algerian adults have low levels of physical activity, good sleep quality, and poor sleep quality is associated with insufficient physical activity in adults during lockdown.

THE CHANGE OF SLEEP QUALITY THROUGH MEDICAL FACULTY TERMS

Purpose: Sleep is essential for the homeostasis of the body. Poor sleep quality can trigger problems such as gaining weight, heart disease, hypertension etc. It has been known that medical students have above average sleep problems. In this context, with the purpose of determining their sleep quality and factors that affect it; we studied different medical periods regarding the everchanging system of medical education.Material and Methods: A survey was conducted among medical students. We used Pittsburgh Sleep Quality Index to evaluate sleep quality. Other questions in the survey measured demographics and variables that affect sleep quality. The data were analyzed in the SPSS program. First Kolmogorov-Smirnov was used for normality, then non-parametric Mann-Whitney U and Kruskal-Wallis tests were used.Results: Survey was done by 308 students in a span of 2 months. 306 of the students were found to have bad sleep quality. The research found no significant difference in sleep quality between periods of medical school. It was found demographic characteristics such as sex, body mass index, annual income, academic success did not affect sleep quality. Students who had a diagnosed sleeping disorder were found to have significantly lower sleep quality. No relation was found between smoking and sleep quality. We found how much or when you consume drinks such as tea, coffee and energy drinks did not have significance regarding sleep quality. Alcohol use was found to be one of the factors that affect sleep quality. Students who use a method to help sleeping were found to have significantly higher sleep quality. Subjective sleep assessment was found to be a significant factor in sleep quality.Conclusion: Our research revealed the low sleep quality of medical students during the pandemic period and the factors affecting it.

Impact of COVID-19 on eating habits, sleeping behaviour and physical activity status of final-year medical students in Ankara, Turkey.

The massive increase in COVID-19 cases led to the implementation of nationwide lockdown in Turkey. While enforced lockdown is an effective strategy to abate the transmission of the virus, it causes significant lifestyle changes in every part of the community. This study aims to assess the changes in eating habits, sleeping behaviour and physical activity status of final-year medical students (interns) whose education was suspended during the pandemic. In this cross-sectional epidemiological study, an online questionnaire was created. Interns were asked questions regarding socio-demographic status, eating habits, sleeping behaviour and physical activity status before and during COVID-19 pandemic. Changes in dietary habits and sleep quality were evaluated under the guidance of Turkey Dietary Guidelines, Determination of Nutritional Status Report, Turkey National Nutrition and Health Survey and Pittsburgh Sleep Quality Index. Hacettepe University Faculty of Medicine - Ankara, Turkey. Among 536 students, a total of 340 students (63·4 %) answered the questionnaire. After the beginning of lockdown, an increase in BMI was observed in both female (P = 0·002) and male students (P = 0·013). Students having healthy dietary habits increased by 18·8 % and unhealthy dietary habits decreased by 3·2 % during lockdown (P < 0·001). Overall, 63·2 % of students reported a decrease in physical activity, and 33·6 % reported a reduction in sleep quality, whereas 38·6 % reported an improvement in sleep quality. There was no significant difference in sleep quality between genders (P = 0·075). This study indicated that medical school suspension and enforced lockdown led to significant changes in interns' eating behaviour, physical activity and sleeping habits.

644 Sleep Quality in Intensive Care Unit Patients with Advanced Heart Failure

Abstract Introduction Around 75% of Americans with heart failure (HF) report poor sleep quality, a much higher percentage than the general population. This is especially concerning since poor sleep quality is associated with poor cardiac event-free survival. Persons with HF are hospitalized often and between 10–51% of those hospitalized are admitted to an intensive care unit ICU. Poor sleep quality is a common complaint in ICU with over 50% of patients rating sleep quality as poor to very poor. The purpose of the study was to evaluate changes in sleep quality in persons with advanced HF who were admitted to an ICU. Methods Persons with advanced HF admitted to ICU were recruited into this pilot study (age 29–89). Using the Pittsburgh Sleep Quality Index, self-reported sleep quality was assessed at three time points: pre-admission, during hospitalization, and post-discharge. Scores greater than five indicated poor sleep quality. A Repeated Measures Analysis of Variance (RMANOVA) test compared means from the same participant over time for sleep quality (N=22). Results At baseline, 93% of participants reported poor sleep, 90% during hospitalization, and 86% post-discharge. A significant difference among the three time points was found [F (2, 42) =5.341; p&amp;lt;.01]. The mean sleep quality score pre-admission was 11.77 and SD=3.69, during hospitalization M=12.27 and SD=3.65, and post-discharge M=9.32 and SD=4.56. The mean difference of sleep quality pre-admission and sleep quality during hospitalization was not significant. However, the mean difference of sleep quality pre-admission and sleep quality post-discharge was significant (Mean difference=2.46; p&amp;lt;.05). Also, a significant difference in sleep quality during hospitalization and post-discharge was found (Mean difference=2.96; p&amp;lt;.05). Conclusion The number of participants who reported poor sleep during hospitalization was much larger than previously reported in the literature. Also, participants reported significantly better sleep quality post-discharge than pre-admission and during hospitalization. Furthermore, this population may be vulnerable for poor sleep due to symptom severity prior to hospital admission, diuretic use, and poor sleep hygiene. Implementation of sleep hygiene strategies are needed during hospitalization to promote sleep and to teach sleep hygiene self-management. Support (if any):

Sleep disorders as a possible predisposing attack factor in neuromyelitis optica spectrum disorder (NMOSD): A case-control study

BackgroundSleep disturbances are common in neuromyelitis optica spectrum disorder (NMOSD) and have a great impact on patients’ quality of life. According to a report, there is a 64% prevalence of poor sleep quality in NMOSD patients. Therefore, this study was done to evaluate the effect of sleep disturbances on NMOSD acute exacerbations. Materials and MethodsThis case-control study was conducted at Sina Hospital in 2019. A total of 60 patients with NMOSD diagnosis were enrolled in the study (30 patients were in the remission phase while 30 patients were hospitalized due to acute attacks). Sleep disorders were evaluated in both groups. Sleep quality was assessed during the last month using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were analyzed by SPSS software version 21. ResultsAmong 60 patients who were evaluated in both the control and attack groups, 86.7% were female. The duration of the disease was 68.23 ± 42.89 months in the control group and 69.83 ± 6.90 in the attack group. The mean age of patients was 34.15 years old. Sleep quality was unfavorable in 30% and 56% of patients in control and attack groups, respectively. There were significant differences between the two groups in sleep latency, habitual sleep efficiency, sleep duration, and sleep disturbance. ConclusionThe present study revealed that there was a significant difference in sleep quality between controls and attack patients and could show a direct relationship between sleep disorders and NMOSD attacks.

Propranolol's effects on the sleep of infants with hemangiomas: A prospective pilot study.

To assess propranolol's impact on sleep when used in infants and toddlers with infantile hemangioma (80% under 6months old). Parents and caregivers of infants and toddlers with infantile hemangioma presenting to a tertiary pediatric hospital's dermatology clinic and assessed by their dermatologist as requiring propranolol treatment were invited to participate. All participants completed an extended version of the Brief Infant Sleep Questionnaire (BISQ) prior to propranolol treatment initiation, which acted as the control, and 5weeks after treatment commencement. Objective data were gathered through actigraphy, which utilizes a small wristwatch-like device that measures sleep-wake patterns, for 1week prior to initiation and again 5weeks after commencement. BISQ responses and actigraphy values from the two time points were compared. 55 infants and toddlers (aged 0-2.8years, 80% under 6months) were included. Sleep was reported as only a minor problem by most parents 5weeks after starting propranolol (P=.049). Subgroup analysis of 45 infants <6months old showed no significant difference in sleep while taking propranolol. Whole cohort BISQ data analysis showed a statistically significant increase in night-time sleep (P=.024), and a decrease in the number (P=.003) and duration of daytime naps (P=.025) following commencement of propranolol. Actigraphy data completed in 10 infants showed no significant difference in sleep quality before and 5weeks after commencing propranolol. Propranolol did not significantly impair sleep quality and pattern in our cohort of infants and toddlers with infantile hemangioma. Most parents considered the impact on sleep to be only a minor problem.

Effectiveness of a Qigong program on sleep quality among community-dwelling older adults with mild to moderate depression

PurposeThe purpose of this study was to determine the effectiveness of a Qigong program on older adults in the Thai community suffering from mild to moderate depression.Design/methodology/approachA randomized controlled trial study was conducted in a public health service (PHS) center setting. Sixty-six older adults aged 60–90 years with mild to moderate depressive symptoms measured by the Thai Geriatric Depression Scale (TGDS: scores 13–24) were recruited and randomly allocated into two groups. The subjective sleep quality was assessed using the Thai version of the Pittsburgh Sleep Quality Index (TPSQI). The Qigong program group was given 12 weeks of Qigong training including three sessions per week, while the control group followed normal PHS activities (singing and praying). The outcome measure was the change in the TGDS from baseline to 12 weeks.FindingsParticipants in the Qigong program group had a significantly improved TPSQI global score (p &lt; 0.001), subjective sleep quality (p &lt; 0.001), and sleep latency (p &lt; 0.05) after 12 weeks of intervention, while those in the control group showed no significant difference in sleep quality. Compared with the control group, the Qigong program group reported significantly better sleep quality throughout the 12-week period. The prevalence of poor sleep quality in this population was 82 percent.Originality/valueThis study confirmed that the Qigong program could improve sleep quality in older adults with mild to moderate depressive symptoms as the Qigong program conferred more significant improvements than the usual program.

The Effect of Dream Anxiety on Sleep Quality in Inflammatory Bowel Diseases

Introduction: Declining sleep quality is a well-known issue in inflammatory bowel disease (IBD), but dream characteristics of patients with IBD and their role in sleep quality are unknown. In this study, we aimed to examine whether and how patients with ulcerative colitis (UC) and Crohn’s disease (CD) differ on sleep quality, sleepiness level, and dream anxiety (DA) level compared to healthy controls (HC), controlling for their depressive and anxious tendencies. Methods: Patients and HCs were enrolled prospectively into the study. The Van DA Scale, Pittsburg Sleep Quality Index, Epworth Sleepiness Scale, Beck Depression Index, and State-Trait Anxiety Inventories were used to assess DA, sleep quality, sleepiness, depression, and anxiety, respectively. Results: Patients with IBD had significantly lower depression (p = 0.004), state anxiety (p = 0.0001), trait anxiety (p = 0.004), and DA (p = 0.0001) than HCs. Although no statistically significant difference in sleep quality was found (p = 0.99), daytime sleepiness was more common in HCs than in IBD patients (p = 0.0001). No statistically significant difference was seen in depression, state anxiety, trait anxiety, DA, sleep quality, and daytime sleepiness between patients with CD and those with UC. No correlation was found between disease activity indices and psychological parameters. Conclusion: In contrast to previous studies, this study found lower anxiety and depression levels in patients with IBD than in HCs. Moreover, DA score was higher in HCs. For the first time, we revealed that DA may be one of the factors leading to sleep disturbance in patients with IBD.

Association between sleep quality and physical activity according to gender and shift work.

Shift work directly causes circadian disruption and reduces sleep quality. Physical activity is also associated with sleep quality. However, no study has reported the relationship between a specific level of physical activity and sleep quality. This study aimed to investigate the relationship between sleep quality and the amount of physical activity by stratifying subjects into gender and shift-work subgroups. Among those who participated in the Kangbuk Samsung Health Study in 2016-2017, data from 185,958 full-time workers were analysed. We evaluated their physical activity by metabolic equivalents (METs-min/week), sleep quality and shift work. A chi-squared test, a t test and logistic regression analysis were performed. An increase in sleep quality was found for the group with physical activity of 600-9,000 METs-min/week compared to that in the sedentary group among all subjects. In female day workers, the sleep quality of the group with 600-6,000 METs-min/week was significantly higher (odds ratio [OR], 0.760; 95% confidence interval [CI], 0.673-857) than that in the sedentary group. In male day workers, sleep quality increased when physical activity was increased up to 6,000-9,000 METs-min/week (OR, 0.760; 95% CI, 0.673-857). In female shift workers, there was no significant difference in sleep quality according to physical activity level. In male shift workers, sleep quality was better in the group with physical activity of 1,800-3,000 METs-min/week (OR, 0.826; 95% CI, 0.692-0.986) or 3,000-6,000 METs-min/week (OR, 0.771; 95% CI, 0.642-0.926). Optimal physical activity is good for sleep quality. The sleep quality of females is significantly worse than that of males in both day and shift workers.

Effects of sedentary behavior and physical activity on sleep quality in older people: A cross-sectional study.

The aim of this cross-sectional study was to investigate the influence of replacing sedentary time with time engaged in one of two levels of physical activity on sleep quality using an isotemporal substitution model. The participants were 70 community-dwelling older Japanese adults (approximately 70% female). Physical activity types were measured using a triaxial accelerometer and categorized based on intensity as sedentary, light-intensity, and vigorous-intensity. The Pittsburgh Sleep Quality Index assessed subjective sleep quality. Objective sleep parameters were assessed using an actigraph. A series of multi-linear regression models analyzed the statistical relationships. Our findings showed that replacing 30 min of sedentary activity per day with an equal period of light-intensity physical activity significantly influenced sleep quality parameters. However, there was no significant difference in sleep quality when light-intensity activity was replaced with vigorous-intensity activity. Engaging in one activity type means less available time for other types of activity; habitual replacement of sedentary activity with light-intensity physical activity might have long-term benefits on the sleep quality of older people.