File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Effects of Zero-time Exercise on inactive adults with insomnia disorder: A pilot randomized controlled trial

TitleEffects of Zero-time Exercise on inactive adults with insomnia disorder: A pilot randomized controlled trial
Authors
KeywordsLifestyle-integrated exercise
RCT
Actigraphy
Sedentary
Physical activity
Sleep
Issue Date2018
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep
Citation
Sleep Medicine, 2018, v. 52, p. 118-127 How to Cite?
AbstractObjective: To evaluate the feasibility and clinical effects of a lifestyle-integrated exercise, namely zero-time exercise (ZTEx), on improving insomnia in inactive adults with insomnia disorder. Methods: In this pilot randomized controlled trial, 37 physically inactive adults (mean age: 49.9 years; SD: 13.6 91.9% female) fulfilling the diagnostic criteria of insomnia disorder recruited from the community were randomly assigned to ZTEx training or sleep hygiene education (SHE) groups. Subjects in the ZTEx group (n = 18) attended two 2-hour training lessons to learn ZTEx which they then practiced daily for eight weeks. Subjects in the SHE group (n = 19) attended two lessons of the same schedule and duration. The primary outcome measure was the Insomnia Severity Index (ISI). Results: The ZTEx group had lower ISI scores than the SHE group, with a large between-group effect size of 0.93–1.10 at weeks two, four, six, and eight, but the difference became non-significant at week eight, suggesting a loss of efficacy two months after the training. For secondary outcomes, no significant between-group differences were found in sleep parameters by sleep diary or objective actigraphy. The adherence to the ZTEx training course was satisfactory, with 83% of the group completing two sessions and 78% continuing to practice ZTEx for five days or more per week during the eight-week intervention period. Conclusion: The simple and brief ZTEx training showed high acceptability and exercise compliance and the first evidence of efficacy in reducing insomnia severity in inactive adults with insomnia disorder. Confirmatory trials with longer follow-up are justified. Trial registration number: ClinicalTrials.gov, #NCT03155750
Persistent Identifierhttp://hdl.handle.net/10722/261226
ISSN
2019 Impact Factor: 3.038
2015 SCImago Journal Rankings: 1.363
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYeung, WF-
dc.contributor.authorLai, AYK-
dc.contributor.authorHo, FY-
dc.contributor.authorSuen, LK-
dc.contributor.authorChung, KF-
dc.contributor.authorHo, JY-
dc.contributor.authorHo, LM-
dc.contributor.authorYu, BY-
dc.contributor.authorChan, LY-
dc.contributor.authorLam, TH-
dc.date.accessioned2018-09-14T08:54:37Z-
dc.date.available2018-09-14T08:54:37Z-
dc.date.issued2018-
dc.identifier.citationSleep Medicine, 2018, v. 52, p. 118-127-
dc.identifier.issn1389-9457-
dc.identifier.urihttp://hdl.handle.net/10722/261226-
dc.description.abstractObjective: To evaluate the feasibility and clinical effects of a lifestyle-integrated exercise, namely zero-time exercise (ZTEx), on improving insomnia in inactive adults with insomnia disorder. Methods: In this pilot randomized controlled trial, 37 physically inactive adults (mean age: 49.9 years; SD: 13.6 91.9% female) fulfilling the diagnostic criteria of insomnia disorder recruited from the community were randomly assigned to ZTEx training or sleep hygiene education (SHE) groups. Subjects in the ZTEx group (n = 18) attended two 2-hour training lessons to learn ZTEx which they then practiced daily for eight weeks. Subjects in the SHE group (n = 19) attended two lessons of the same schedule and duration. The primary outcome measure was the Insomnia Severity Index (ISI). Results: The ZTEx group had lower ISI scores than the SHE group, with a large between-group effect size of 0.93–1.10 at weeks two, four, six, and eight, but the difference became non-significant at week eight, suggesting a loss of efficacy two months after the training. For secondary outcomes, no significant between-group differences were found in sleep parameters by sleep diary or objective actigraphy. The adherence to the ZTEx training course was satisfactory, with 83% of the group completing two sessions and 78% continuing to practice ZTEx for five days or more per week during the eight-week intervention period. Conclusion: The simple and brief ZTEx training showed high acceptability and exercise compliance and the first evidence of efficacy in reducing insomnia severity in inactive adults with insomnia disorder. Confirmatory trials with longer follow-up are justified. Trial registration number: ClinicalTrials.gov, #NCT03155750-
dc.languageeng-
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep-
dc.relation.ispartofSleep Medicine-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectLifestyle-integrated exercise-
dc.subjectRCT-
dc.subjectActigraphy-
dc.subjectSedentary-
dc.subjectPhysical activity-
dc.subjectSleep-
dc.titleEffects of Zero-time Exercise on inactive adults with insomnia disorder: A pilot randomized controlled trial-
dc.typeArticle-
dc.identifier.emailYeung, WF: yeungwfj@hku.hk-
dc.identifier.emailLai, AYK: agneslai@hku.hk-
dc.identifier.emailChung, KF: kfchung@hku.hk-
dc.identifier.emailHo, LM: lmho@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.authorityYeung, WF=rp01901-
dc.identifier.authorityLai, AYK=rp02579-
dc.identifier.authorityChung, KF=rp00377-
dc.identifier.authorityHo, LM=rp00360-
dc.identifier.authorityLam, TH=rp00326-
dc.description.naturepostprint-
dc.identifier.doi10.1016/j.sleep.2018.07.025-
dc.identifier.pmid30312957-
dc.identifier.scopuseid_2-s2.0-85054463033-
dc.identifier.hkuros289950-
dc.identifier.hkuros295304-
dc.identifier.volume52-
dc.identifier.spage118-
dc.identifier.epage127-
dc.identifier.isiWOS:000450326800021-
dc.publisher.placeNetherlands-
dc.identifier.issnl1389-9457-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats