Study on nondrug intervention of 7 days of balneotherapy combined with various sleep-promoting measures on people with sleep disorders: preliminary and pilot study

作者全名："Long, Jiaqi; Qin, Qizhong; Huang, Ying; Wang, Ting; Jiang, Jishan; Gao, Qiuyidi; Chen, Yu"

作者地址："[Long, Jiaqi; Huang, Ying; Wang, Ting; Jiang, Jishan; Chen, Yu] Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing 400016, Peoples R China; [Qin, Qizhong] Chongqing Med Univ, Expt Teaching & Management Ctr, Chongqing, Peoples R China; [Gao, Qiuyidi] Univ Calif Berkeley, Berkeley, LA USA"

通信作者："Chen, Y (通讯作者)，Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF BIOMETEOROLOGY

ESI学科分类：ENVIRONMENT/ECOLOGY

WOS号：WOS:000920206200001

JCR分区：Q2

影响因子：3.2

年份：2023

卷号：67

期号：3

开始页：457

结束页：464

文献类型：Article

关键词：Balneotherapy; Sleep-promoting measures; Sleep disorders; Physical examination indicators; General physical symptoms

摘要："To preliminarily explore a nondrug intervention method and evaluate its effects (sleep quality, physical examination indicators, and general physical symptoms) on people with sleep disorders. The intervention was based on regular balneotherapy, coupled with targeted health education, appropriate exercise, diet management, and other sleep-promoting measures. It was the combined effects that we evaluated. We recruited 31 volunteers with sleep disorders to receive a 7-day sleep-promoting experience in Tianxing International Hot Spring City, Nanchuan District, Chongqing. The intervention adopted a plan that combined balneotherapy with various sleep-promoting measures. Persisting baths in hot springs 1-2 times per day targeted health lectures about 1h every morning, appropriate exercise every day (sleep-aid yoga, forest hiking, morning exercises, etc.), and diet management (the principle is to control oil, salt, and sugar, diversify food, keep meat and vegetable balanced, and control total calories. The dinner is light and easy to digest). During the intervention period, all participants followed the above intervention plan, and they lived in the spa resort to accept unified arrangement. This study adopted a self-contrast method by comparing the changes in sleep quality, physical examination indicators, and general physical symptoms before and after the intervention through physical examinations and questionnaire surveys. After the intervention, the subjects' total score of Insomnia Severity Index (ISI) decreased significantly (P = 0.006), and all seven dimensions showed a decrease, four of which included early morning awakening, sleep dissatisfaction, noticeability of sleep problems by others, and distress caused by sleep problems decreased significantly (all P < 0.05). The subjects' body mass index, waist circumference, fasting blood glucose, and triglycerides decreased significantly (all P < 0.05), and systolic blood pressure increased significantly (P = 0.006). Total cholesterol, high-density lipoprotein, low-density lipoprotein, and diastolic blood pressure did not change significantly (all P > 0.05). To some extent, all general health problems were improved than before the intervention (the improvement rate was up to 70% or more). The non-pharmacological intervention of balneotherapy combined with various sleep-promoting measures showed positive effects on sleep quality, general physical symptoms, and some physical examination indicators of sleep disorders. This comprehensive intervention may be an effective way to improve people's health with sleep disorders."

基金机构：Chongqing Municipal Development Committee of Culture and Tourism and Asia-Pacific Institute for Hydrotherapy and Climatotherapy Tourism

基金资助正文："Thanks to the research team for their work in research designs, project implementation, and data collection, thanks to Chongqing Municipal Development Committee of Culture and Tourism and Asia-Pacific Institute for Hydrotherapy and Climatotherapy Tourism for providing financial support, and thanks to the cooperation and support of staff and volunteers at Tianxing International Hot Spring City."