Physical Activity and Exercise Approaches in Coping with Postearthquake Circadian Rhythm and Sleep-Wake Disorders

Yıl 2023, Cilt: 8 Sayı: 2, 685 - 690, 21.06.2023

İrem Tamer , Umut Ziya Koçak , Damla Karabay , Derya Özer Kaya

Öz

Sleep is controlled by two main regulatory systems. These are the circadian system, which determines the amount of sleep and manages the 24-hour periodicity, and the homeostatic system, which determines the quality of sleep by ensuring adequate sleep. The most prominent circadian rhythm in humans is the sleep-wake cycle, and this cycle is one of the most vulnerable regulatory mechanisms. Stressful life events, such as earthquakes, are closely related to sleep problems and are considered as a risk factor. Sleep problems may cause decreased melatonin secretion, loss of concentration, susceptibility to cognitive, cardiovascular, and metabolic diseases, and impaired immune system. Regular physical activity and exercise have gained a place in the literature as complementary or alternative non-drug approaches for improving sleep and managing sleep-related problems. The aim of this study was to explain the sleep problems experienced by earthquake victims during and after the earthquake and to suggest physical activity and exercise recommendations to maintain a healthy sleep. The exercise programs for eliminating sleep disturbances and improving sleep in earthquake victims should include moderate-intensity aerobic and/or resistance exercises, and be performed 3-days a week, preferably in the morning, and for at least 12-weeks. These exercises should be prescribed by an expert physiotherapist, considering the physical fitness, age, gender, and co-morbidities of the earthquake victim.

Anahtar Kelimeler

Earthquakes, circadian rhythm, sleep, physical activity, exercise.

Deprem Sonrası Sirkadiyen Ritim ve Uyku-Uyanıklık Bozuklukları ile Baş Etmede Fiziksel Aktivite ve Egzersiz Yaklaşımları

Öz

Uyku, iki ana düzenleyici sistem tarafından kontrol edilir. Bunlar uyku miktarını belirleyip 24 saatlik periyodikliği yöneten sirkadiyen sistem ve yeterli miktarda uykunun elde edilmesini sağlayarak uyku kalitesini belirleyen homeostatik sistemdir. İnsanlarda en belirgin sirkadiyen ritim, uyku-uyanıklık döngüsüdür ve bu döngü, düzenleyici mekanizmalar arasında en savunmasız olanlardan biridir. Depremler gibi stresli yaşam olayları, uyku problemleri ile yakından ilişkilidir ve bir risk faktörü olarak kabul edilir. Uyku problemleri, melatonin salınımının azalmasına, konsantrasyon kaybına, bilişsel, kardiyovasküler ve metabolik hastalığa yatkınlık ve bağışıklık sisteminin bozulmasına neden olabilir. Düzenli fiziksel aktivite ve egzersiz uykuyu iyileştirmek ve uyku ile ilişkili sorunlarla başa çıkmak için tamamlayıcı veya alternatif ilaç dışı yaklaşımlar olarak literatürde yerini almıştır. Bu çalışmanın amacı depremzedelerin deprem süreci ve sonrasında yaşadığı uyku problemlerini tanımlamak ve kaliteli bir uyku sağlığının sürdürülebilmesi için fiziksel aktivite ve egzersiz önerilerinde bulunmaktır. Depremzede bireylerde uyku bozukluklarının giderilmesi ve uykunun iyileştirilmesi için oluşturulacak egzersiz programları orta şiddette aerobik ve/veya direnç egzersizlerini içermeli ve haftada 3 gün frekansla, tercihen sabah saatlerinde ve en az 12 hafta yapılmalıdır. Bu egzersizler depremzede bireyin fiziksel uygunluğu, yaşı, cinsiyeti ve komorbiditeleri göz önünde bulundurularak ve konunun uzmanı bir fizyoterapist tarafından reçetelendirilmelidir.

Anahtar Kelimeler

Depremler, sirkadiyen ritim, uyku, fiziksel aktivite, egzersiz

Kaynakça

• Telias I, Wilcox ME. Sleep and circadian rhythm in critical illness. Annual Update in Intensive Care and Emergency Medicine 2019. 2019:651-64.
• Sun S-Y, Chen G-H. Treatment of Circadian Rhythm Sleep–Wake Disorders. Current Neuropharmacology. 2022;20(6):1022-34. 3. Borbély AA. A two process model of sleep regulation. Hum Neurobiol. 1982;1(3):195-204.
• Kocar F, Elçioğlu Hk. Sirkadiyen ritim ve sirkadiyen ritmi etkileyen faktörler. Türk Bilimsel Derlemeler Dergisi. 2022;15(2):29-44.
• Zajenkowski M, Jankowski KS, Stolarski M. Why do evening people consider themselves more intelligent than morning individuals? The role of big five, narcissism, and objective cognitive ability. Chronobiol. Int. 2019;36:1741–175.
• Makarem N, Paul J, Giardina EGV, Liao M, Aggarwal B. Evening chronotype is associated with poor cardiovascular health and adverse health behaviors in a diverse population of women. Chronobiol. Int. 2020;37:673–685.
• Lim ST, Kim DY, Kwon HT, Lee E. Sleep quality and athletic performance according to chronotype. BMC Sports Sci. Med. Rehabil. 2021;13:2.
• Hill DW, Chtourou H. The effect of time of day and chronotype on the relationships between mood state and performance in a wingate test. Chronobiol. Int. 2020;37:1599–1610.
• Mulè A, Galasso L, Castelli L, Condemi V, Bisconti AVAV, Esposito F, Roveda E, Montaruli A. Effect of chronotype on rating of perceived exertion in active young people. Sport Sci. Health. 2020;16:331–336.
• Roveda E, Mulè A, Galasso L, Castelli L, Scurati R, Michielon G, Esposito F, Caumo A, Montaruli A. Effect of chronotype on motor skills specific to soccer in adolescent players. Chronobiol. Int. 2020;37:552– 563. 16.
• Adan A, Archer SN, Hidalgo MP, Di Milia L, Natale V, Randler C. Circadian typology: a comprehensive review. Chronobiol. Int. 2012;29:1153–1175.
• Taillard J, Philip P, Chastang JF, Bioulac B. Validation of horne and ostberg morningness–eveningness questionnaire in a middle-aged population of french workers. J. Biol. Rhythms. 2004;19:76–86.
• Montaruli A, Galasso L, Caumo A Cè E, Pesenti C, Roveda E, Esposito F. The circadian typology: the role of physical activity and melatonin. Sport Sci. Health. 2017;13:469–476.
• Mongrain V, Lavoie S, Selmaoui B, Paquet J, Dumont M. Phase relationships between sleep–wake cycle and underlying circadian rhythms in morningness–eveningness. J. Biol. Rhythms. 2004;19:248– 257.
• Taillard J, Sagaspe P, Philip P, Bioulac S. Sleep timing, chronotype and social jetlag: Impact on cognitive abilities and psychiatric disorders. Biochem Pharmacol. 2021;191:114438.
• Czeisler CA, Richardson GS, Zimmerman JC, Moore-Ede MC, Weitzman ED. Entrainment of human circadian rhythms by light-dark cycles: a reassessment. Photochem Photobiol. 1981;34(2):239-47.
• Kabutoya T, Kario K. Earthquake and blood pressure. Hypertension Research. 2009;32(9):732-4.
• Kalmbach DA, Anderson JR, Drake CL. The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. Journal Of Sleep Research. 2018;27(6):e12710.
• Drake CL, Pillai V, Roth T. Stress and sleep reactivity: a prospective investigation of the stress-diathesis model of insomnia. Sleep. 2014;37(8):1295-304.
• McEwen BS, Karatsoreos IN. Sleep deprivation and circadian disruption: stress, allostasis, and allostatic load. Sleep Medicine Clinics. 2015;10(1):1-10.
• Martire VL, Caruso D, Palagini L, Zoccoli G, Bastianini S. Stress & sleep: A relationship lasting a lifetime. Neuroscience & Biobehavioral Reviews. 2020;117:65-77.
• Morin CM, Carrier J, Bastien C, Godbout R, Sleep C, Network C. Sleep and circadian rhythm in response to the COVID-19 pandemic. Canadian Journal of Public Health. 2020;111:654-7.
• Gachon F, Nagoshi E, Brown SA, Ripperger J, Schibler U. The mammalian circadian timing system: from gene expression to physiology. Chromosoma. 2004;113:103-12.
• Vasey C, McBride J, Penta K. Circadian rhythm dysregulation and restoration: the role of melatonin. Nutrients. 2021;13(10):3480.
• Stevenson A. How Important Is Sleep? Boston, MA, USA: American Sleep Association [Internet]. 2020 Dec [cited 2020 August 18]; Available from: https://www.sleepassociation.org/about-sleep/how-important-is-sleep/.
• Zisapel N. New perspectives on the role of melatonin in human sleep, circadian rhythms and their regulation. British Journal Of Pharmacology. 2018;175(16):3190-9.
• Wang S, Shi X, Chen X, Zhu Y, Chen H, Fan F. Earthquake exposure and PTSD symptoms among disaster-exposed adolescents: a moderated mediation model of sleep problems and resilience. Frontiers In Psychiatry. 2021;12:577328.
• Sadeh A. Stress, trauma, and sleep in children. Child and Adolescent Psychiatric Clinics of North America. 1996;5:685-700.
• Basta M, Chrousos GP, Vela-Bueno A, Vgontzas AN. Chronic insomnia and the stress system. Sleep Medicine Clinics. 2007;2(2):279-91.
• Kales A, Kales JD. Evaluation and treatment of insomnia: Oxford University Press, USA; 1984.
• Itoh Y, Takeshima M, Kaneita Y, Uchimura N, Inoue Y, Honda M, et al. Associations between the 2011 Great East Japan earthquake and tsunami and the sleep and mental health of Japanese people: a 3-wave repeated survey. Nature And Science Of Sleep. 2022;14:61.
• Kloner RA. Lessons learned about stress and the heart after major earthquakes. American Heart Journal. 2019;215:20-6.
• Martin M-L. Child participation in disaster risk reduction: The case of flood-affected children in Bangladesh. Third World Quarterly. 2010;31(8):1357-75.
• Makwana N. Disaster and its impact on mental health: A narrative review. Journal Of Family Medicine And Primary Care. 2019;8(10):3090.
• Ergün D, Şenyüz S. Prolonged grief disorder among bereaved survivors after the 2011 Van Earthquake in Turkey. Death Studies. 2022;46(6):1364-71.
• Cred U. Centre for Research on the Epidemiology of Disasters. UN Office for Disaster Risk Reduction. 2020.
• Igarashi Y, Matsumoto N, Kubo T, Yamaguchi M, Nakae R, Onda H, et al. Prevalence and characteristics of earthquake-related head injuries: a systematic review. Disaster Medicine And Public Health Preparedness. 2021:1-6.
• Lai T-J, Chang C-M, Connor KM, Lee L-C, Davidson JR. Full and partial PTSD among earthquake survivors in rural Taiwan. Journal Of Psychiatric Research. 2004;38(3):313-22.
• Farooqui M, Quadri SA, Suriya SS, Khan MA, Ovais M, Sohail Z, et al. Posttraumatic stress disorder: a serious post-earthquake complication. Trends In Psychiatry And Psychotherapy. 2017;39:135-43.
• Ocal A. Natural disasters in Turkey: Social and economic perspective. International Journal of Disaster Risk Management. 2019;1(1):51-61.
• WHO. Health response to the earthquakes in Van Province, Turkey [Internet]. 2012 [cited 2023 Feb 28]; Available from: https://www.euro. who.int/__data/assets/pdf_file/0007/-181960/e96760.pdf.
• Boztaş MH, Aker AT, Münir K, Çelik F, Aydın A, Karasu U, et al. Post traumatic stress disorder among adults in the aftermath of 2011 Van- Ercis earth-quake in Turkey. Turkish Journal Of Clinical Psychiatry. 2019.
• Özmen A, Maraş MM, Ayaz Y, Sayın E. Assessments of Masonry Buildings and Historical Structures during the 2020 Sivrice-Elazığ Earthquake. Periodica Polytechnica Civil Engineering. 2023.
• AFAD. Kahramanmaraş'ta Meydana Gelen Depremler Hk Basın Bülteni- 35 [Internet]. 2023 Feb [cited 2023 Feb 28]; Available from:https://www.afad.gov.tr/kahramanmarasta-meydana-gelen-depremler-hk-basin-bulteni-35.
• Varela E, Koustouki V, Davos CH, Eleni K. Psychological consequences among adults following the 1999 earthquake in Athens, Greece. Disasters. 2008;32(2):280-91.
• Van Griensven F, Chakkraband MS, Thienkrua W, Pengjuntr W, Cardozo BL, Tantipiwatanaskul P, et al. Mental health problems among adults in tsunami-affected areas in southern Thailand. Jama. 2006;296(5):537-48.
• Kato H, Asukai N, Miyake Y, Minakawa K, Nishiyama A. Post‐traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin‐Awaji earthquake in Japan. Acta Psychiatrica Scandinavica. 1996;93(6):477-81.
• Chen C-C, Yeh T-L, Yang YK, Chen S-J, Lee I, Fu L, et al. Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan. Psychiatry Research. 2001;105(1-2):13-22.
• Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews. 2002;6(2):97-111.
• Kachadourian LK, Pilver CE, Potenza MN. Trauma, PTSD, and binge and hazardous drinking among women and men: Findings from a national study. Journal of Psychiatric Research. 2014;55:35-43.
• Van der Velden PG, Pijnappel B, van der Meulen E. Potentially traumatic events have negative and positive effects on loneliness, depending on PTSD-symptom levels: evidence from a population-based prospective comparative study. Social Psychiatry And Psychiatric Epidemiology. 2018;53:195-206.
• Morphy H, Dunn KM, Lewis M, Boardman HF, Croft PR. Epidemiology of insomnia: a longitudinal study in a UK population. Sleep. 2007;30(3):274-80.
• Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. Journal Of Affective Disorders. 2011;135(1-3):10-9.
• Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ. Epidemiology of insomnia, depression, and anxiety. Sleep. 2005;28(11):1457-64.
• Tsuno N, Besset A, Ritchie K. Sleep and depression. Journal of clinical psychiatry. 2005;66(10):1254-69.
• Johnson EO, Roth T, Breslau N. The association of insomnia with anxiety disorders and depression: exploration of the direction of risk. Journal Of Psychiatric Research. 2006;40(8):700-8.
• Balbo M, Leproult R, Van Cauter E. Impact of sleep and its disturbances on hypothalamo-pituitary-adrenal axis activity. International Journal Of Endocrinology. 2010;2010.
• Sivertsen B, Overland S, Neckelmann D, Glozier N, Krokstad S, Pallesen S, et al. The long-term effect of insomnia on work disability: the HUNT-2 historical cohort study. American Journal Of Epidemiology. 2006;163(11):1018-24.
• Ozminkowski RJ, Wang S, Walsh JK. The direct and indirect costs of untreated insomnia in adults in the United States. Sleep. 2007;30(3):263- 73.
• Simon GE, VonKorff M. Prevalence, burden, and treatment of insomnia in primary care. American Journal Of Psychiatry. 1997;154(10):1417-23.
• Sejbuk M, Mirończuk-Chodakowska I, Witkowska AM. Sleep quality: a narrative review on nutrition, stimulants, and physical activity as important factors. Nutrients. 2022;14(9):1912.
• Schroeck JL, Ford J, Conway EL, Kurtzhalts KE, Gee ME, Vollmer KA, et al. Review of safety and efficacy of sleep medicines in older adults. Clinical Therapeutics. 2016;38(11):2340-72.
• sleepfoundation.org. Treatments for Insomnia [Internet]. 2023 [cited 2023 Feb 28]; Available from: https://www.sleepfoundation.org/ insomnia/treatment.
• Wang F, Boros S. The effect of physical activity on sleep quality: a systematic review. European Journal of Physiotherapy. 2021;23(1):11-8.
• Richardson CE, Gradisar M, Short MA, Lang C. Can exercise regulate the circadian system of adolescents? Novel implications for the treatment of delayed sleep-wake phase disorder. Sleep Medicine Reviews. 2017;34:122-9.
• Ma Z, Xiao-Yan C, Tao Y, Huang S, Yang Z, Chen J, et al. How to improve the long-term quality of life, insomnia, and depression of survivors 10 years after the Wenchuan earthquake? A network analysis. Asian Journal of Psychiatry. 2022;73:103137.
• Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports. 1985;100(2):126.
• Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. Journal Of Behavioral Medicine. 2015;38:427-49.
• Atoui S, Chevance G, Romain A-J, Kingsbury C, Lachance J-P, Bernard P. Daily associations between sleep and physical activity: A systematic review and meta-analysis. Sleep Medicine Reviews. 2021;57:101426.
• Christie AD, Seery E, Kent JA. Physical activity, sleep quality, and self-reported fatigue across the adult lifespan. Experimental Gerontology. 2016;77:7-11.
• Sewell KR, Erickson KI, Rainey-Smith SR, Peiffer JJ, Sohrabi HR, Brown BM. Relationships between physical activity, sleep and cognitive function: A narrative review. Neuroscience & Biobehavioral Reviews. 2021;130:369-78.
• Lang C, Kalak N, Brand S, Holsboer-Trachsler E, Pühse U, Gerber M. The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis. Sleep Medicine Reviews. 2016;28:32-45.
• Kovacevic A, Mavros Y, Heisz JJ, Singh MAF. The effect of resistance exercise on sleep: A systematic review of randomized controlled trials. Sleep Medicine Reviews. 2018;39:52-68.
• Uchida S, Shioda K, Morita Y, Kubota C, Ganeko M, Takeda N. Exercise effects on sleep physiology. Frontiers In Neurology. 2012;3:48.
• Youngstedt SD, O'connor PJ, Dishman RK. The effects of acute exercise on sleep: a quantitative synthesis. Sleep. 1997;20(3):203-14.
• Zagaar M, Dao A, Alhaider I, Alkadhi K. Regular treadmill exercise prevents sleep deprivation-induced disruption of synaptic plasticity and associated signaling cascade in the dentate gyrus. Molecular and Cellular Neuroscience. 2013;56:375-83.
• Vanderlinden J, Boen F, Van Uffelen J. Effects of physical activity programs on sleep outcomes in older adults: a systematic review. International Journal of Behavioral Nutrition and Physical Activity. 2020;17(1):1-15.