EFEITOS DO EXERCÍCIO FÍSICO NO CONTEXTO DA QUALIDADE DO SONO: UM ENSAIO CLÍNICO RANDOMIZADO COM MULHERES OBESAS SEDENTÁRIAS

• Autor(a) principal: Grützmacher, Quelen Carpes
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional Universidade Franciscana
• Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/969
• topic: Obesidade. Exercício. Sono.; Obesity. Exercise. Sleep; Ciências da Saúde e da Vida

Introduction: One of the main public health problems today is obesity. Its main etiology is an imbalance between calorie intake and expenditure, but it can also be caused by genetics and / or diseases. In addition, the increase in the prevalence of obesity has been associated with a reduction in the duration and quality of sleep. Sleep plays an important role in the body, restorative processes and energy metabolism. Over the past decade, exercise has been widely recommended as an important factor in improving obesity and sleep. Objective: To compare the effect of two physical exercise programs on sleep quality in obese women. Methodology: A randomized clinical trial was carried out with 104 obese and sedentary women divided into two groups (terrestrial and aquatic group), aged between 20 and 60 years BMI (BMI = 30 to 45kg / m2). Data collection was carried out from March 2018 to September 2019 at the Franciscan University. 16 physical exercise sessions were applied, with 49 volunteers in the terrestrial group and another 55 in the aquatic group. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) instrument, which evaluates sleep quality. Anthropometric measures were measured to calculate BMI. Depressive symptoms were assessed using the Beck Depression Inventory (BDI) and anxiety symptoms using the Beck Anxiety Inventory (BAI). After the end of the sessions, they were reevaluated, passing the same tests as the initial evaluation, in order to assess the effects of the intervention protocol. Results: There was an improvement in sleep quality with the practice of physical exercise. Exercises in the terrestrial environment had more efficient results. When comparing the effect of the difference in sleep quality between the aquatic and terrestrial environments, the terrestrial environment showed significant improvement in 5 components of the PSQI (sleep efficiency, sleep disturbance, daytime sleep dysfunction and global score) while the aquatic environment presented improvement in 3 components (sleep disorder, daytime sleep dysfunction and overall score). Those women who showed depressive and anxious symptoms and were allocated in the land, showed better results in sleep quality, when compared to those without the symptoms. Conclusion: Exercises significantly improved the quality of sleep of obese and sedentary women. A greater improvement was achieved in land exercises.