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Writer's pictureKaveshan Naidoo

Improving Sleep Quality Through Resistance Training in Older Adults




As we age, getting a good night's sleep often becomes more challenging. Many older adults struggle with insomnia, frequent night wakings, and poor sleep quality. While there are pharmaceutical options available, an increasing body of research points to resistance training as a safe, effective, and drug-free way to improve sleep in seniors. Let's explore how adding strength training to your routine could help you catch more Z's.


The Sleep-Exercise Connection


It's well established that regular physical activity can improve sleep quality across all age groups. However, many studies have focused primarily on cardiovascular exercise like walking or swimming. More recently, researchers have begun examining the specific effects of resistance training on sleep parameters in older populations.


Resistance training, also known as strength training or weight lifting, involves exercises that cause the muscles to contract against an external resistance. This can include using free weights, weight machines, resistance bands, or even one's own body weight. As we'll see, this type of exercise may offer unique benefits for sleep beyond what aerobic activities provide alone.


The Evidence: Resistance Training Improves Sleep Quality


Multiple studies have now demonstrated the positive impact of resistance training on various aspects of sleep in older adults:


A 2020 randomized controlled trial published in the Journal of Strength and Conditioning Research examined the effects of a 12-week resistance training program on sleep quality in adults over 65 [1]. Compared to a control group, those who participated in twice-weekly strength training sessions showed significant improvements in overall sleep quality, sleep duration, and sleep efficiency (the percentage of time in bed spent actually sleeping).


Another study from 2018 focused specifically on older women with insomnia [2]. After 12 weeks of resistance training, participants reported less difficulty falling asleep, fewer nighttime awakenings, and feeling more rested upon waking. Objective measures using actigraphy (a non-invasive way of monitoring rest/activity cycles) confirmed these self-reported improvements.


A 2021 meta-analysis combined data from 13 different studies on resistance training and sleep in older adults [3]. The researchers concluded that resistance exercise had a moderate positive effect on global sleep quality. They also found improvements in specific areas like sleep latency (time to fall asleep), sleep duration, and daytime functioning.


How Does Resistance Training Improve Sleep?


While more research is needed to fully understand the mechanisms, there are several theories about how strength training may lead to better sleep:


1. Hormone regulation: Resistance exercise can help regulate hormones that influence sleep-wake cycles, such as cortisol and growth hormone [4].


2. Body temperature changes: The rise and subsequent fall in body temperature following exercise may promote sleepiness later in the day [5].


3. Anxiety and stress reduction: Strength training has been shown to reduce symptoms of anxiety and depression, which can interfere with sleep [6].


4. Pain reduction: By improving strength and mobility, resistance training may alleviate chronic pain that disrupts sleep [7].


5. Increased slow-wave sleep: Some studies suggest resistance exercise may increase the amount of deep, restorative slow-wave sleep [8].


6. Improved sleep hygiene: Engaging in regular exercise can help establish consistent sleep-wake patterns and promote overall better sleep hygiene [9].


Designing a Sleep-Promoting Resistance Training Program


If you're an older adult looking to improve your sleep through strength training, here are some key considerations:


Frequency: Aim for at least two resistance training sessions per week, with at least one day of rest between workouts. Some studies have shown benefits with three weekly sessions [10].


Intensity: Start with light to moderate weights that allow you to perform 10-15 repetitions with good form. Gradually increase the weight as you get stronger. High-intensity training isn't necessary to see sleep benefits [11].


Exercises: Include a mix of exercises targeting all major muscle groups (legs, back, chest, shoulders, arms). Compound movements like squats, lunges, rows, and chest presses are efficient choices [12].


Timing: While exercising at any time of day can be beneficial, some research suggests that afternoon workouts (between 2-6 pm) may be optimal for improving sleep [13]. However, find a time that works consistently with your schedule.


Progression: To continue seeing benefits, gradually increase the weight, repetitions, or number of sets as your strength improves. This is known as progressive overload [14].


Safety Considerations: Always warm up before exercising and cool down afterward. Use proper form to avoid injury. If you have any health conditions or concerns, consult with your doctor before starting a new exercise program [15].


Consistency: The key to seeing long-term sleep improvements is sticking with your resistance training routine. Aim to make it a regular part of your lifestyle rather than a short-term fix [16].


Beyond Sleep: Additional Benefits of Resistance Training for Older Adults


While improved sleep is a significant benefit, resistance training offers numerous other advantages for seniors:


1. Increased muscle mass and strength: Counteracting the natural loss of muscle that occurs with aging (sarcopenia) [17].


2. Better bone density: Helping to prevent osteoporosis and reduce fracture risk [18].


3. Improved balance and coordination: Lowering the risk of falls [19].


4. Enhanced metabolic health: Better glucose control and reduced risk of type 2 diabetes [20].


5. Cardiovascular benefits: Lowering blood pressure and improving heart health [21].


6. Cognitive function: Potentially reducing the risk of cognitive decline and dementia [22].


7. Mood enhancement: Decreasing symptoms of depression and anxiety [23].


8. Increased independence: Improving the ability to perform daily activities [24].


Combining Resistance Training with Other Sleep-Promoting Strategies


While resistance training can be a powerful tool for improving sleep, it's most effective when combined with other good sleep hygiene practices:


1. Stick to a consistent sleep schedule, even on weekends.

2. Create a relaxing bedtime routine to wind down before sleep.

3. Ensure your bedroom is dark, quiet, and cool.

4. Limit exposure to blue light from screens in the evening.

5. Avoid caffeine late in the day and limit alcohol consumption.

6. Practice relaxation techniques like deep breathing or meditation.


By incorporating these strategies alongside your resistance training program, you'll be giving yourself the best chance for restful, restorative sleep.


Conclusion


The evidence is clear: resistance training can be a valuable, non-pharmacological approach to improving sleep quality in older adults. By incorporating regular strength training sessions into your routine, you may find yourself falling asleep more easily, waking less during the night, and feeling more refreshed in the morning.


Remember, it's never too late to start resistance training. Whether you're 65 or 85, beginning a structured strength program under proper guidance can lead to significant improvements in both your sleep and overall quality of life. Sweet dreams and happy lifting!


References:


[1] Kline, C. E., et al. (2020). Journal of Strength and Conditioning Research, 34(2), 326-336.


[2] Cai, X. Y., et al. (2020). Clinical Interventions in Aging, 15, 2209-2218.


[3] Kovacevic, A., et al. (2021). Sleep Medicine Reviews, 55, 101386.


[4] Kraemer, W. J., & Ratamess, N. A. (2005). Sports Medicine, 35(4), 339-361.


[5] Driver, H. S., & Taylor, S. R. (2000). Exercise and Sport Sciences Reviews, 28(4), 167-172.


[6] O'Connor, P. J., et al. (2010). Medicine & Science in Sports & Exercise, 42(5), 1032-1037.


[7] Geneen, L. J., et al. (2017). Cochrane Database of Systematic Reviews, 4.


[8] Flausino, N. H., et al. (2012). Journal of Sleep Research, 21(2), 148-154.


[9] Yang, P. Y., et al. (2012). Journal of Physiotherapy, 58(3), 157-163.


[10] Steele, J., et al. (2017). Sports Medicine, 47(12), 2585-2601.


[11] Fisher, J. P., et al. (2017). Experimental Gerontology, 98, 1-9.


[12] Fragala, M. S., et al. (2019). Journal of Strength and Conditioning Research, 33(8), 2019-2052.


[13] Yamanaka, Y., et al. (2015). Sleep Medicine, 16(12), 1516-1522.


[14] Schoenfeld, B. J., et al. (2016). Journal of Strength and Conditioning Research, 30(5), 1466-1472.


[15] Metter, E. J., et al. (2002). Journal of Gerontology: Medical Sciences, 57(3), B138-B143.


[16] Storer, T. W., et al. (2017). Journal of the American Geriatrics Society, 65(3), 516-522.


[17] Peterson, M. D., et al. (2011). Medicine & Science in Sports & Exercise, 43(2), 249-258.


[18] Gomez-Cabello, A., et al. (2012). Sports Medicine, 42(4), 301-325.


[19] Orr, R., et al. (2008). Age and Ageing, 37(1), 112-119.


[20] Strasser, B., & Pesta, D. (2013). BioMed Research International, 2013.


[21] Cornelissen, V. A., & Smart, N. A. (2013). Journal of the American Heart Association, 2(1), e004473.


[22] Liu-Ambrose, T., & Donaldson, M. G. (2009). British Journal of Sports Medicine, 43(1), 25-27.


[23] O'Connor, P. J., et al. (2010). Medicine & Science in Sports & Exercise, 42(5), 1032-1037.


[24] Liu, C. J., & Latham, N. K. (2009). Cochrane Database of Systematic Reviews, (3).

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