Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/80825
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dc.contributor.authorYeung, WFen_US
dc.contributor.authorLai, AYKen_US
dc.contributor.authorHo, FYYen_US
dc.contributor.authorSuen, LKPen_US
dc.contributor.authorChung, KFen_US
dc.contributor.authorHo, JYSen_US
dc.contributor.authorHo, LMen_US
dc.contributor.authorYu, BYMen_US
dc.contributor.authorChan, LYTen_US
dc.contributor.authorLam, THen_US
dc.date.accessioned2019-06-11T07:05:36Z-
dc.date.available2019-06-11T07:05:36Z-
dc.date.issued2018-12-
dc.identifier.citationSleep medicine, Dec. 2018, v. 52, p. 118-127en_US
dc.identifier.issn1389-9457en_US
dc.identifier.urihttp://hdl.handle.net/10397/80825-
dc.description.abstractObjective: To evaluate the feasibility and clinical effects of a lifestyle-integrated exercise, namely zero-time exercise (ZTEx), on improving insomnia in inactive adults with insomnia disorder.en_US
dc.description.abstractMethods: In this pilot randomized controlled trial, 37 physically inactive adults (mean age: 49.9 years; SD: 13.6 91.9% female) fulfilling the diagnostic criteria of insomnia disorder recruited from the community were randomly assigned to ZTEx training or sleep hygiene education (SHE) groups. Subjects in the ZTEx group (n = 18) attended two 2-hour training lessons to learn ZTEx which they then practiced daily for eight weeks. Subjects in the SHE group (n = 19) attended two lessons of the same schedule and duration. The primary outcome measure was the Insomnia Severity Index (ISI).en_US
dc.description.abstractResults: The ZTEx group had lower ISI scores than the SHE group, with a large between-group effect size of 0.93–1.10 at weeks two, four, six, and eight, but the difference became non-significant at week eight, suggesting a loss of efficacy two months after the training. For secondary outcomes, no significant between-group differences were found in sleep parameters by sleep diary or objective actigraphy. The adherence to the ZTEx training course was satisfactory, with 83% of the group completing two sessions and 78% continuing to practice ZTEx for five days or more per week during the eight-week intervention period.en_US
dc.description.abstractConclusion: The simple and brief ZTEx training showed high acceptability and exercise compliance and the first evidence of efficacy in reducing insomnia severity in inactive adults with insomnia disorder. Confirmatory trials with longer follow-up are justified.en_US
dc.description.sponsorshipSchool of Nursingen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofSleep medicineen_US
dc.subjectActigraphyen_US
dc.subjectLifestyle-integrated exerciseen_US
dc.subjectPhysical activityen_US
dc.subjectRCTen_US
dc.subjectSedentaryen_US
dc.subjectSleepen_US
dc.titleEffects of Zero-time Exercise on inactive adults with insomnia disorder : a pilot randomized controlled trialen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.spage118en_US
dc.identifier.epage127en_US
dc.identifier.volume52en_US
dc.identifier.doi10.1016/j.sleep.2018.07.025en_US
dc.identifier.scopus2-s2.0-85054463033-
dc.identifier.ros2018000065-
dc.source.typearen
dc.identifier.eissn1878-5506en_US
dc.contributor.orcid#NODATA#en
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dc.contributor.orcid#NODATA#en
dc.description.validate201906 bcrcen_US
dc.description.oaNot applicableen_US
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