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10-Weeks of resistance training improves sleep quality and cardiac autonomic control in MSers

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  • 10-Weeks of resistance training improves sleep quality and cardiac autonomic control in MSers



    Disability and Rehabilitation

    Original Article

    10-Weeks of resistance training improves sleep quality and cardiac autonomic control in persons with multiple sclerosis

    Luis Andreu-Caravaca,Domingo J. Ramos-Campo,Oriol Abellán-Aynés,Vicente Ávila-Gandía,Linda H. Chung,Pedro Manonelles & show all
    Received 07 Oct 2020, Accepted 22 May 2021, Published online: 09 Jun 2021
    https://doi.org/10.1080/09638288.2021.1934738

    Abstract

    Purpose
    To examine the acute and chronic effects of 10-weeks of progressive resistance training on sleep quality and sleeping heart rate variability in persons with Multiple Sclerosis (pwMS).

    Methods
    Eighteen pwMS (age = 44.8 ± 10.6 years; EDSS = 3.1 ± 1.7) completed a 10-week of resistance training, with three training sessions per week. Each session consisted of 4 lower body exercises, performing 2–4 sets of each exercise, with 8–15 repetitions each set, at an intensity ranging from 60 to 75% of 1-repetition maximum. Subjective and actigraphic sleep quality and sleeping heart rate variability were carried out at 4 different times: (1) Before the starting of the intervention on a rest day; (2) the night after training week 1 (3) the night after training week 10 and 4) after completing the resistance training program on a rest day.

    Results
    Regarding subjective sleep quality, significant main effects were observed on the variables of sleep quality, sleep comfort, easy of falling sleep, easy of waking up and felling of rest. Sleep quality, sleep comfort and easy of falling sleep were greater in rest night in week 1 vs. rest night in week 10. Actigraphic sleep quality also improved after the training program (rest night in week 1 vs. rest night in week 10). In the pair-wise comparison showed an acute effect in the session after the training program (rest night in week 10< training night in week 10) on HF, pNN50 and RMMSD.

    Conclusions
    Resistance training is a non-pharmacological treatment that has the capacity to improve the regulation of autonomic system and, consequently, the sleep quality in pwMS.

    Implications for rehabilitation
    • 10 Weeks of resistance training improves the sleep quality of persons with multiple sclerosis.
    • Resistance training can modulate autonomic cardiac control in this population.
    • Improving the sleep quality is essential for persons with MS because of its close relationship to other variables, such as symptomatic fatigue.
    Dave Bexfield
    ActiveMSers

  • #2
    Another sleep study -D


    Physical activity and self-reported sleep quality in adults with multiple sclerosis
    Katie L.J.CederbergPhDabBrendaJengMSbJeffer E.SasakiPhDcE. MorghenSikesPhDdGaryCutterPhDeRobert W.MotlPhDb

    https://doi.org/10.1016/j.dhjo.2021.101133

    Abstract

    Background
    There is a fourfold higher prevalence of sleep problems in multiple sclerosis (MS) than the general population.

    Objective
    This study examined cross-sectional associations among device-measured sedentary and physical activity behavior with perceived sleep quality in adults with MS.

    Methods
    Adults with MS (N=290) completed the Pittsburgh Sleep Quality Index (PSQI) and wore an accelerometer for seven days providing a measure of time spent in sedentary behavior, light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA) using MS-specific cut-points. We conducted multiple linear regression analysis to identify the independent contributions of variables for explaining PSQI scores.

    Results
    The overall model accounted for 2% of the variance in global PSQI scores, and MVPA was significantly and independently associated with global PSQI scores (β=─0.123; p=0.045; partial r=─0.118) when accounting for average wear time, sedentary behavior, and time spent in LPA. There were no other significant associations with PSQI global score.

    Conclusions
    Our results suggest that time spent in MVPA may be associated with better sleep quality in adults with MS, but adults with MS do not spend sufficient time in physical activity. Researchers should evaluate these relationships in longitudinal study designs and behavior change interventions, as physical activity may provide a unique opportunity to improve sleep quality outcomes.

    Dave Bexfield
    ActiveMSers

    Comment


    • #3
      Adding strength training changed my life! My legs are getting stronger and my balance is getting much better. Before I was diagnosed and shortly after I would fall about once a month. Now it's been over a year since I've fallen.

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