Effectiveness and Safety of Physical Exercises in the Improvement of the Sleep Quality. Regarding Rheumatoid Arthritis

Effectiveness and Safety of Physical Exercises in the Improvement of the Sleep Quality in Women With Rheumatoid Arthritis: A Randomized Clinical Trial Study

Physical exercise programs are effective and safe for the improvement of the sleep efficiency in patients with Rheumatoid Arthritis.

Inclusion Criteria:

• Women ages 35-65 years diagnosed with Rheumatoid Arthritis according with the American College of Rheumatology (ACR) and European League Against Rheumatism (EULAR)Criteria; Pittsburgh Sleep Quality Index ≥ 5; electrocardiogram test (ECG) at rest and at regular effort.

Exclusion Criteria:

• Patients with joint restrictions due to disease.
• Other rheumatoid-associated diseases (Fibromyalgia) with the exception of Osteoarthritis of low degree.
• Those who are uncontrollably hypertense, diabetic, with thyroidopathy and cardiorespiratory diseases which stop them from practicing exercises.
• Class II obesity (IMC ≥ 35 Kg/m2).
• Cognitive deficits.
• Depression.
• Patients not following the study rules such as exercise hours and / or time for the proposed program.
• Current physical exercise practitioner.
• Those undergoing medication treatment which would interfere sleep.
• Night shift workers who disrespect regular working schedule.