Research Article
Volume 2 Issue 11 - 2020
Physical Activity Improves Sleep Quality in Nursing Homes Elderly
Mehdi Kushkestani1, Mohsen Parvani1, Atiyeh Abbasi2 and Mahsa Moghadassi3*
1M.Sc. Student of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran
2Bachelor Student of Physical Education, Islamic Azad University, South Tehran Branch, Tehran, Iran
3M.Sc Student of Exercise Physiology, Department of Exercise Physiology, Islamic Azad University Tehran North Branch, Tehran, Iran
*Corresponding Author: Mahsa Moghadassi, M.Sc Student of Exercise Physiology, Department of Exercise Physiology, Islamic Azad University Tehran North Branch, Tehran, Iran.
Received: September 08, 2020; Published: October 15, 2020


Background: Sleep disorders is one of the most important problem in older adults.

Objective of the Study: Physical activity improves sleep quality in nursing homes elderly.

Methods: The subjects of this study were 119 elderly people over the age of 65 living in nursing homes in Tehran. The demographic characteristics of the subjects were collected and recorded. Then, body composition, blood pressure and anthropometric indices including weight, body mass index [BMI], height and calf circumferences [CC], waist circumferences [WC] and hip circumferences were measured using a digital scale of OMRON, OMRON M2 blood pressure monitor and meter tape. Physical activity and sleep quality were measured by Physical Activity Scale for the Elderly (PASE) and the Pittsburgh Sleep Quality Index (PSQI) respectively.

Results: The results of Pearson correlation showed that there was a significant inverse relationship between ages with sleep quality (p < 0.003) and its subunits (Subjective (p < 0.017), Latency (p < 0,000), Disturbance (p < 0.020), Dysfunction (p < 0.026)). But there was a direct and significant relationship between physical activity levels with sleep quality (p < 0.003) and its subunits (Subjective (p < 0.000), Latency (p < 0.000), Disturbance (p < 0.000)). Besides, there was a positive and significant relationship between diastolic blood pressure and sleep subjective (p < 0.024). Non-pharmacological and cost-effective solution.

Conclusion: According to the findings of this study physical activity can use as a non-pharmacological and cost-effective solution to improve sleep quality and prevent its complications in elderlies.

Keywords: Sleep Quality; Sedentary; Older Adults; Life Style; Physical Activity


  1. Fuellen G., et al. “Health and aging: unifying concepts, scores, biomarkers and pathways”. Aging and Disease4 (2019): 883.
  2. Tartibian B., et al. “Relationship between the Level of Physical Activity and Nutritional Status with Fatigue in Elderly Residents of Rest Homes in Tehran”. New Approaches in Sport Sciences2 (2019): 155-168.
  3. Liguori I., et al. “Oxidative stress, aging, and diseases”. Clinical Interventions in Aging 13 (2018): 757.
  4. Ageing and health: WHO (2018).
  5. Sadri Damirchi E., et al. “The Role of Stroop Performance in Predicting Sleep Quality and Quality of Life in the Elderly”. Iranian Journal of Ageing5 (2019): 564-575.
  6. Kushkestani M., et al. “The Physical Activity and Fall Risk Among Iranian Older Male Adults”. The Open Nursing Journal1 (2020).
  7. Kushkesthani M., et al. “Malnutrition is Associated with Cognitive Function, Tiredness and Sleep Quality in Elderly Living Nursing Home”. Journal of Aging Science 8 (2020): 233.
  8. Kushkestani M MM., et al. “Physical Activity as a Preventive Factor to Aging-Related Physical Dysfunction in Iranian Community-Dwelling Elderly”. Journal of Aging Science (2020): 8.
  9. Kushkestani M PM., et al. “Investigation of Life Expectancy in Community-Dwelling Elderly Men in Iran And Its Related Factors”. Journal of Aging Science (2020): 8.
  10. Kushkestani M., et al. “The Relationship Between the Level of Physical Activity and Dementia in Elderly Residents of Nursing Homes in Tehran (2020).
  11. Lao XQ., et al. “Sleep quality, sleep duration, and the risk of coronary heart disease: a prospective cohort study with 60,586 adults”. Journal of Clinical Sleep Medicine 1 (2018): 109-117.
  12. João KADR., et al. “Sleep quality components and mental health: Study with a non-clinical population”. Psychiatry Research 269 (2018): 244-250.
  13. Léger D., et al. “An international survey of sleeping problems in the general population”. Current Medical Research and Opinion 1 (2008): 307-317.
  14. Ancoli-Israel S. “Sleep disorders in the elderly”. Sleep Medicine 2 (2001): 99-114.
  15. Foley DJ., et al. “Sleep complaints among elderly persons: an epidemiologic study of three communities”. Sleep 6 (1995): 425-432.
  16. Ohayon M and Lemoine P. “Sleep and insomnia markers in the general population”. L'encephale2 (2004):135-140.
  17. Seyedrasooli E., et al. “The effect of reflexology on sleep quality of elderly: a single-blind”. Clinical Trial (2013).
  18. Zerouali Y., et al. “The effects of early and late night partial sleep deprivation on automatic and selective attention: An ERP study”. Brain Research 1308 (2010): 87-99.
  19. Azarniveh M and Khormizi S. “Effect of physical activity on quality of sleep in female students”. Journal of Gorgan University of Medical Sciences 2 (2016).
  20. Kushkestani M., et al. “Physical Activity is a Preventive Factor Against SARS- COV-2 in Healthy Subjects”. Possible Cellular and Molecular Mechanisms (2020): 29.
  21. Mehdi Kushkestani MP., et al. “The Relationship between Anthropometric Indices and Lipid Profiles In-Office Employees”. Journal of Sports Science (2020): 8.
  22. Holfeld B and Ruthig JC. “A longitudinal examination of sleep quality and physical activity in older adults”. Journal of Applied Gerontology 7 (2014): 791-807.
  23. Kamrani A., et al. “Investigation of the Relationship between Sleep Quality with Interlukin-1β and C-Reaction protein in Active and Non-Active Men”. Journal of Rafsanjan University of Medical Sciences 2 (2014): 141-150.
  24. Moghaddam JF., et al. “Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P)”. Sleep and Breathing 1 (2012): 79-82.
  25. Ishaghi R., et al. “Effect of faith-based education on physical activity on the elderly”. Iranian Journal of Medical Education 5 (2011): 1281-1288.
  26. Ohayon MM. “Epidemiology of insomnia: what we know and what we still need to learn”. Sleep Medicine Reviews 2 (2002): 97-111.
  27. Sagayadevan V., et al. “Prevalence and correlates of sleep problems among elderly Singaporeans”. Psychogeriatrics 1 (2017): 43-51.
  28. Luo J., et al. “Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study”. PloS one11 (2013): e81261.
  29. Duclos C., et al. “The impact of poor sleep on cognition and activities of daily living after traumatic brain injury: a review”. Australian Occupational Therapy Journal1 (2015): 2-12.
  30. Park JH., et al. “Prevalence and predictors of poor sleep quality in K orean older adults”. International Journal of Nursing Practice2 (2013): 116-123.
  31. Wang Y-M., et al. “Prevalence of insomnia and its risk factors in older individuals: a community-based study in four cities of Hebei Province, China”. Sleep Medicine 19 (2016): 116-122.
  32. Pan C-W., et al. “Self-reported sleep quality, duration, and health-related quality of life in older Chinese: evidence from a rural town in Suzhou, China”. Journal of Clinical Sleep Medicine8 (2017): 967-974.
  33. Foley D., et al. “Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey”. Journal of Psychosomatic Research5 (2004): 497-502.
  34. Takada S., et al. “Association between subjective sleep quality and future risk of falls in older people: results from LOHAS”. The Journals of Gerontology: Series A9 (2018): 1205-1211.
  35. Varrasse M., et al. “Exercise and sleep in community-dwelling older adults”. Current Sleep Medicine Reports4 (2015): 232-240.
  36. Mehdi Kushkestani MP., et al. “The Evaluation of Differences on Geriatric Syndromes between Active and Sedentary Elderly”. Journal of Sports Science (2020): 8.
  37. Hartescu I., et al. “Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial”. Journal of Sleep Research 5 (2015): 526-534.
  38. Vanderlinden J., et al. “Effects of physical activity programs on sleep outcomes in older adults: A systematic review”. International Journal of Behavioral Nutrition and Physical Activity (2020): 17.
  39. Lie J., et al. “Pharmacological Treatment of Insomnia”. P and T: a Peer-Reviewed Journal for Formulary Management 40 (2015): 759-771.
  40. Cai H., et al. “Sleep duration and mortality: a prospective study of 113,138 middle-aged and elderly Chinese men and women”. Sleep4 (2015): 529-536.
  41. Passos GS. “Is exercise an alternative treatment for chronic insomnia?”. Clinics2 5932 (2012): 653-660.
  42. Santos Rd., et al. “Moderate exercise training modulates cytokine profile and sleep in elderly people”. Cytokine3 (2012): 731-735.
  43. Dolezal BA., et al. “Interrelationship between sleep and exercise: a systematic review”. Advances in Preventive Medicine (2017).
  44. Park J., et al. “Lifetime coffee consumption, pineal gland volume, and sleep quality in late life”. Sleep10 (2018): zsy127.
  45. Kalinowski S., et al. “Physical activity in nursing homes-barriers and facilitators: a cross-sectional study”. Journal of Aging and Physical Activity4 (2012): 421-441.
Citation: Mehdi Kushkestani., et al. “Physical Activity Improves Sleep Quality in Nursing Homes Elderly". EC Nursing and Healthcare 2.11 (2020): 58-66.

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