{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T17:04:28Z","timestamp":1779383068322,"version":"3.53.1"},"reference-count":57,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,22]],"date-time":"2022-10-22T00:00:00Z","timestamp":1666396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the University de La Frontera","award":["DI21-0030"],"award-info":[{"award-number":["DI21-0030"]}]},{"name":"the University de La Frontera","award":["FRO 1895"],"award-info":[{"award-number":["FRO 1895"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Sleep quality is an important modulator of neuroendocrine function, as sleep problems are related to metabolic and endocrine alterations. Objective: The main objective was to determine the effects of an exercise training program on the sleep quality of severely obese patients with sleep problems. The secondary objective was to determine the relationship between fitness and anthropometric parameters with sleep quality scores. Methods: Thirty severely obese patients participated in 16 weeks of PA intervention (age: 39.30 \u00b1 11.62 y, BMI: 42.75 \u00b1 5.27 kg\/m2). Subjective sleep quality, anthropometric parameters, and fitness (i.e., handgrip strength and cardiorespiratory fitness) were measured. Results: Two groups were defined as good sleepers (n = 15, 38.06 \u00b1 12.26, men = 1) and bad sleepers (n = 15, 40.53 \u00b1 11.23, men = 3). The good sleeper group reported improvement in cardiorespiratory fitness (61.33 \u00b1 68.75 m vs. 635.33 \u00b1 98.91 m, p = 0.003) and handgrip strength (29.63 \u00b1 9.29 kg vs. 31.86 \u00b1 7.17 kg, p = 0.049). The bad sleeper group improved their cardiorespiratory fitness (472.66 \u00b1 99.7 m vs. 611.33 \u00b1 148.75 m, p = 0.001). In terms of sleep quality dimensions, the bad sleeper group improved their subjective sleep quality (p &lt; 0.001), sleep latency (p = 0.045), sleep duration (p = 0.031), and habitual sleep efficiency (p = 0.015). Comparing the changes in both groups (\u2206), there were differences in subjective sleep quality scores (\u2206 = 2.23 vs. \u2206 = \u22123.90, p = 0.002), where 86.6% of the bad sleeper group improved sleep quality (p = 0.030). An increase in handgrip strength was correlated to improving sleep quality scores (r = \u22120.49, p = 0.050). Conclusions: Severely obese bad sleepers improved their subjective sleep quality, the components of sleep, and cardiorespiratory fitness through an exercise training program. Improvement in subjective sleep quality was linked to an increase in handgrip strength.<\/jats:p>","DOI":"10.3390\/ijerph192113732","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T02:31:03Z","timestamp":1666578663000},"page":"13732","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Exercise Training Program Improves Subjective Sleep Quality and Physical Fitness in Severely Obese Bad Sleepers"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9952-993X","authenticated-orcid":false,"given":"Pedro","family":"Delgado-Floody","sequence":"first","affiliation":[{"name":"Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile"},{"name":"Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain"},{"name":"Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6884-589X","authenticated-orcid":false,"given":"Felipe","family":"Caama\u00f1o Navarrete","sequence":"additional","affiliation":[{"name":"Physical Education Career, Universidad Aut\u00f3noma de Chile, Temuco 4780000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1008-176X","authenticated-orcid":false,"given":"Luis","family":"Chirosa-R\u00edos","sequence":"additional","affiliation":[{"name":"Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain"},{"name":"Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9216-1826","authenticated-orcid":false,"given":"Cristian","family":"Mart\u00ednez-Salazar","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Andrea","family":"Vargas","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1535-4226","authenticated-orcid":false,"given":"Iris Paola","family":"Guzm\u00e1n-Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Faculty of Chemical-Biological Sciences, Universidad Aut\u00f3noma de Guerrero, Guerrero 39087, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1007\/s40675-015-0023-y","article-title":"Recent updates in the social and environmental determinants of sleep health","volume":"1","author":"Hale","year":"2015","journal-title":"Curr. 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