理学療法ジャーナル57巻8号

2023年08月発行

特集 睡眠と理学療法の深い関係

睡眠と運動

著者： 小島将¹²³ 内藤翼⁴ 椿淳裕²³⁵

所属機関： ¹嬉泉病院リハビリテーション科 ²新潟医療福祉大学大学院医療福祉学研究科 ³新潟医療福祉大学運動機能医科学研究所 ⁴新潟リハビリテーション病院リハビリテーション部 ⁵新潟医療福祉大学リハビリテーション学部理学療法学科

ページ範囲：P.921 - P.927

Point

●急性および慢性的な睡眠不足は，心身機能の低下に関与する

●中等度〜激しい身体活動および運動は，睡眠状態の改善に寄与する

●入院患者における不良な睡眠は，リハビリテーションによる機能回復を妨げる可能性がある

参考文献

1）Itani O, et al：Nationwide epidemiological study of insomnia in Japan. Sleep Med 2016；25：130-138

2）Westwell A, et al：Sleepiness and safety at work among night shift NHS nurses. Occup Med（Lond） 2021；71：439-445

3）Tanaka K, et al：Similarity in predictors between near miss and adverse event among Japanese nurses working at teaching hospitals. Ind Health 2010；48：775-782

4）Javaheripour N, et al：Functional brain alterations in acute sleep deprivation：an activation likelihood estimation meta-analysis. Sleep Med Rev 2019；46：64-73

5）Heaton KJ, et al：Attention and visual tracking degradation during acute sleep deprivation in a military sample. Aviat Space Environ Med 2014；85：497-503

6）Cain SW, et al：One night of sleep deprivation affects reaction time, but not interference or facilitation in a stroop task. Brain Cogn 2011；76：37-42

7）Kojima S, et al：Acute moderate-intensity exercise improves 24-h sleep deprivation-induced cognitive decline and cerebral oxygenation：a near-infrared spectroscopy study. Respir Physiol Neurobiol 2020；274：103354. doi：10.1016/j.resp.2019.103354

8）Craven J, et al：Effects of acute sleep loss on physical performance：a systematic and meta-analytical review. Sports Med 2022；52：2669-2690

9）D Gonçalves A, et al：Effects of acute sleep deprivation on H reflex and V wave. J Sleep Res 2021；30：e13118. doi：10.1111/jsr.13118

10）Cincin A, et al：Effect of acute sleep deprivation on heart rate recovery in healthy young adults. Sleep Breath 2015；19：631-636

11）Zhong X, et al：Increased sympathetic and decreased parasympathetic cardiovascular modulation in normal humans with acute sleep deprivation. J Appl Physiol（1985） 2005；98：2024-2032

12）Sunbul M, et al：Acute sleep deprivation is associated with increased arterial stiffness in healthy young adults. Sleep Breath 2014；18：215-220

13）Cappuccio FP, et al：Sleep duration and all-cause mortality：a systematic review and meta-analysis of prospective studies. Sleep 2010；33：585-592

14）Piovezan RD, et al：The impact of sleep on age-related sarcopenia：Possible connections and clinical implications. Ageing Res Rev 2015；23：210-220

15）Pana A, et al：Association between muscle strength and sleep quality and duration among middle-aged and older adults：a systematic review. Eur Geriatr Med 2021；12：27-44

16）Zhang L, et al：Associations of sleep quality with gait speed and falls in older adults：the mediating effect of muscle strength and the gender difference. Gerontology 2022；68：1-7

17）Rubio-Arias JÁ, et al：Effect of sleep quality on the prevalence of sarcopenia in older adults：a systematic review with meta-analysis. J Clin Med 2019；8：2156. doi：10.3390/jcm8122156

18）Fábrega-Cuadros R, et al：Associations of sleep and depression with obesity and sarcopenia in middle-aged and older adults. Maturitas 2020；142：1-7

19）Castro-Diehl C, et al：Sleep duration and quality in relation to autonomic nervous system measures：the multi-ethnic study of atherosclerosis（MESA）. Sleep 2016；39：1927-1940

20）Looze C, et al：Sleep duration and disturbance are associated with orthostatic heart rate recovery：findings from the Irish longitudinal study on ageing. Sleep Health 2022；8：654-662

21）Correia ATL, et al：Associations between sleep-related heart rate variability and both sleep and symptoms of depression and anxiety：a systematic review. Sleep Med 2023；101：106-117

22）Gangemi AJ, et al：Sleep duration and efficiency associated with better functional exercise capacity in black smokers at risk for COPD. Chest 2020；158：1680-1688

23）Chen, R et al：The relationship between sleep quality and functional exercise capacity in COPD. Clin Respir J 2016；10：477-485

24）Mendelson M, et al：Maximal exercise capacity in patients with obstructive sleep apnoea syndrome：a systematic review and meta-analysis. Eur Respir J 2018；51：1702697. doi：10.1183/13993003.02697-2017

25）厚生労働省健康局：健康づくりのための睡眠指針2014，2014．https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/suimin/（2023年4月11日閲覧）

26）De Nys L, et al：The effects of physical activity on cortisol and sleep：a systematic review and meta-analysis. Psychoneuroendocrinology 2022；143：105843. doi：10.1016/j.psyneuen.2022.105843

27）Melancon MO, et al：Exercise and sleep in aging：emphasis on serotonin. Pathol Biol（Paris） 2014；62：276-283

28）Kline CE, et al：Physical activity and sleep：an updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report. Sleep Med Rev 2021；58：101489. doi：10.1016/j.smrv.2021.101489

29）World Health Organization：WHO guidelines on physical activity and sedentary behaviour, 2020. https://www.who.int/publications/i/item/9789240015128（2023年4月11日閲覧）

30）Liang YY, et al：Joint association of physical activity and sleep duration with risk of all-cause and cause-specific mortality：a population-based cohort study using accelerometry. Eur J Prev Cardiol 2023（online ahead of print）. doi：10.1093/eurjpc/zwad060

31）Al-Jiffri OH, et al：Aerobic versus resistance exercises on systemic inflammation and sleep parameters in obese subjects with chronic insomnia syndrome. Afr Health Sci 2021；21：1214-1222

32）Gupta S, et al：A clinical trial to compare the effects of aerobic training and resistance training on sleep quality and quality of life in older adults with sleep disturbance. Sleep Sci 2022；15：188-195

33）Wu YH, et al：Effects of traditional Chinese exercises and general aerobic exercises on older adults with sleep disorders：a systematic review and meta-analysis. J Integr Med 2021；19：493-502

34）Efendi F, et al：Effects of chair-based resistance band exercise on physical functioning, sleep quality, and depression of older adults in long-term care facilities：systematic review and meta-analysis. Int J Nurs Sci 2022；10：72-81

35）Si Y, et al：Tai Chi Chuan for subjective sleep quality：a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med 2020；2020：4710527. doi：10.1155/2020/4710527

36）Wang WL, et al：The effect of yoga on sleep quality and insomnia in women with sleep problems：a systematic review and meta-analysis. BMC Psychiatry 2020；20：195. doi：10.1186/s12888-020-02566-4

37）Wesselius HM, et al：Quality and quantity of sleep and factors associated with sleep disturbance in hospitalized patients. JAMA Intern Med 2018；178：1201-1208

38）Iddagoda MT, et al：Post-stroke sleep disturbances and rehabilitation outcomes：a prospective cohort study. Intern Med J 2020；50：208-213

39）Fleming MK, et al：Sleep disruption after brain injury is associated with worse motor outcomes and slower functional recovery. Neurorehabil Neural Repair 2020；34：661-671

40）Kaneko Y, et al：Relationship of sleep apnea to functional capacity and length of hospitalization following stroke. Sleep 2003；26：293-297

41）Alessi CA, et al：More daytime sleeping predicts less functional recovery among older people undergoing inpatient post-acute rehabilitation. Sleep 2008；31：1291-1300