中等强度健步走对中老年高血压患者睡眠质量的影响  

Effects of moderate-intensity brisk walking on sleep quality in middle-aged and elderly patients with hypertension

作　　者：王潘悦 王艳[1] Wang Panyue;Wang Yan(Beijing Sport University,Beijing 100084,China)

机构地区：[1]北京体育大学,北京100084

出　　处：《中国运动医学杂志》2024年第6期465-472,共8页Chinese Journal of Sports Medicine

基　　金：国家重点研发计划重大慢性非传染性疾病防控研究专项(2016YFC1300202);中央高校基本科研业务费专项资金资助课题(2023KFZX001)。

摘　　要：目的:探讨12周中等强度健步走运动对中老年高血压患者睡眠质量的影响。方法:招募40~69岁高血压患者55人(男28人,女27人)。按照受试者意愿,分为干预组(n=33,男18人,女15人)和对照组(n=22,男10人,女12人)。干预组进行健步走,运动强度为40%~59%储备心率强度(%HRR),每次30~60 min,每周3次,共干预12周;对照组保持其原有的生活方式。采用匹兹堡睡眠指数量表(PSQI)评估所有受试者干预前、第4、8、12周时的睡眠质量,并比较干预组和对照组的差异。结果:(1)干预组第4周睡眠障碍评分显著低于干预前(P<0.05),每夜实际睡眠时间显著长于干预前(P<0.05);干预组第8周PSQI总分显著小于第4周(P<0.05),且睡眠时间和日间功能障碍评分显著低于干预前(P<0.05),而每夜实际睡眠时间显著长于干预前(P<0.05);干预组第12周每夜实际睡眠时间显著长于干预前(P<0.05),PSQI总分显著高于第8周(P<0.05)。(2)第4周干预组睡眠障碍评分和PSQI总分显著低于对照组(P<0.05);第8周干预组PSQI总分和睡眠时间评分显著低于对照组(P<0.05),而干预组的睡眠效率评分显著高于对照组(P<0.05);第12周干预组睡眠障碍评分显著低于对照组(P<0.05)。结论:中老年高血压患者进行每周3次、每次45 min,持续8周40%~49%HRR的健步走对睡眠质量有较好的改善效果,且每夜实际睡眠时间、睡眠效率、入睡时间、睡眠时间、日间功能障碍、PSQI总分等均有不同程度的改善。Objective To explore the effect of 12-week moderate-intensity brisk walking on sleep quality in middle-aged and elderly patients with hypertension.Methods Totally 55 patients(28 males,27 females)with hypertension aged 40~69 were recruited.According to the preferences of subjects,they were divided into an intervention group(n=33,18 males,15 females)and a control group(n=22,10 males,12 females).The intervention group took brisk walking at 40%~59%reserve heart rate intensity(%HRR)for 30~60 min each time,3 times per week,for 12 weeks,while the control group maintained their original lifestyle.Then both groups were assessed sleeping quality by using the Pittsburgh Sleep Index Scale(PSQI)before the intervention and after 4-,8-and 12-week intervention.Results(1)At week 4,the score of sleep disturbance in the intervention groupp was significantly lower than that before the intervention(P<0.05),and the reported sleep duration was ssiignificantly longer than that before the intervention(P<0.05).Four weeks later,the global score of PSQI in the intervention group decreased significantly(P<0.05),while the scores of sleep duration and daytime dysfunction weresignificantly lower than before the intervention(P<0.05),with the reported sleep duration significantly longer than that before the intervention(P<0.05).At week 12,the reported sleep duration in the intervention groupwas significantly longer than that before the intervention(P<0.05),while the global score of PSQII was significantly higher than that at week 8(P<0.05).(2)At week 4,the score of sleep disturbance and the global score of PSQI in the intervention group were significantly lower than the control group(P<0.05);At week 8,the global score of PSQI and the score of sleep duration in the intervention group were significantly lower than those in the control group(P<0.05),while the score of sleep efficiency in the intervention group was significantly higher than the control group(P<0.05);At week 12,the score of sleep disturbance in the intervention group was significantly

关 键 词：高血压 睡眠质量 健步走 有氧运动 

分 类 号：R544.1[医药卫生—心血管疾病]