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DOI: 10.1055/s-0031-1271968
© Georg Thieme Verlag Stuttgart · New York
Körperliche Aktivität gegen Schlafstörungen? – Ergebnisse einer Literaturanalyse
Exercise for Insomnia? – An analysis of results in literaturePublikationsverlauf
Publikationsdatum:
12. Januar 2011 (online)
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In der Behandlung der primären Insomnie kommen pharmakologische, erzieherische und verhaltenstherapeutische Maßnahmen, nicht selten auch in Kombination, zum Einsatz. Auch besteht die weit verbreitete Meinung, dass körperliche Aktivität bzw. die Übungstherapie Schlaf verbessernde Einflüsse ausübt. Wie weit diese Annahme aufgrund wissenschaftlich evaluierter Daten berechtigt ist, sollte anhand einer Literaturanalyse geprüft werden.
Die Recherche in den Datenbanken MEDLINE, EMBASE und SPOLIT zeigte, dass im Wesentlichen mit 2 unterschiedlichen Studienzugängen diesem Thema nachgegangen wurde: mit epidemiologischen und experimentellen Studien. Die meisten epidemiologischen Studien kommen zu einem überwiegend positiven Ergebnis. Darin wurden aber überwiegend subjektive Beurteilungskriterien zugrunde gelegt. In den experimentellen Studien erfolgten die Untersuchungen vielfach an gesunden und nur selten an Insomnie-Patienten selbst. Deshalb, und weil diese nicht immer zu eindeutig positiven Ergebnissen führten, bleibt die Frage offen, ob durch körperliche Aktivität die Insomnie positiv beeinflusst werden kann. Weitere Studien mit Insomnie-Patienten und objektiven Messmethoden sind zu fordern.
It is commonly assumed that exercise is one of the most important behavioral factors promoting sleep. How far this assumption based on scientific datas should be evaluated on an analysis of results in literature.
A research in the databases MEDLINE, EMBASE and SPOLIT has shown that in substance this topic was followed by two types of studies: epidemiological and experimental studies. Epidemiological studies have generally shown positive associations of exercise with sleep. On the other hand, experimental studies have failed to demonstrate substantial sleep-promoting effects of either acute or chronic exercise. In addition most of these studies evaluated the effects on healthy and seldom in insomnia patients. Therefore the question remains open if exercise influences the insomnia. Better controlled research with objective sleep measures is needed.
Key words
Insomnia - physical exercise - treatment efficacy - literature analysis
Literatur
- 1 Büttner A. Lebensqualität bei Insomnikern, Narkoleptikern und Schlafapnoikern. Nervenheilkunde. 2007; 26 699-707
- 2 Cheek RE, Shaver IL, Lentz MJ. Variations in sleep hygiene practices of woman with and without insomnia. Res Nursing Health. 2004; 27 225-236
- 3 Ancoli-Israel S. “Sleep is not tangible“ or what the Hebrew tradition has to say about sleep. Psychosom Med. 2001; 63 778-787
- 4 Singh NA, Clements KM, Fiatarone MA. A randomized controlled trial of the effect of exercise on sleep. Sleep. 1997; 2 95-101
- 5 Driver HS, Meintjes AF, Rogers GG et al.. Submaximal exercise effects on sleep patterns in young women before and after an aerobic training programme. Acta Physiol Scand. 1988; 133 (S 574) 8-13
- 6 Adam K. Sleep as a restorative process and a theory to explain why. Prog Brain Res. 1980; 53 289-305
- 7 Kim K, Uchiyama M, Okawa M et al.. An epidemiological study of insomina among the Japanese general population. Sleep. 2000; 23 41-47
- 8 Meintjes AF, Driver HS, Shapiro CM. Improved physical fitness failed to alter the EEG patterns of sleep in young women. Eur J Appl Physiol Occup Physiol. 1989; 59 123-127
- 9 Montgomery P, Dennis J. Physical exercise for sleep problems in adults aged 60+. Cochrane Database Syst Rev. CD 003404 2002; 4
- 10 Horne JA, Moore VJ. Sleep EEG effects of exercise with and without additional body cooling. Electroencephalogr Clin Neurophysiol. 1985; 60 33-38
- 11 King AC, Oman RF, Brassington GS et al.. Moderate-intensity exercise and self-rated quality of sleep in older adults. A randomized controlled trail. JAMA. 1997; 277 32-37
- 12 Liu X, Ucjiyama, Kim K et al.. Sleep loss and daytime sleepiness in the general adult population of Japan. Psychiatry Res. 2000; 93 1-11
- 13 Mrosovsky N. Locomotor activity and non-photic influences on circadian clocks. Biol Rev Camb Philosoph Soc. 1996; 71 343-372
- 14 Tworoger SS, Yasui Y, Vitiello MV et al.. Effects of a yearlong moderate-intensity exercise and a stretching intervention on sleep quality in postmenopausal women. Sleep. 2003; 26 830-836
- 15 Ohida T, Kamal AM, Uchiyama M et al.. The influence of lifestyle and health status factors on sleep loss among the Japanese general population. Sleep. 2001; 24 333-338
- 16 Urponen H, Vuori I, Hasan J et al.. Self-evaluations of factors promoting and disturbing sleep: an epidemiological survey in Finland. Soc Sci Med. 1988; 26 443-450
- 17 Van Reeth O, Sturis J, Byrne MM et al.. Nocturnal exercise phase delays circadian rhythms of melatonin and thyrotropin secretion in normal men. Am J Physiol. 1994; 266 964-974
- 18 Morin CM, Culbert JP, Schwartz SM. Nonpharmacological Interventions for Insomnia: A Meta-Analysis of Treatment Efficacy. Am J Psychiatry. 1995; 151 1172-1180
- 19 Vitiello MV, Prinz PN, Schwartz RS. Slow wave sleep but not over-all sleep quality of healthy older men and women is improved by increased aerobic fitness. Sleep Res. 1994; 23 149
- 20 Diagnostic Classification Steering Committee .International Classification of sleep disorder: diagnostic and coding manual. Rochester, MN: American Sleep Disorders Association; 1990
- 21 Kripke DF. Chronic hypnotic use: deadly risks, doubtful benefit. Sleep Med Rev. 2000; 4 5-20
- 22 Taylor SR, Driver HS. Is sleep affected by physical exercise and fitness?. Crit Rev Phys Rehabil Med. 1995; 7 131-145
- 23 Morin CM, Colecchi C, Stone J et al.. Behavioral and pharmacological therapies for late-life insomnia: A placebo-controlled randomized clinical trial. JAMA. 1999; 281 991-999
- 24 Sherrill DL, Kotchou K, Quan SF. Association of physical activity and human sleep disorders. Arch Intern Med. 1998; 158 1894-1898
- 25 Horne JA, Staff LH. Exercise and sleep: body-heating effects. Sleep. 1983; 6 36-46
- 26 Kubitz KA, Landers DM, Petruzzello SJ, Han M. The effects of acute and chronic exercise on sleep. A meta-analytic review. Sports Med. 1996; 21 277-291
- 27 OŽConner PJ, Breus MJ, Youngstedt SD. Exercise-induced increase in core temperature does not disrupt a behavioral measure of sleep. Physiol Behav. 1998; 64 213-217
- 28 O'Neal HA, Dunn AL, Martinsen EW. Depression and exercise. Int J Sport Psychol. 2000; 31 110-135
- 29 Naylor E, Penev PD, Orbeta L et al.. Daily social and physical activity increases slow-wave sleep and daytime neuropsychological performance in the elderly. Sleep. 2000; 23 87-95
- 30 Trinder J, Montgomery I, Paxton SJ. The Effect of Exercise on Sleep: The Negative View. Acta Physiol Scand. 1988; 133 (S 574) 14-20
- 31 Driver HS, Rogers GG, Mitchell D et al.. Prolonged endurance exercise and sleep disruption. Med Sci Sports Exerc. 1994; 26 903-907
- 32 Driver HS, Taylor SR. Exercise and sleep. Sleep Med Rev. 2000; 4 387-402
- 33 Morgan K. Daytime activity and risk factors for late-life insomnia. J Sleep Res. 2003; 12 231-238
- 34 Sun YH, Yu TS, Tong SL et al.. A cross-sectional study of health-related behaviors in rural eastern China. Biomed Environ Sci. 2002; 15 347-354
- 35 Obst S. Stress-Schlaf-Pathogene Mechanismen. Diss. Univ Zürich. 1989;
- 36 Youngstedt SD, O'Connor PJ, Crabbe JB, Dishman RK. The effects of acute exercise on sleep: A quantitative synthesis. Sleep. 1997; 20 203-214
- 37 Vogel GW, Buffenstein A, Minter K et al.. Drug effects on REM sleep and on endogenous depression. Neurosci Biobehav Rev. 1990; 14 49-63
- 38 Weaver TE, Laizner AM, Evans LK et al.. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep. 1997; 20 835-843
- 39 Youngstedt SD, Kripke DF, Elliott JA et al.. Light exposure, sleep quality, and depression in older adults. In: Holick MF, Jung EG, (eds.) Biologic effects of light 1998. Boston: Kluwer Academic Publishers; 1999: 427-435
- 40 Youngstedt SD, OŽConnor PJ, Dishman RK. The effects of acute exercise on sleep: a quantitative synthesis. Sleep. 1997; 20 203-214
- 41 Youngstedt SD, Kripke DF, Elliot JA. Is sleep disturbed by vigorous late-night exercise?. Med Sci Sports Exerc. 1999; 31 864-869
Korrespondenz
Univ.-Prof. Dr. med. Christian Mucha
Deutsche Sporthochschule Köln Abteilung Medizinische Rehabilitation und Prävention
Carl-Diem-Weg 6
50933 Köln
Fax: 0221/49828460