Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Effect of Eight Weeks of Exposure to Sunlight and Home-Based Pilates Training on Vitamin D Levels, Resiliency and Sleep Quality in Women with Multiple Sclerosis

Document Type : Original Article (s)

Authors
Halima Vahdatpoor 1
Roya Askari 2
Saeid Shakarian 3
Hamid Marefati 2
Kaveh Kashani 4
1 PhD Student, Department of Exercise Physiology, School of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran
2 Assistant Professor, Department of Exercise Physiology, School of Sports Sciences, Hakim Sabzevari University, Sabzevari, Iran
3 Assistant Professor, Department of Exercise Physiology, School of Sports Sciences, Shahid Chamran University of Ahvaz, Ahvaz, Iran
4 Neurologist, Fars, Fasa, Iran
10.48305/jims.v40.i685.0667
Abstract
Background: The aim of this study was to investigate the effect of eight weeks of exposure to sunlight and Home-Based Pilates Training on vitamin D levels, resilience and sleep quality in women with multiple sclerosis.
Methods: On total, 44 people with MS with a disease severity ranging from two to five between the ages 25 to 40 years were purposefully selected and randomly divided into three groups of home-based pilates training
(n = 15), outdoor pilates training (n = 15), and control (n = 14). The training program consisted of three sessions per week for a period of eight weeks, consisting of two parts, home-based pilates training and outdoor pilates training. For the exercise in an open outdoor setting, the subjects performed an exercise program between 8:00 AM and 10:00 AM. The training program was performed using the DVD that was provided to them. Resilience, sleep quality and serum vitamin D indices of patients with MS were measured before and after eight weeks of Outdoor and Home-Based Pilates Training. To analyze the data, analysis of covariance and Banferroni post hoc test were used.
Findings: Comparing the results in two stages showed that there was a significant difference between resilience, sleep quality and serum vitamin D indices of women with multiple sclerosis (MS) in the study groups (P ≤ 0.05).
Conclusion: The results indicate that people with MS can improve their vitamin D levels and psychological indicators by using Pilates exercises outdoors and at home at lower costs.
Keywords
Pilates training
Psychological resiliency
Sleep quality
Multiple sclerosis
  1. Fleming KM, Coote SB, Herring MP. An eight-week randomised controlled trial of home-based Pilates for symptoms of anxiety, depression, and fatigue among people with MS with minimal-to-mild mobility disability: Study protocol. Ment Health Phys Act 2020; 19: 100341.
  2. Hoang PD, Lord S, Gandevia S, Menant J. Exercise and Sports Science Australia (ESSA) position statement on exercise for people with mild to moderate multiple sclerosis. J Sci Med Sport 2022; 25(2): 146-54.
  3. Langeskov-Christensen M, Hvid LG, Nygaard MKE, Ringgaard S, JensenHB, Nielsen HH, et al. Efficacy of high-intensity aerobic exercise on brain MRI measures in multiple sclerosis. Neurology 2021; 96(2): e203-13.
  4. Den Hartigh RJR, Meerhoff LRA, Van Yperen NW, Neumann ND, Brauers JJ, Frencken WG, et al. Resilience in sports: a multidisciplinary, dynamic, and personalized perspective. Int Rev Sport Exerc Psychol 2022; 1-23.
  5. Sbragia E, Colombo E, Pollio C, Cellerino M, Lapucci C, Inglese M, et al. Embracing resilience in multiple sclerosis: a new perspective from COVID-19 pandemic. Psychol Health Med 2022; 27(2): 352-60.
  6. Silverman AM. Resilience predicts functional outcomes in people aging with disability: A longitudinal investigation. Arch Phys Med Rehabil 2015; 96(7): 1262-8.
  7. Koelmel E, Hughes AJ, Alschuler KN, Ehde DM. Resilience mediates the longitudinal relationships between social support and mental health outcomes in multiple sclerosis. Arch Phys Med Rehabil 2017; 98(6): 1139-48.
  8. Al-Sharman A, Khalil H, El-Salem K, Aldughmi M, Aburub A. The effects of aerobic exercise on sleep quality measures and sleep-related biomarkers in individuals with Multiple Sclerosis: a pilot randomised controlled trial. NeuroRehabilitation 2019; 45(1): 107-15.
  9. Cristini J, Weiss M, De Las Heras B, Medina-Rincón A, DagherA, Postuma RB, et al. The effects of exercise on sleep quality in persons with Parkinson's disease: a systematic review with meta-analysis. Sleep Med Rev 2021; 55: 101384.
  10. Alkhotani AM, Faqeeh MH, Aldoobi RS, Sheikh GE, Halabi RH, Alsharif WK. The effect of vitamin D in multiple sclerosis: An updated review. Saudi J Health Sci 2021; 10(3): 149-54.
  11. Bernard JJ, Gallo RL, Krutmann J.
    Photoimmunology: how ultraviolet radiation affects the immune system. Nat Rev Immunol 2019; 19(11): 688-701.
  12. Majid MS, Ahmad HS, Bizhan H, Hosein HZM, Mohammad A. The effect of vitamin D supplement on the score and quality of sleep in 20-50 year-old people with sleep disorders compared with control group. Nutr Neurosci 2018; 21(7): 511-9.
  13. Bahmani E, Hoseini R, Amiri E. Effect of home-based aerobic training and vitamin D supplementation on fatigue and quality of life in patients with multiple sclerosis during COVID-19 outbreak 2021. Sci Sports 2022.
  14. Mardaniyan Ghahfarrokhi M, Banitalebi E, Negaresh R, Motl RW. Home-based exercise training in multiple sclerosis: A systematic review with implications for future research. Mult Scler Relat Disord 2021; 55(2): 103177.
  15. Kim JH, Chang JH, Kim DY, Kang JW. Association between self‐reported sleep duration and serum vitamin D level in elderly Korean adults. J Am Geriatr Soc 2014; 62(12): 2327-32.
  16. Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, de la Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas 2019; 124: 62-7.
  17. Bahari F, Naghdi, N, Sheikh M, Shaw BS. Effect of physical exercise on muscle strength, static and dynamic balance and resiliency in women with multiple sclerosis. S Afr J Res Sport Phys Educ Recreation 2021; 43(1): 1-12.
  18. Reguera-García MM, Liébana-Presa C, Álvarez-Barrio L, Gomes LA, Fernández-Martínez E. Physical activity, resilience, sense of coherence and coping in people with multiple sclerosis in the situation derived from COVID-19. Int J Environ Res Public Health 2020; 17(21): 8202.
  19. Taylor K, Scruggs PW, Balemba OB, Wiest MM, Vella CA. Associations between physical activity, resilience, and quality of life in people with inflammatory bowel disease. Eur J Appl Physiol
    2018; 118(4): 829-36.
  20. Ostrom EL, Berry SR, Traustadóttir T. Effects of exercise training on redox stress resilience in young and older adults. Advances in Redox Research 2021; 2: 100007.
  21. Andreu-Caravaca L, Ramos-Campo DJ, Abellán-Aynés O, Ávila-Gandía V, Chung LH, Manonelles P, et al. 10-weeks of resistance training improves sleep quality and cardiac autonomic control in persons with multiple sclerosis. Disabil Rehabil 2022; 44(18): 5241-9.
  22. Tartibian B, Heidary D, Mehdipour A, Akbarizadeh S. The effect of exercise and physical activity on sleep quality and quality of life in Iranian older adults: A systematic review [in Persian]. JOGE 2021; 6(1): 18-31.
  23. Bauer A, Lechner I, Auer M, Berger T, Bsteh G, Di Pauli F, et al. Influence of physical activity on serum vitamin D levels in people with multiple sclerosis. PloS One 2020; 15(6): e0234333.
  24. Michalczyk M, Gołaś A, Maszczyk A, Kaczka P, Zając A. Influence of sunlight and oral D3 supplementation on serum 25 (OH) D concentration and exercise performance in elite soccer players. Nutrients 2020; 12(5): 1311.‏
  25. Mokhtarzadeh M, Ranjbar R, Majdi Nasab N. The effect of aerobic interval training on leptin, adiponectin, α-TNF and 10-IL levels in women with multiple sclerosis (MS) [in Persian]. [Thesis]. Ahvaz, Iran: Shahid Chamran University of Ahvaz; 2017.
  26. Abboud M. Vitamin D supplementation and sleep: A systematic review and meta-analysis of intervention studies. Nutrients 2022; 14(5): 1076
  27. Tsiaras WG, Weinstock MA. Factors influencing vitamin D status. Acta Derm Venereol 2011; 91(2): 115-24.
  28. Stumpf WE, O'Brien LP. 1,25 (OH)2 vitamin D3 sites of action in the brain: an autoradiographic study. Histochemistry1987; 87(5): 393-406.
  29. McCarty DE, Chesson Jr AL, Jain SK, Marino AA. The link between vitamin D metabolism and sleep medicine. Sleep Med Rev 2014; 18(4): 311-19.
Journal of Isfahan Medical School
Volume 40, Issue 685
1st Week, November
November and December 2022
Pages 667-677

  • Receive Date 07 March 1401
  • Accept Date 30 July 1401