Sleep diarly sleep assessment scholarly article

The purpose of this study was to assess the feasibility and acceptability of a gentle Hatha yoga routine developed specifically to reduce sleep disturbance in middle aged to older adults with OA. Several yoga studies, mostly small and uncontrolled, have shown improvements in self-report sleep outcomes persons with insomnia and middle-aged to older adults. Potential mechanisms by which yoga may reduce OA-related sleep disturbance include: (a) reduction of joint stiffness, (b) promotion of relaxation, (c) reduced physiologic activation, and (d) direct effects on neurologic sleep-regulating mechanisms including gamma-aminobutyric acid and melatonin. In the U.S., the term вЂњyogaвЂќ usually refers to a practice of physical strengthening, stretching, and balancing postures that may be accompanied by breathing practices and meditation. Yoga is a complete system of lifestyle, philosophy, and personal health practices based on ancient Indian traditions. Yoga is a multimodal complementary and alternative medical (CAM) practice with potential to beneficially affect several factors contributing to OA-related sleep disturbance. Non-pharmacological, lifestyle based interventions such as yoga may offer a safe and effective alternative for reduction of sleep disturbances in persons with OA.

Although sedative medications may promote sleep in persons with OA, these medications are associated with numerous side effects and do not address the underlying causes of chronic sleep disturbance. As women age, they are at particular risk of OA-related sleep disturbance relative to men, as their risk of both OA and age-related sleep disturbance is higher than men. Furthermore, studies show that sleep disturbance in OA is mediated but not fully explained by arthritis pain, indicating that pain relief alone may not be sufficient to reduce sleep disturbance. As adults age, sleep is predominated by lighter sleep stages that are easily disrupted by stimuli such as bodily sensations from chronic illness (e.g., arthritis pain). Studies show that persons with OA experience difficulty falling asleep and remaining asleep, awaken too early, and experience light, restless sleep. Sleep disturbance is a significant consequence of osteoarthritis (OA), occurring in over 50% of older adults with arthritis.

Sleep diarly sleep assessment scholarly article