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Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

Balneotherapy and exercise are potential factors influencing sleep through several physiological pathways and relaxing effects. This review aims to assess whether balneotherapy can improve sleep quality in concomitance or not with exercise. The research was conducted on Medline, Scopus, PubMed, Web...

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Autores principales: Castelli, Lucia, Galasso, Letizia, Mulè, Antonino, Ciorciari, Andrea, Fornasini, Francesca, Montaruli, Angela, Roveda, Eliana, Esposito, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9399348/
https://www.ncbi.nlm.nih.gov/pubmed/36035468
http://dx.doi.org/10.3389/fphys.2022.964232
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author Castelli, Lucia
Galasso, Letizia
Mulè, Antonino
Ciorciari, Andrea
Fornasini, Francesca
Montaruli, Angela
Roveda, Eliana
Esposito, Fabio
author_facet Castelli, Lucia
Galasso, Letizia
Mulè, Antonino
Ciorciari, Andrea
Fornasini, Francesca
Montaruli, Angela
Roveda, Eliana
Esposito, Fabio
author_sort Castelli, Lucia
collection PubMed
description Balneotherapy and exercise are potential factors influencing sleep through several physiological pathways and relaxing effects. This review aims to assess whether balneotherapy can improve sleep quality in concomitance or not with exercise. The research was conducted on Medline, Scopus, PubMed, Web of Science, and Cochrane Library databases. The current review followed PRISMA reporting guidelines and involves twenty-one articles grouped into four sections based on the characteristics of the balneotherapy protocol: 1.a Balneotherapy–thermal water immersion alone (five studies); 1.b Balneotherapy–thermal water immersion with other spa treatments (six studies); 2.a Balneotherapy and physical exercise–balneotherapy and out-of-the-pool physical exercise (eight studies); 2.b Balneotherapy and physical exercise–balneotherapy and in-pool physical exercise (three studies). Apart from healthy or sub-healthy subjects, patients recruited in the studies were affected by fibromyalgia, ankylosing spondylitis, osteoarthritis, musculoskeletal pain, subacute supraspinatus tendinopathy, and mental disorders. Duration, number of sessions, and study protocols are very different from each other. Only one study objectively evaluated sleep, whereas the others used subjective sleep assessment methods. Eight studies considered sleep as a primary outcome and ten as secondary. Sixteen out of twenty-one studies described improvements in self-perceived sleep quality. Thus, balneotherapy associated with other spa treatments and physical exercise seems to be effective in improving self-perceived sleep quality. However, the miscellany of treatments makes it difficult to discern the isolated effects of balneotherapy and physical exercise. Future studies should consider using an objective sleep assessment method and describing the pathways and physiological mechanisms that could provoke sleep changes during balneotherapy treatments.
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spelling pubmed-93993482022-08-25 Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review Castelli, Lucia Galasso, Letizia Mulè, Antonino Ciorciari, Andrea Fornasini, Francesca Montaruli, Angela Roveda, Eliana Esposito, Fabio Front Physiol Physiology Balneotherapy and exercise are potential factors influencing sleep through several physiological pathways and relaxing effects. This review aims to assess whether balneotherapy can improve sleep quality in concomitance or not with exercise. The research was conducted on Medline, Scopus, PubMed, Web of Science, and Cochrane Library databases. The current review followed PRISMA reporting guidelines and involves twenty-one articles grouped into four sections based on the characteristics of the balneotherapy protocol: 1.a Balneotherapy–thermal water immersion alone (five studies); 1.b Balneotherapy–thermal water immersion with other spa treatments (six studies); 2.a Balneotherapy and physical exercise–balneotherapy and out-of-the-pool physical exercise (eight studies); 2.b Balneotherapy and physical exercise–balneotherapy and in-pool physical exercise (three studies). Apart from healthy or sub-healthy subjects, patients recruited in the studies were affected by fibromyalgia, ankylosing spondylitis, osteoarthritis, musculoskeletal pain, subacute supraspinatus tendinopathy, and mental disorders. Duration, number of sessions, and study protocols are very different from each other. Only one study objectively evaluated sleep, whereas the others used subjective sleep assessment methods. Eight studies considered sleep as a primary outcome and ten as secondary. Sixteen out of twenty-one studies described improvements in self-perceived sleep quality. Thus, balneotherapy associated with other spa treatments and physical exercise seems to be effective in improving self-perceived sleep quality. However, the miscellany of treatments makes it difficult to discern the isolated effects of balneotherapy and physical exercise. Future studies should consider using an objective sleep assessment method and describing the pathways and physiological mechanisms that could provoke sleep changes during balneotherapy treatments. Frontiers Media S.A. 2022-08-10 /pmc/articles/PMC9399348/ /pubmed/36035468 http://dx.doi.org/10.3389/fphys.2022.964232 Text en Copyright © 2022 Castelli, Galasso, Mulè, Ciorciari, Fornasini, Montaruli, Roveda and Esposito. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Physiology
Castelli, Lucia
Galasso, Letizia
Mulè, Antonino
Ciorciari, Andrea
Fornasini, Francesca
Montaruli, Angela
Roveda, Eliana
Esposito, Fabio
Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review
title Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review
title_full Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review
title_fullStr Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review
title_full_unstemmed Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review
title_short Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review
title_sort sleep and spa therapies: what is the role of balneotherapy associated with exercise? a systematic review
topic Physiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9399348/
https://www.ncbi.nlm.nih.gov/pubmed/36035468
http://dx.doi.org/10.3389/fphys.2022.964232
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