The effect of a supervised exercise training programme on sleep quality in recently discharged heart failure patients

Suna, Jessica Mary, Mudge, Alison, Stewart, Ian B., Marquart, Louise, O'Rourke, Peter, & Scott, Adam (2015) The effect of a supervised exercise training programme on sleep quality in recently discharged heart failure patients. European Journal of Cardiovascular Nursing, 14(3), pp. 198-205.

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Abstract

Background

Sleep disturbances, including insomnia and sleep-disordered breathing, are a common complaint in people with heart failure and impair well-being. Exercise training (ET) improves quality of life in stable heart failure patients. ET also improves sleep quality in healthy older patients, but there are no previous intervention studies in heart failure patients.

Aim

The aim of this study was to examine the impact of ET on sleep quality in patients recently discharged from hospital with heart failure.

Methods

This was a sub-study of a multisite randomised controlled trial. Participants with a heart failure hospitalisation were randomised within six weeks of discharge to a 12-week disease management programme including exercise advice (n=52) or to the same programme with twice weekly structured ET (n=54). ET consisted of two one-hour supervised aerobic and resistance training sessions, prescribed and advanced by an exercise specialist. The primary outcome was change in Pittsburgh Sleep Quality Index (PSQI) between randomisation and week 12.

Results

At randomisation, 45% of participants reported poor sleep (PSQI≥5). PSQI global score improved significantly more in the ET group than the control group (–1.5±3.7 vs 0.4±3.8, p=0.03). Improved sleep quality correlated with improved exercise capacity and reduced depressive symptoms, but not with changes in body mass index or resting heart rate.

Conclusion

Twelve weeks of twice-weekly supervised ET improved sleep quality in patients recently discharged from hospital with heart failure.

Impact and interest:

2 citations in Scopus
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1 citations in Web of Science®

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ID Code: 68277
Item Type: Journal Article
Refereed: Yes
DOI: 10.1177/1474515114522563
ISSN: 1474-5151
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > HUMAN MOVEMENT AND SPORTS SCIENCE (110600) > Exercise Physiology (110602)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2014 European Society of Cardiology
Deposited On: 12 Mar 2014 02:07
Last Modified: 17 Jun 2015 23:52

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