Eight-week high-intensity interval training is associated with improved sleep quality and cardiorespiratory fitness in patients with depressive disorders

Haitham Jahrami; Ahmed S. BaHammam; Brendon Stubbs; Ali Sabah; Zahra Saif; Nicola Luigi Bragazzi; Michael V. Vitiello

doi:10.1007/s11325-021-02388-y

Eight-week high-intensity interval training is associated with improved sleep quality and cardiorespiratory fitness in patients with depressive disorders

Haitham Jahrami^*, Ahmed S. BaHammam, Brendon Stubbs, Ali Sabah, Zahra Saif, Nicola Luigi Bragazzi, Michael V. Vitiello

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Purpose: This study aimed to examine the effect of high-intensity interval training (HIIT) on both sleep and cardiorespiratory fitness in patients with depression. Methods: Using a single pre- and post-test study design with no control group, 82 patients diagnosed with depressive disorders underwent HIIT comprising a total of 24 15-min sessions, three times per week for 8 weeks. Depressive symptoms, sleep quality, and cardiorespiratory fitness were evaluated using the Beck depression inventory-II, the Pittsburgh sleep quality index (PSQI), and cardiopulmonary exercise testing (CPET) in the form of maximum oxygen uptake (VO₂ max), respectively. Results: All 82 patients completed the intervention. HIIT training was associated with significant improvements in BDI-II score (diff = − 1.57 [95% CI − 2.40 to − 0.73], P = 0.001), PSQI score (diff = − 1.20 [95% CI − 2.10 to − 0.32], P = 0.008), and CPET VO₂ max (diff = 0.95 [95% CI 0.62–1.28], P = 0.001). Effect size calculations revealed that the greatest improvement occurred in CPET VO₂ max (Cohen’s d = 0.64) and that improvements in the BDI-II and PSQI scores were somewhat smaller in magnitude (Cohen’s d = − 0.41 and − 0.30, respectively). Sleep quality improvements were observed in sleep latency, habitual sleep efficiency, and the use of sleep-promoting medications (Cohen’s d = 0.18, 0.19, and 0.25, respectively). Change in cardiorespiratory fitness successfully predicted change in sleep quality but not in depressive symptoms. Adverse effects were limited to minor injuries which did not interfere with completion of training. Conclusions: HIIT training delivered over 8 weeks was associated with improvements in depression symptoms, sleep quality, and cardiorespiratory fitness in patients with depressive disorders.

Original language	English
Journal	Sleep and Breathing
DOIs	https://doi.org/10.1007/s11325-021-02388-y
Publication status	Accepted/In press - 2021

Keywords

Adjustment disorders
Aerobic exercises
Cardiovascular exercises
Interval training
Mood
Sprint interval training

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10.1007/s11325-021-02388-y

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@article{50c91facdd6f48818d5a11b2795862ae,

title = "Eight-week high-intensity interval training is associated with improved sleep quality and cardiorespiratory fitness in patients with depressive disorders",

abstract = "Purpose: This study aimed to examine the effect of high-intensity interval training (HIIT) on both sleep and cardiorespiratory fitness in patients with depression. Methods: Using a single pre- and post-test study design with no control group, 82 patients diagnosed with depressive disorders underwent HIIT comprising a total of 24 15-min sessions, three times per week for 8 weeks. Depressive symptoms, sleep quality, and cardiorespiratory fitness were evaluated using the Beck depression inventory-II, the Pittsburgh sleep quality index (PSQI), and cardiopulmonary exercise testing (CPET) in the form of maximum oxygen uptake (VO2 max), respectively. Results: All 82 patients completed the intervention. HIIT training was associated with significant improvements in BDI-II score (diff = − 1.57 [95% CI − 2.40 to − 0.73], P = 0.001), PSQI score (diff = − 1.20 [95% CI − 2.10 to − 0.32], P = 0.008), and CPET VO2 max (diff = 0.95 [95% CI 0.62–1.28], P = 0.001). Effect size calculations revealed that the greatest improvement occurred in CPET VO2 max (Cohen{\textquoteright}s d = 0.64) and that improvements in the BDI-II and PSQI scores were somewhat smaller in magnitude (Cohen{\textquoteright}s d = − 0.41 and − 0.30, respectively). Sleep quality improvements were observed in sleep latency, habitual sleep efficiency, and the use of sleep-promoting medications (Cohen{\textquoteright}s d = 0.18, 0.19, and 0.25, respectively). Change in cardiorespiratory fitness successfully predicted change in sleep quality but not in depressive symptoms. Adverse effects were limited to minor injuries which did not interfere with completion of training. Conclusions: HIIT training delivered over 8 weeks was associated with improvements in depression symptoms, sleep quality, and cardiorespiratory fitness in patients with depressive disorders.",

keywords = "Adjustment disorders, Aerobic exercises, Cardiovascular exercises, Interval training, Mood, Sprint interval training",

author = "Haitham Jahrami and BaHammam, {Ahmed S.} and Brendon Stubbs and Ali Sabah and Zahra Saif and Bragazzi, {Nicola Luigi} and Vitiello, {Michael V.}",

year = "2021",

doi = "10.1007/s11325-021-02388-y",

language = "English",

journal = "Sleep and Breathing",

issn = "1520-9512",

publisher = "Springer",

}

TY - JOUR

T1 - Eight-week high-intensity interval training is associated with improved sleep quality and cardiorespiratory fitness in patients with depressive disorders

AU - Jahrami, Haitham

AU - BaHammam, Ahmed S.

AU - Stubbs, Brendon

AU - Sabah, Ali

AU - Saif, Zahra

AU - Bragazzi, Nicola Luigi

AU - Vitiello, Michael V.

PY - 2021

Y1 - 2021

N2 - Purpose: This study aimed to examine the effect of high-intensity interval training (HIIT) on both sleep and cardiorespiratory fitness in patients with depression. Methods: Using a single pre- and post-test study design with no control group, 82 patients diagnosed with depressive disorders underwent HIIT comprising a total of 24 15-min sessions, three times per week for 8 weeks. Depressive symptoms, sleep quality, and cardiorespiratory fitness were evaluated using the Beck depression inventory-II, the Pittsburgh sleep quality index (PSQI), and cardiopulmonary exercise testing (CPET) in the form of maximum oxygen uptake (VO2 max), respectively. Results: All 82 patients completed the intervention. HIIT training was associated with significant improvements in BDI-II score (diff = − 1.57 [95% CI − 2.40 to − 0.73], P = 0.001), PSQI score (diff = − 1.20 [95% CI − 2.10 to − 0.32], P = 0.008), and CPET VO2 max (diff = 0.95 [95% CI 0.62–1.28], P = 0.001). Effect size calculations revealed that the greatest improvement occurred in CPET VO2 max (Cohen’s d = 0.64) and that improvements in the BDI-II and PSQI scores were somewhat smaller in magnitude (Cohen’s d = − 0.41 and − 0.30, respectively). Sleep quality improvements were observed in sleep latency, habitual sleep efficiency, and the use of sleep-promoting medications (Cohen’s d = 0.18, 0.19, and 0.25, respectively). Change in cardiorespiratory fitness successfully predicted change in sleep quality but not in depressive symptoms. Adverse effects were limited to minor injuries which did not interfere with completion of training. Conclusions: HIIT training delivered over 8 weeks was associated with improvements in depression symptoms, sleep quality, and cardiorespiratory fitness in patients with depressive disorders.

AB - Purpose: This study aimed to examine the effect of high-intensity interval training (HIIT) on both sleep and cardiorespiratory fitness in patients with depression. Methods: Using a single pre- and post-test study design with no control group, 82 patients diagnosed with depressive disorders underwent HIIT comprising a total of 24 15-min sessions, three times per week for 8 weeks. Depressive symptoms, sleep quality, and cardiorespiratory fitness were evaluated using the Beck depression inventory-II, the Pittsburgh sleep quality index (PSQI), and cardiopulmonary exercise testing (CPET) in the form of maximum oxygen uptake (VO2 max), respectively. Results: All 82 patients completed the intervention. HIIT training was associated with significant improvements in BDI-II score (diff = − 1.57 [95% CI − 2.40 to − 0.73], P = 0.001), PSQI score (diff = − 1.20 [95% CI − 2.10 to − 0.32], P = 0.008), and CPET VO2 max (diff = 0.95 [95% CI 0.62–1.28], P = 0.001). Effect size calculations revealed that the greatest improvement occurred in CPET VO2 max (Cohen’s d = 0.64) and that improvements in the BDI-II and PSQI scores were somewhat smaller in magnitude (Cohen’s d = − 0.41 and − 0.30, respectively). Sleep quality improvements were observed in sleep latency, habitual sleep efficiency, and the use of sleep-promoting medications (Cohen’s d = 0.18, 0.19, and 0.25, respectively). Change in cardiorespiratory fitness successfully predicted change in sleep quality but not in depressive symptoms. Adverse effects were limited to minor injuries which did not interfere with completion of training. Conclusions: HIIT training delivered over 8 weeks was associated with improvements in depression symptoms, sleep quality, and cardiorespiratory fitness in patients with depressive disorders.

KW - Adjustment disorders

KW - Aerobic exercises

KW - Cardiovascular exercises

KW - Interval training

KW - Mood

KW - Sprint interval training

UR - http://www.scopus.com/inward/record.url?scp=85106708719&partnerID=8YFLogxK

U2 - 10.1007/s11325-021-02388-y

DO - 10.1007/s11325-021-02388-y

M3 - Article

AN - SCOPUS:85106708719

SN - 1520-9512

JO - Sleep and Breathing

JF - Sleep and Breathing

ER -

Eight-week high-intensity interval training is associated with improved sleep quality and cardiorespiratory fitness in patients with depressive disorders

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