Effect of Taiji Quan on Sleep Quality of Patients with Chronic Insomnia Disorder
10.3969/j.issn.1006-9771.2019.02.019
- VernacularTitle:太极拳锻炼对慢性失眠障碍患者睡眠质量的影响
- Author:
Qing-an ZHOU
1
;
Xian-hong WANG
2
;
Xi-quan ZHU
3
;
Hai-bin YU
4
;
Jin-lai LIU
5
;
Li-jie YANG
5
;
Lin WANG
5
;
Bo YANG
5
;
Chun-mei LI
5
;
Hong-yan LI
5
Author Information
1. Sanquan Medical College of Xinxiang Medical University, Xinxiang, Henan 453003, China
2. Zhengzhou Shuqing Medical College, Zhengzhou, Henan 450064, China
3. The Mental Diseases Prevention and Treatment Center of the Chinese PLA, Jiaozuo, Henan 454003, China
4. The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan 450000, China
5. The First Affiliated Hospital of Henan Polytechnic University, Jiaozuo, Henan 454000, China
- Publication Type:Research Article
- Keywords:
chronic insomnia disorder;
Taiji Quan;
Pittsburgh Sleep Quality Index;
tumor necrosis factor;
soluble tumor necrosis factor receptor
- From:
Chinese Journal of Rehabilitation Theory and Practice
2019;25(2):230-233
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of Taiji Quan on the sleep quality of patients with chronic insomnia disorder (CID) and its mechanism. Methods:From January, 2015 to December, 2017, 31 patients with CID were enrolled in the sleep disorder clinic. Before and 24 weeks after Taiji Quan exercise, the Pittsburgh Sleep Quality Index (PSQI) was used to assess their sleep quality, the serum levels of tumor necrosis factor (TNF)-α, TNF-β, soluble tumor necrosis factor receptor (sTNF-R)1 and sTNF-R2 were detected with protein chip, and the correlation between the total score of PSQI and the serum levels of TNF-α, TNF-β, sTNF-R1 and sTNF-R2 were analyzed after exercise. Results:After Taiji Quan exercise, the scores of PSQI factors (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, daytime dysfunction) and the total score of PSQI decreased (t > 4.080, P < 0.05). The serum levels of TNF-α and TNF-β decreased (t > 13.580, P < 0.01), however, the serum levels of sTNF-R1 and sTNF-R2 significantly increased (t > 160.189, P < 0.001). The serum levels of TNF-α and TNF-β were positively correlated with the total score of PSQI (r > 0.638, P < 0.001), while the serum levels of sTNF-R1 and sTNF-R2 were negatively correlated with the total score of PSQI (r > 0.532, P<0.001). Conclusion:Taiji Quan exercise could help to improve the sleep quality of patients with CID. The mechanism may be related to the decrease of the serum levels of TNF-α and TNF-β, and the increase of the serum levels of sTNF-R1 and sTNF-R2.
