Aerobic Exercise on Improving Sleep in Systemic Lupus Erythematosus.

Effectiveness of Exercise Training in Improving Sleep in Patients With Systemic Lupus Erythematosus: A Controlled Randomized Trial.

The purpose of this study is to determine the effectiveness of exercise training on improving sleep in patients with systemic lupus erythematosus.

This study will test the effectiveness of aerobic exercise on improving sleep in patients with systemic lupus erythematosus. The subjects will do treadmill 2 times per week, from 15-20 min. with low to moderate(55-65% maxCF) intensity exercise, so 30 min. until 4ª week. From the 5ª to 8ª week they will be able to make greater efforts to 35-40 min. totalizing 16 weeks. The control group will not do exercise and will receive education class about disease, health, sleep, 1 time per month.

Inclusion Criteria:

• Diagnosis of Systemic Lupus Erythematosus (SLE) according American College of Rheumatology (ACR) Criteria revised in 1997;
• Pittsburgh sleep quality index (PSQI) ≥ 5;
• Free and Clarified Consent Term signature.

Exclusion Criteria:

• Patients who have other rheumatologic diseases (rheumatoid arthritis, sjogren syndrome, fibromyalgia, ankylosis spondylitis), excerpt mild osteoarthritis;

• Systemic Lupus Erythematosus Disease Assessment Index (SLEDAI) > 8;

• Untreated diseases: Hypertension, diabetes mellitus (DM), dyslipidemia, thyroid dysfunction, cardiorespiratory diseases, malignancies;

• Patients who do not accept the study rules as time and/or follow-up exercise program time proposed;

• Suspected or pregnancy confirmation;

  * Patients who are taking sleeping medication;

• Patients who won´t sign the Free and Clarified Consent Term informed;

• Patients engaged in physical activity (defined as previously sedentary individuals, or that which do not perform any type of regular physical activity at least six months);