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

Suna, Jessica M., Mudge, Alison, Stewart, Ian, Marquart, Louise, O'Rourke, Peter and 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: 198-205. doi:10.1177/1474515114522563


Author Suna, Jessica M.
Mudge, Alison
Stewart, Ian
Marquart, Louise
O'Rourke, Peter
Scott, Adam
Title The effect of a supervised exercise training programme on sleep quality in recently discharged heart failure patients
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1474-5151
1873-1953
Publication date 2015-06
Year available 2015
Sub-type Article (original research)
DOI 10.1177/1474515114522563
Volume 14
Issue 3
Start page 198
End page 205
Total pages 8
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2016
Language eng
Formatted 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.
Keyword Exercise
Heart failure
Physical activity
Sleep
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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