Resumo

Embora um corpo substancial da literatura tenha explorado a relação entre sono e exercícios, faltam revisões abrangentes e conclusões definitivas sobre o impacto das intervenções de exercícios no sono. As bases de dados eletrônicas foram pesquisadas em busca de artigos publicados entre janeiro de 2013 e março de 2017. Os estudos foram incluídos se possuíssem medidas objetivas ou subjetivas do sono e uma intervenção de exercício que seguisse as diretrizes recomendadas pelo American College of Sports Medicine. Trinta e quatro estudos preencheram esses critérios de inclusão. Vinte e nove estudos concluíram que os exercícios melhoraram a qualidade ou a duração do sono; no entanto, quatro não encontraram nenhuma diferença e um relatou um impacto negativo do exercício no sono. Os resultados do estudo variaram mais significativamente devido à idade dos participantes, estado de saúde e ao modo e intensidade da intervenção do exercício. Resultados mistos foram relatados para crianças, adolescentes e adultos jovens. As intervenções realizadas com adultos de meia-idade e idosos relataram resultados mais robustos. Nestes casos, o exercício promoveu aumento da eficiência e da duração do sono, independentemente do modo e da intensidade da atividade, principalmente em populações que sofrem de doenças. Nossa revisão sugere que o sono e os exercícios exercem efeitos positivos substanciais um sobre o outro; no entanto, para chegar a um verdadeiro consenso, os mecanismos por trás dessas observações devem primeiro ser elucidados.
 

Referências

  1. N. F. Watson, M. S. Badr, G. Belenky et al., “Joint consensus statement of the American academy of sleep medicine and sleep research society on the recommended amount of sleep for a healthy adult: methodology and discussion,” Sleep, vol. 38, no. 8, pp. 1161–1183, 2015.View at: Publisher Site | Google Scholar
  2. Y. Liu, A. G. Wheaton, D. P. Chapman, T. J. Cunningham, H. Lu, and J. B. Croft, “Prevalence of healthy sleep duration among adults—United states, 2014,” Morbidity and Mortality Weekly Report, vol. 65, no. 6, pp. 137–141, 2016.View at: Publisher Site | Google Scholar
  3. S. Paruthi, L. J. Brooks, C. D'Ambrosio et al., “Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine,” Journal of Clinical Sleep Medicine, vol. 12, no. 6, pp. 785–786, 2016.View at: Publisher Site | Google Scholar
  4. D. K. Eaton, L. Kann, S. Kinchen et al., “Youth risk behavior surveillance—United States, 2011,” Morbidity and Mortality Weekly Report, vol. 61, no. 4, pp. 1–162, 2012.View at: Google Scholar
  5. Institute of Medicine, Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem, National Academies Press, Washington, DC, USA, 2006.View at: Publisher Site
  6. J. Connor, R. Norton, S. Ameratunga et al., “Driver sleepiness and risk of serious injury to car occupants: population-based case control study,” British Medical Journal, vol. 324, no. 7346, pp. 1125–1128, 2002.View at: Publisher Site | Google Scholar
  7. National Academies of Sciences, Engineering, and Medicine, Commercial Motor Vehicle Driver Fatigue, Long-Term Health, and Highway Safety: Research Needs, National Academies Press, Washington, DC, USA, 2016.View at: Publisher Site
  8. B. W. Ward, T. C. Clarke, C. N. Nugent, and J. S. Schiller, Early Release of Selected Estimates Based on Data from the 2015 National Health Interview Survey, National Center for Health Statistics, Hyattsville, Md, USA, 2016.
  9. U. Ladabaum, A. Mannalithara, P. A. Myer, and G. Singh, “Obesity, abdominal obesity, physical activity, and caloric intake in US adults: 1988 to 2010,” American Journal of Medicine, vol. 127, no. 8, pp. 717–727.e12, 2014.View at: Publisher Site | Google Scholar
  10. F. W. Booth, C. K. Roberts, and M. J. Laye, “Lack of exercise is a major cause of chronic diseases,” Comprehensive Physiology, vol. 2, no. 2, pp. 1143–1211, 2012.View at: Publisher Site | Google Scholar
  11. P. Kokkinos and J. Myers, “Exercise and physical activity: clinical outcomes and applications,” Circulation, vol. 122, no. 16, pp. 1637–1648, 2010.View at: Publisher Site | Google Scholar
  12. M. Hirshkowitz, K. Whiton, S. M. Albert et al., “National Sleep Foundation's updated sleep duration recommendations: final report,” Sleep Health, vol. 1, no. 4, pp. 233–243, 2015.View at: Publisher Site | Google Scholar
  13. S. L. Halson, “Sleep in elite athletes and nutritional interventions to enhance sleep,” Sports Medicine, vol. 44, no. 1, pp. S13–S23, 2014.View at: Publisher Site | Google Scholar
  14. J.-M. Petit, S. Burlet-Godinot, P. J. Magistretti, and I. Allaman, “Glycogen metabolism and the homeostatic regulation of sleep,” Metabolic Brain Disease, vol. 30, no. 1, pp. 263–279, 2015.View at: Publisher Site | Google Scholar
  15. M. A. Kredlow, M. C. Capozzoli, B. A. Hearon, A. W. Calkins, and M. W. Otto, “The effects of physical activity on sleep: a meta-analytic review,” Journal of Behavioral Medicine, vol. 38, no. 3, pp. 427–449, 2015.View at: Publisher Site | Google Scholar
  16. T. Abel, R. Havekes, J. M. Saletin, and M. P. Walker, “Sleep, plasticity and memory from molecules to whole-brain networks,” Current Biology, vol. 23, no. 17, pp. R774–R788, 2013.View at: Publisher Site | Google Scholar
  17. C. J. Harp, Exercise training and sleep quality in young adults from the training interventions and genetics of exercise response (TIGER) study [M.S. thesis], University of Texas at Austin, 2015.
  18. M. Mendelson, A. Borowik, A.-S. Michallet et al., “Sleep quality, sleep duration and physical activity in obese adolescents: effects of exercise training,” Pediatric Obesity, vol. 11, no. 1, pp. 26–32, 2016.View at: Publisher Site | Google Scholar
  19. M. S. Tremblay, V. Carson, and J.-P. Chaput, “Introduction to the Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep,” Applied Physiology, Nutrition and Metabolism, vol. 41, no. 6, supplement 3, pp. S311–S327, 2016.View at: Publisher Site | Google Scholar
  20. L. A. Matricciani, T. S. Olds, S. Blunden, G. Rigney, and M. T. Williams, “Never enough sleep: a brief history of sleep recommendations for children,” Pediatrics, vol. 129, no. 3, pp. 548–556, 2012.View at: Publisher Site | Google Scholar
  21. W. Sun, Y. Huang, Z. Wang et al., “Sleep duration associated with body mass index among Chinese adults,” Sleep Medicine, vol. 16, no. 5, pp. 612–616, 2015.View at: Publisher Site | Google Scholar
  22. Z. Shan, H. Ma, M. Xie et al., “Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies,” Diabetes Care, vol. 38, no. 3, pp. 529–537, 2015.View at: Publisher Site | Google Scholar
  23. D. Xie, W. Li, Y. Wang et al., “Sleep duration, snoring habits and risk of acute myocardial infarction in China population: results of the INTERHEART study,” BMC Public Health, vol. 14, no. 1, article 531, 2014.View at: Publisher Site | Google Scholar
  24. B. Ge and X. Guo, “Short and long sleep durations are both associated with increased risk of stroke: a meta-analysis of observational studies,” International Journal of Stroke, vol. 10, no. 2, pp. 177–184, 2015.View at: Publisher Site | Google Scholar
  25. A. Nakata, “Work hours, sleep sufficiency, and prevalence of depression among full-time employees: a community-based cross-sectional study,” Journal of Clinical Psychiatry, vol. 72, no. 5, pp. 605–614, 2011.View at: Publisher Site | Google Scholar
  26. L. Durcan, F. Wilson, and G. Cunnane, “The effect of exercise on sleep and fatigue in rheumatoid arthritis: a randomized controlled study,” The Journal of Rheumatology, vol. 41, no. 10, pp. 1966–1973, 2014.View at: Publisher Site | Google Scholar
  27. K. Løppenthin, B. A. Esbensen, P. Jennum et al., “Effect of intermittent aerobic exercise on sleep quality and sleep disturbances in patients with rheumatoid arthritis—design of a randomized controlled trial,” BMC Musculoskeletal Disorders, vol. 15, article 49, 2014.View at: Publisher Site | Google Scholar
  28. U. Yamamoto, M. Mohri, K. Shimada et al., “Six-month aerobic exercise training ameliorates central sleep apnea in patients with chronic heart failure,” Journal of Cardiac Failure, vol. 13, no. 10, pp. 825–829, 2007.View at: Publisher Site | Google Scholar
  29. S. M. Williams, V. L. Farmer, B. J. Taylor, and R. W. Taylor, “Do more active children sleep more? A repeated cross-sectional analysis using accelerometry,” PLoS ONE, vol. 9, no. 4, Article ID e93117, 2014.View at: Publisher Site | Google Scholar
  30. G. E. Vincent, L. M. Barnett, D. R. Lubans, J. Salmon, A. Timperio, and N. D. Ridgers, “Temporal and bidirectional associations between physical activity and sleep in primary school-aged children,” Applied Physiology, Nutrition, and Metabolism, vol. 42, no. 3, pp. 238–242, 2017.View at: Publisher Site | Google Scholar
  31. C. Lang, N. Kalak, S. Brand, E. Holsboer-Trachsler, U. Pühse, and M. Gerber, “The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis,” Sleep Medicine Reviews, vol. 28, pp. 28–41, 2016.View at: Publisher Site | Google Scholar
  32. Y. Yamanaka, S. Hashimoto, N. N. Takasu et al., “Morning and evening physical exercise differentially regulate the autonomic nervous system during nocturnal sleep in humans,” American Journal of Physiology—Regulatory Integrative and Comparative Physiology, vol. 309, no. 9, pp. R1112–R1121, 2015.View at: Publisher Site | Google Scholar
  33. J. R. Alley, J. W. Mazzochi, C. J. Smith, D. M. Morris, and S. R. Collier, “Effects of resistance exercise timing on sleep architecture and nocturnal blood pressure,” Journal of Strength and Conditioning Research, vol. 29, no. 5, pp. 1378–1385, 2015.View at: Publisher Site | Google Scholar
  34. K. Fairbrother, B. Cartner, J. R. Alley et al., “Effects of exercise timing on sleep architecture and nocturnal blood pressure in prehypertensives,” Vascular Health and Risk Management, vol. 10, pp. 691–698, 2014.View at: Publisher Site | Google Scholar
  35. S. Brand, N. Kalak, M. Gerber, R. Kirov, U. Pühse, and E. Holsboer-Trachsler, “High self-perceived exercise exertion before bedtime is associated with greater objectively assessed sleep efficiency,” Sleep Medicine, vol. 15, no. 9, pp. 1031–1036, 2014.View at: Publisher Site | Google Scholar
  36. D. J. Buysse, C. F. Reynolds III, T. H. Monk, S. R. Berman, and D. J. Kupfer, “The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research,” Psychiatry Research, vol. 28, no. 2, pp. 193–213, 1989.View at: Publisher Site | Google Scholar
  37. C. Erlacher, D. Erlacher, and M. Schredl, “The effects of exercise on self-rated sleep among adults with chronic sleep complaints,” Health Science, vol. 4, no. 3, pp. 289–298, 2015.View at: Google Scholar
  38. H. Wennman, E. Kronholm, T. Partonen et al., “Physical activity and sleep profiles in Finnish men and women,” BMC Public Health, vol. 14, article 82, 2014.View at: Publisher Site | Google Scholar
  39. R. K. Dishman, X. Sui, T. S. Church, C. E. Kline, S. D. Youngstedt, and S. N. Blair, “Decline in cardiorespiratory fitness and odds of incident sleep complaints,” Medicine and Science in Sports and Exercise, vol. 47, no. 5, pp. 960–966, 2015.View at: Publisher Site | Google Scholar
  40. L. B. Strand, L. E. Laugsand, U. Wisløff, B. M. Nes, L. Vatten, and I. Janszky, “Insomnia symptoms and cardiorespiratory fitness in healthy individuals: The Nord-Trøndelag health study (HUNT),” Sleep, vol. 36, no. 1, pp. 99–108, 2013.View at: Publisher Site | Google Scholar
  41. L. J. Chen, A. Steptoe, Y. H. Chen, P. W. Ku, and C. H. Lin, “Physical activity, smoking, and the incidence of clinically diagnosed insomnia,” Sleep Medicine, vol. 30, pp. 189–194, 2017.View at: Google Scholar
  42. B. Zheng, C. Yu, L. Lin et al., “Associations of domain-specific physical activities with insomnia symptoms among 0.5 million Chinese adults,” Journal of Sleep Research, 2017.View at: Publisher Site | Google Scholar
  43. J. L. Farnsworth, Y. Kim, and M. Kang, “Sleep disorders, physical activity, and sedentary behavior among U.S. adults: national health and nutrition examination survey,” Journal of Physical Activity and Health, vol. 12, no. 12, pp. 1567–1575, 2015.View at: Publisher Site | Google Scholar
  44. J. J. McClain, D. S. Lewin, A. D. Laposky, L. Kahle, and D. Berrigan, “Associations between physical activity, sedentary time, sleep duration and daytime sleepiness in US adults,” Preventive Medicine, vol. 66, pp. 68–73, 2014.View at: Publisher Site | Google Scholar
  45. S. Du, J. Dong, H. Zhang et al., “Taichi exercise for self-rated sleep quality in older people: a systematic review and meta-analysis,” International Journal of Nursing Studies, vol. 52, no. 1, pp. 368–379, 2015.View at: Publisher Site | Google Scholar
  46. J. M. Dzierzewski, M. P. Buman, P. R. Giacobbi et al., “Exercise and sleep in community-dwelling older adults: evidence for a reciprocal relationship,” Journal of Sleep Research, vol. 23, no. 1, pp. 61–68, 2014.View at: Publisher Site | Google Scholar
  47. M. O. Melancon, D. Lorrain, and I. J. Dionne, “Sleep depth and continuity before and after chronic exercise in older men: electrophysiological evidence,” Physiology and Behavior, vol. 140, pp. 203–208, 2015.View at: Publisher Site | Google Scholar
  48. D. Siddarth, P. Siddarth, and H. Lavretsky, “An observational study of the health benefits of yoga or Tai Chi compared with aerobic exercise in community-dwelling middle-aged and older adults,” American Journal of Geriatric Psychiatry, vol. 22, no. 3, pp. 272–273, 2014.View at: Publisher Site | Google Scholar
  49. X. Wang and S. D. Youngstedt, “Sleep quality improved following a single session of moderate-intensity aerobic exercise in older women: results from a pilot study,” Journal of Sport and Health Science, vol. 3, no. 4, pp. 338–342, 2014.View at: Google Scholar
  50. K. G. Baron, K. J. Reid, and P. C. Zee, “Exercise to improve sleep in insomnia: exploration of the bidirectional effects,” Journal of Clinical Sleep Medicine, vol. 9, no. 8, pp. 819–824, 2013.View at: Publisher Site | Google Scholar
  51. B. B. Gambassi, F. J. F. Almeida, B. A. Sauaia et al., “Resistance training contributes to variability in heart rate and quality of the sleep in elderly women without comorbidities,” Journal of Exercise Physiology Online, vol. 18, no. 6, pp. 112–123, 2015.View at: Google Scholar
  52. P. Fowler, R. Duffield, and J. Vaile, “Effects of simulated domestic and international air travel on sleep, performance, and recovery for team sports,” Scandinavian Journal of Medicine and Science in Sports, vol. 25, no. 3, pp. 441–451, 2015.View at: Publisher Site | Google Scholar
  53. H. H. K. Fullagar, S. Skorski, R. Duffield, D. Hammes, A. J. Coutts, and T. Meyer, “Sleep and athletic performance: the effects of sleep loss on exercise performance, and physiological and cognitive responses to exercise,” Sports Medicine, vol. 45, no. 2, pp. 161–186, 2015.View at: Publisher Site | Google Scholar
  54. M. Nédélec, S. Halson, A.-E. Abaidia, S. Ahmaidi, and G. Dupont, “Stress, sleep and recovery in elite soccer: a critical review of the literature,” Sports Medicine, vol. 45, no. 10, pp. 1387–1400, 2015.View at: Publisher Site | Google Scholar
  55. M. A. Mejri, N. Yousfi, O. Hammouda et al., “One night of partial sleep deprivation increased biomarkers of muscle and cardiac injuries during acute intermittent exercise,” Journal of Sports Medicine and Physical Fitness, In press.View at: Google Scholar
  56. M. A. Mejri, N. Yousfi, T. Mhenni et al., “Does one night of partial sleep deprivation affect the evening performance during intermittent exercise in Taekwondo players?” Journal of Exercise Rehabilitation, vol. 12, no. 1, pp. 47–53, 2016.View at: Google Scholar
  57. M. Nédélec, S. Halson, B. Delecroix, A.-E. Abaidia, S. Ahmaidi, and G. Dupont, “Sleep hygiene and recovery strategies in elite soccer players,” Sports Medicine, vol. 45, no. 11, pp. 1547–1559, 2015.View at: Publisher Site | Google Scholar
  58. H. T. Suppiah, C. Y. Low, and M. Chia, “Effects of sports training on sleep characteristics of Asian adolescent athletes,” Biological Rhythm Research, vol. 46, no. 4, pp. 523–536, 2015.View at: Publisher Site | Google Scholar
  59. H. T. Suppiah, C. Y. Low, and M. Chia, “Effects of sport-specific training intensity on sleep patterns and psychomotor performance in adolescent athletes,” Pediatric Exercise Science, vol. 28, no. 4, pp. 588–595, 2016.View at: Publisher Site | Google Scholar
  60. A. Harris, H. Gundersen, P. M. Andreassen, E. Thun, B. Bjorvatn, and S. A. Pallesen, “A comparative study of sleep and mood between young elite athletes and age-matched controls,” Journal of Physical Activity and Health, 2017.View at: Publisher Site | Google Scholar
  61. S. C. Killer, I. S. Svendsen, A. E. Jeukendrup, and M. Gleeson, “Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention,” Journal of Sports Sciences, pp. 1–9, 2015.View at: Publisher Site | Google Scholar
  62. G. J. G. Marshall and A. N. Turner, “The importance of sleep for athletic performance,” Strength and Conditioning Journal, vol. 38, no. 1, pp. 61–67, 2016.View at: Publisher Site | Google Scholar
  63. J. Liu, J. Hay, and B. E. Faught, “The association of sleep disorder, obesity status, and diabetes mellitus among US adults—The NHANES 2009-2010 survey results,” International Journal of Endocrinology, vol. 2013, Article ID 234129, 2013.View at: Publisher Site | Google Scholar
  64. S. Nam, K. J. Stewart, and D. A. Dobrosielski, “Lifestyle intervention for sleep disturbances among overweight or obese individuals,” Behavioral Sleep Medicine, vol. 14, no. 3, pp. 343–350, 2016.View at: Publisher Site | Google Scholar
  65. I. H. Iftikhar, C. E. Kline, and S. D. Youngstedt, “Effects of exercise training on sleep apnea: a meta-analysis,” Lung, vol. 192, no. 1, pp. 175–184, 2014.View at: Publisher Site | Google Scholar
  66. K. D. Aiello, W. G. Caughey, B. Nelluri, A. Sharma, F. Mookadam, and M. Mookadam, “Effect of exercise training on sleep apnea: a systematic review and meta-analysis,” Respiratory Medicine, vol. 116, pp. 85–92, 2016.View at: Publisher Site | Google Scholar
  67. C. E. Kline, “The bidirectional relationship between exercise and sleep: implications for exercise adherence and sleep improvement,” American Journal of Lifestyle Medicine, vol. 8, no. 6, pp. 375–379, 2014.View at: Publisher Site | Google Scholar
  68. C. D. Rethorst, T. L. Greer, M. S. P. Toups, I. Bernstein, T. J. Carmody, and M. H. Trivedi, “IL-1β and BDNF are associated with improvement in hypersomnia but not insomnia following exercise in major depressive disorder,” Translational Psychiatry, vol. 5, article e611, 2015.View at: Publisher Site | Google Scholar
  69. F. Ashrafinia, M. Mirmohammadali, H. Rajabi et al., “The effects of Pilates exercise on sleep quality in postpartum women,” Journal of Bodywork and Movement Therapies, vol. 18, no. 2, pp. 190–199, 2014.View at: Publisher Site | Google Scholar
 

Acessar