PDF(Pubmed)
Abstract：
The prevalence of locomotive syndrome naturally increases with age, but approximately half of nonelderly individuals also meet the criteria for locomotive syndrome, suggesting that even younger people need to pay attention to their own health status. Sleep is important for physical, cognitive, and psychological health. Some individuals with poor sleep quality may be at risk of developing negative health status. Although the effects of sleep hygiene strategies for elderly individuals have been well investigated, optimal nonpharmacological sleep hygiene strategies for improving sleep quality in nonelderly individuals has not been identified. We conducted a systematic review and network meta-analysis (NMA) of randomized controlled trials aimed to elucidate the effects of various nonpharmacological interventions on sleep quality in nonelderly individuals and to identify the optimal intervention. Cochrane Central Register of Controlled Trials, Medline, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, and Scopus were comprehensively searched. We identified 27 studies focusing on the effects of various nonpharmacological sleep hygiene strategies in nonelderly individuals, and 24 studies were applied into NMA. The present results showed that resistance training was the most effective intervention for improving sleep quality in nonelderly individuals. In addition, this study revealed the effects of nonpharmacological interventions, such as physical activity, nutritional intervention, as well as exercise interventions. This is the first report that utilized NMA to compare the effects of various nonpharmacological interventions on sleep quality in nonelderly individuals.
摘要：
机车综合征的患病率自然随着年龄的增长而增加，但是大约一半的非老年人也符合机车综合征的标准，这表明即使是年轻人也需要关注自己的健康状况。睡眠对身体很重要，认知，和心理健康。一些睡眠质量差的人可能有发展为负面健康状况的风险。尽管睡眠卫生策略对老年人的影响已经得到了很好的研究，尚未确定改善非老年人睡眠质量的最佳非药物睡眠卫生策略。我们对随机对照试验进行了系统评价和网络荟萃分析（NMA），旨在阐明各种非药物干预对非老年人睡眠质量的影响，并确定最佳干预措施。Cochrane中央控制试验登记册,Medline,护理和相关健康文献的累积指数，物理治疗证据数据库,和Scopus进行了全面搜索。我们确定了27项研究，重点研究了各种非药物睡眠卫生策略对非老年人的影响。24项研究应用于NMA。目前的结果表明，阻力训练是改善非老年人睡眠质量的最有效干预措施。此外,这项研究揭示了非药物干预的效果，比如身体活动，营养干预,以及运动干预。这是第一份利用NMA比较各种非药物干预对非老年人睡眠质量影响的报告。
