Download PDF
CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(02): 113-118
DOI: 10.5935/1984-0063.20190136
ORIGINAL ARTICLE

Effect of different types of exercise on sleep deprivation and functional capacity in middle aged patients after coronary artery bypass grafting

Hady Atef
1   Cairo University, Physical Therapy for Internal Medicine - Cairo - Egypt.
,
Zeinab Helmy
1   Cairo University, Physical Therapy for Internal Medicine - Cairo - Egypt.
,
Abeer Farghaly
1   Cairo University, Physical Therapy for Internal Medicine - Cairo - Egypt.
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

ABSTRACT

Introduction: There are still many gaps in research concerning the effect of different physical training modalities on sleep quality in the population underwent coronary artery bypass graft (CABG) surgeries.

Objective: The purpose of this study was to compare the effect of different exercise types on sleep quality and functional capacity after CABG.

Material and Methods: 80 Participants aged 45-65 years were randomized to two groups: aerobic group (AG), and combined aerobic and resistance group (ARG). Training lasted ten consecutive weeks with 30 uninterrupted sessions. The actigraph together with Pittsburg Sleep Quality Index (PSQI) were used in sleep quality assessment. Six-minute walk test (6MWT) was used in assessment of functional capacity. The actigraph (Actiwatch Minimitter Company, Incorporated (INC) - Sunriver, OR, USA) was placed on the non-dominant wrist and activities were monitored continuously while being recorded at one-minute intervals. The participants kept the device for a period of 96 hours, filled PSQI, and did 6MWT before the first and last training sessions.

Results: There was significant decrease in the mean value of sleep latency, fragmentation index, light sleep duration and sleep quality scores (p<0.01); and significant increase in total sleep duration, deep sleep duration, number of points on the actigraphy, sleep efficiency and functional capacity in both (AG) and (ARG) (p<0.01), that difference was more significant in the aerobic group (AG) (p<0.01).

Conclusions: Both modes of exercise (aerobic alone and combined aerobic and resistance exercises) can improve sleep quality and functional capacity, but isolated aerobic exercise can do that more significantly.

Keywords:

Sleep Deprivation - Exercise - Coronary Artery Bypass - Actigraphy

FUNDING ACKNOWLEDGMENT:

“The author acknowledges funding received from the European Society of Cardiology in form of an ESC Nursing Grant”.




Publication History

Received: 13 April 2019

Accepted: 11 February 2020

Article published online:
09 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • REFERENCES:

  • 1 Ranjbaran S, Dehdari T, Sadeghniiat-Haghighi K, Majdabadi MM. Poor sleep quality in patients after coronary artery bypass graft surgery: An inter-vention study using the PRECEDE-PROCEED model. J Tehran Univ Hear Cent. 2015;10(1):1-8.
  • 2 Souza SA de, Lorenzi-Filho G, Feltrim MIZ, Ykeda DS, Nerbass FB. Effects of massage therapy on sleep quality after coronary artery bypass graft sur-gery. Clinics. 2011;65(11):1105-10.
  • 3 Liao WC, Huang CY, Huang TY, Hwang SL. A systematic review of sleep patterns and factors that disturb sleep after heart surgery. J Nurs Res. 2011;19(4):275-88.
  • 4 Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177(9):1006-14.
  • 5 Dianatkhah M, Ghaeli P, Talasaz AH, Karimi A, Salehiomran A, Bina P, et al. Evaluating the potential effect of melatonin on the post- cardiac surgery sleep disorder. J Tehran Univ Hear Cent. 2015;10(3):122-8.
  • 6 Tobaldini E, Costantino G, Solbiati M, Cogliati C, Kara T, Nobili L. Sleep, sleep deprivation, autonomic nervous system and cardiovascular diseases. Neurosci Biobehav Rev [Internet]. 2017 Mar 1 [cited 2019 Apr 17];74:321-9. Available from: https://www.sciencedirect.com/science/article/pii/S0149763416302184
  • 7 Chair SY, Wang Q, Cheng HY, Lo SWS, Li XM, Wong EML, et al. Rela-tionship between sleep quality and cardiovascular disease risk in Chinese post-menopausal women. BMC Womens Health. 2017;17(1):1-7.
  • 8 de Vries JD, van Hooff MLM, Geurts SAE, Kompier MAJ. Exercise as an In-tervention to Reduce Study-Related Fatigue among University Students: A Two-Arm Parallel Randomized Controlled Trial. PLoS One. 2016;11(3):e0152137.
  • 9 Mendelson M, Borowik A, Michallet A, Perrin C, Monneret D. ORIGINAL RESEARCH. 2015;(6):26-32.
  • 10 Zhong QY, Gelaye B, Sánchez SE, Williams MA. Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Preg-nant Women. J Clin Sleep Med. 2015;11(8):869-77.
  • 11 Adkins KW, Goldman SE, Fawkes D, Surdyka K, Wang L, Song Y, et al. A Pilot Study of Shoulder Placement for Actigraphy in Children. Behav Sleep Med. 2012;10(2):138-47.
  • 12 Walsh J, Eastwood PR, Straker LM, Slater JA, King S, Botsis T. Assessing sleep using hip and wrist actigraphy. Sleep Biol Rhythms. 2015;13(2):172-80.
  • 13 Stingeni L, Raponi F, Hansel C, Agostinelli D, Lisi P. Le correlazioni clini-co-anamnestiche e i risultati dei test cutanei allergodiagnostici nelle reazi-oni avverse cutaneo-mucose ad antibatterici sistemici. Ann Ital di Dermato-logia Allergol Clin e Sper. 2011;65(1):28-33.
  • 14 Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colanto-nio A. The Pittsburgh sleep quality index as a screening tool for sleep dys-function in clinical and non-clinical samples: A systematic review and me-ta-analysis. Sleep Med Rev [Internet]. 2016 Feb 1 [cited 2019 Mar 11];25:52-73. Available from: https://www.sciencedirect.com/science/article/pii/S1087079215000210?via%3Dihub
  • 15 Bonardi JMT, Lima LG, Campos GO, Bertani RF, Moriguti JC, Ferriolli E, et al. Effect of different types of exercise on sleep quality of elderly subjects. Sleep Med [Internet]. 2016;25:122-9. Available from: http://dx.doi.org/10.1016/j.sleep.2016.06.025
  • 16 Hinz A, Glaesmer H, Brähler E, Löffler M, Engel C, Enzenbach C, et al. Sleep quality in the general population: psychometric properties of the Pittsburgh Sleep Quality Index, derived from a German community sample of 9284 people. Sleep Med [Internet]. 2017 Feb 1 [cited 2019 Apr 21];30:57-63. Available from: https://www.sciencedirect.com/science/article/pii/S1389945716300041
  • 17 Landry GJ, Best JR, Liu-Ambrose T. Measuring sleep quality in older adults: A comparison using subjective and objective methods. Front Aging Neu-rosci. 2015;7(SEP):1-10.
  • 18 Atef H, Helmy Z, Farghaly AA, Elameen S. Subjective versus objective as-sessments of sleep among middle aged male patients after coronary artery bypass grafting : A correlational study. 2019;21(3):254-63.
  • 19 CONSORT. CONSORT 2010 Flow Diagram Follow-Up. 2010;2010.
  • 20 Ancoli-israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP. Cpr_Actigraphy. 2003;(April 2002).
  • 21 Bohannon RW, Crouch R. Minimal clinically important difference for chan-ge in 6-minute walk test distance of adults with pathology: a systematic re-view. J Eval Clin Pract. 2017;23(2):377-81.
  • 22 Mane E, Memushaj L. Luisiana Memushaj. 2018;(August):83-90. Available from: https://doi.org/10.5281/zenodo.1412109
  • 23 Fairman CM, Hyde PN, Focht BC. Resistance training interventions across the cancer control continuum : a systematic review of the implementation of resistance training principles. 2017;677-85.
  • 24 Yamanaka Y, Hashimoto S, Takasu NN, Tanahashi Y, Nishide S, Honma S, et al. Morning and evening physical exercise differentially regulate the autonomic nervous system during nocturnal sleep in humans. 2019;1112-21.
  • 25 Chen LJ, Fox KR, Ku PW, Chang YW. Effects of Aquatic Exercise on Sleep in Older Adults with Mild Sleep Impairment: a Randomized Controlled Trial. Int J Behav Med [Internet]. 2016;23(4):501-6. Available from: http://dx.doi.org/10.1007/s12529-015-9492-0
  • 26 Mazzochi JW. Resistance Exercise Timing Effects On Blood Pressure and Sleep Architecture In Pre-hypertensives. Med Sci Sport Exerc. 2017;46:666.
  • 27 Ashcraft KA, Peace RM, Betof AS, Dewhirst MW, Jones LW. Efficacy and Mechanisms of Aerobic Exercise on Cancer Initiation, Progression, and Metastasis: A Critical Systematic Review of In Vivo Preclinical Data. 2016;76(14):12-4.
  • 28 Chennaoui M, Arnal PJ, Sauvet F, Léger D. Sleep and exercise: A recipro-cal issue? Sleep Med Rev [Internet]. 2015 Apr 1 [cited 2019 Mar 11];20:59-72. Available from: https://www.sciencedirect.com/science/article/pii/S1087079214000720?via%3Dihub
  • 29 Cable NT. Basic science behind the cardiovascular benefits of exercise. 2019;50(2):1-6.
  • 30 Yang P, Ho K, Chen H, Chien M. Exercise training improves sleep quality in middle-aged and older adults with sleep problems : a systematic review. J Physiother [Internet]. 2012;58(3):157-63. Available from: http://dx.doi.org/10.1016/S1836-9553(12)70106-6
  • 31 Kovacevic A, Mavros Y, Heisz JJ, Fiatarone Singh MA. The effect of resis-tance exercise on sleep: A systematic review of randomized controlled tri-als. Sleep Med Rev [Internet]. 2018 Jun 1 [cited 2019 Mar 12];39:52-68. Available from: https://www.sciencedirect.com/science/article/pii/S1087079216301526
  • 32 Baraúna VG, Oliveira EM, Phillips MI, Negrão CE, Fernandes T. Aerobic exercise training promotes physiological cardiac remodeling involving a set of microRNAs. Am J Physiol Circ Physiol. 2015;309(4):H543-52.