Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06550388
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
None
First Post:
2024-07-22
Brief Title:
Subjective Sleep Quality of Patients With Chronic Insomnia
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Effect of Brief Lifestyle Interventions on the Subjective Sleep Quality of Patients With Chronic Insomnia
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to assess subjective sleep quality diet quality physical activity in patients with chronic insomnia before and after a brief lifestyle intervention during a traditional course of Cognitive Behavioral Therapy for Insomnia CBT-I
Detailed Description:
Chronic insomnia disorder is highly prevalent occurring in 4 to 22 of the population in the US The consequences of chronic insomnia are significant including mood disorders work-related and motor vehicle accidents and overall poor quality of life Lack of sleep satisfaction a hallmark of chronic insomnia is associated with metabolic syndrome diabetes hypertension coronary heart disease and depression1
Chronic insomnia is predominantly managed with hypnotics and other medications despite the effectiveness of and patient preference for CBT-I The American College of Physicians ACP and the American Academy of Sleep Medicine AASM guidelines for management of chronic insomnia recommend all patients receive Cognitive Behavioral Therapy for Insomnia CBT-I as first line treatment for chronic insomnia23 CBT-I is a structured nonpharmacological treatment that uses educational cognitive and behavioral strategies Meta-analyses have shown CBT-I is consistently associated with improved sleep quality in chronic insomnia with or without comorbidities45 While the strategies associated with CBT-I have been found to be effective for the management of chronic insomnia lifestyle intervention to improve patients diet and physical activity is not part of traditional CBT-I The field of behavioral sleep medicine can expand interventional strategies to promote health and well-being while also optimizing sleep health
A pathway to improve sleep health is a shift from a typical medicine perspective which emphasizes identification and treatment of symptoms to a health promotion perspective which emphasizes the promotion of overall well-being Incorporating principles from lifestyle medicine and behavioral sleep medicine can both identify and treat sleep disorders plus promote overall health including education regarding diet quality and exercise Targeting diet quality and physical activity education within the context of CBT-I will underscore the importance of nonpharmacological treatment and the promotion of health and well-being which is central to behavioral sleep and lifestyle medicine
The etiology of chronic insomnia disorder is multifactorial with research supporting poor diet and lack of physical activity as contributing factors to poor sleep Previous studies have reported higher diet quality promotes better sleep quality and mental health Sleep deprivation and sleep disturbances have been linked to poor diet quality Eating too quickly or skipping meals overabundant meals irregular mealtimes and poor food quality all are dietary causes of sleep disorders Additionally the timing of meals including frequency and regularity of snacks may desynchronize circadian rhythm affect metabolism and favor obesity6 There is mounting evidence suggesting sleep influences dietary choices as well Individuals who sleep less are more likely to prefer energy-rich foods eg fats and refined carbohydrates eat fewer vegetables and choose irregular eating patterns7
Additionally several pathways have been proposed regarding benefits of the Mediterranean diet and healthy dietary patterns on sleep including the role of the gut microbiome8 inflammation and the consumption of dietary tryptophan and melatonin9 Some observational studies have shown a high intake of fruit and vegetables is associated with better sleep quality and lower risk of insomnia while a cohort study of older adults in Spain showed that higher consumption of red meat was associated with poor sleep quality and snoring1011
Recent studies have also highlighted the importance of physical activity and the impact on sleep quality Low levels of physical activity have been reported as significant risk factors for both prevalent and incident insomnia12 One study documented improvements in sleep after days with more acute moderate-intensity activity in patients diagnosed with chronic insomnia13 Physical activity and sleep likely influence each other in both physiological and psychological pathways For example in older adults increasing physical activity has been shown to improve excessive daytime sleepiness and reduce prevalence of insomnia symptoms14 Although there have been studies assessing the association between sleep quality and physical activity very little has looked at patients diagnosed with chronic insomnia and we believe this is the first study to add a brief lifestyle intervention to traditional CBT-I
There is support for the inclusion of healthy diet education and increased physical activity in interventions programs such as CBT-I to improve sleep quality among individuals diagnosed with chronic insomnia Combining health promoting behaviors in conjunction with CBT-I is likely to be of great importance in preventing a large set of chronic non-communicable disease At the very least the combination of traditional CBT-I with healthy diet education and physical education may increase sleep quality diet quality and physical activity for patients diagnosed with chronic insomnia
Chronic insomnia is predominantly managed with hypnotics and other medications despite the effectiveness of and patient preference for CBT-I The American College of Physicians ACP and the American Academy of Sleep Medicine AASM guidelines for management of chronic insomnia recommend all patients receive Cognitive Behavioral Therapy for Insomnia CBT-I as first line treatment for chronic insomnia23 CBT-I is a structured nonpharmacological treatment that uses educational cognitive and behavioral strategies Meta-analyses have shown CBT-I is consistently associated with improved sleep quality in chronic insomnia with or without comorbidities45 While the strategies associated with CBT-I have been found to be effective for the management of chronic insomnia lifestyle intervention to improve patients diet and physical activity is not part of traditional CBT-I The field of behavioral sleep medicine can expand interventional strategies to promote health and well-being while also optimizing sleep health
A pathway to improve sleep health is a shift from a typical medicine perspective which emphasizes identification and treatment of symptoms to a health promotion perspective which emphasizes the promotion of overall well-being Incorporating principles from lifestyle medicine and behavioral sleep medicine can both identify and treat sleep disorders plus promote overall health including education regarding diet quality and exercise Targeting diet quality and physical activity education within the context of CBT-I will underscore the importance of nonpharmacological treatment and the promotion of health and well-being which is central to behavioral sleep and lifestyle medicine
The etiology of chronic insomnia disorder is multifactorial with research supporting poor diet and lack of physical activity as contributing factors to poor sleep Previous studies have reported higher diet quality promotes better sleep quality and mental health Sleep deprivation and sleep disturbances have been linked to poor diet quality Eating too quickly or skipping meals overabundant meals irregular mealtimes and poor food quality all are dietary causes of sleep disorders Additionally the timing of meals including frequency and regularity of snacks may desynchronize circadian rhythm affect metabolism and favor obesity6 There is mounting evidence suggesting sleep influences dietary choices as well Individuals who sleep less are more likely to prefer energy-rich foods eg fats and refined carbohydrates eat fewer vegetables and choose irregular eating patterns7
Additionally several pathways have been proposed regarding benefits of the Mediterranean diet and healthy dietary patterns on sleep including the role of the gut microbiome8 inflammation and the consumption of dietary tryptophan and melatonin9 Some observational studies have shown a high intake of fruit and vegetables is associated with better sleep quality and lower risk of insomnia while a cohort study of older adults in Spain showed that higher consumption of red meat was associated with poor sleep quality and snoring1011
Recent studies have also highlighted the importance of physical activity and the impact on sleep quality Low levels of physical activity have been reported as significant risk factors for both prevalent and incident insomnia12 One study documented improvements in sleep after days with more acute moderate-intensity activity in patients diagnosed with chronic insomnia13 Physical activity and sleep likely influence each other in both physiological and psychological pathways For example in older adults increasing physical activity has been shown to improve excessive daytime sleepiness and reduce prevalence of insomnia symptoms14 Although there have been studies assessing the association between sleep quality and physical activity very little has looked at patients diagnosed with chronic insomnia and we believe this is the first study to add a brief lifestyle intervention to traditional CBT-I
There is support for the inclusion of healthy diet education and increased physical activity in interventions programs such as CBT-I to improve sleep quality among individuals diagnosed with chronic insomnia Combining health promoting behaviors in conjunction with CBT-I is likely to be of great importance in preventing a large set of chronic non-communicable disease At the very least the combination of traditional CBT-I with healthy diet education and physical education may increase sleep quality diet quality and physical activity for patients diagnosed with chronic insomnia
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None